FOR PAYERS

Manage cost and risk in a constantly changing world

Maximize health plan value while ensuring long-term success

LEADING EXPERTISE

Meet healthcare payment challenges with intelligent insights

Paying for healthcare is one of the most complex challenges our society faces. Advanced analytics, new gene and cell therapies, and impacts from COVID-19 continue to change the payer landscape. Milliman helps you navigate change with industry-leading predictive modeling and deep industry expertise.

Where wellbeing is the bottom line.

Learn more about Milliman’s health plan solutions.

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Article

The uncertainties and benefits of gene and cell therapies: A payer’s dilemma

This paper explores sources of uncertainty regarding gene and cell therapies, risk mitigation strategies, and alternate payment arrangements.

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Article

The preliminary reported impact of COVID-19 on ACA premiums

This paper examines the reported impact of COVID-19 on preliminary rate filings among six states and D.C. in June of 2020.

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Milliman health plans products

Healthcare analytics

MedInsight

Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.

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Insurance risk assessment

IntelliScript

IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.

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Benefit plan evaluation

CORAL

Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.

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Healthcare cost modeling

Health Cost Guidelines Suite

Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.

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Medical underwriting

Milliman Medical Underwriting Suite

Improve the medical underwriting process with a comprehensive suite of products based on Milliman Medical Underwriting Guidelines.

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Insurance risk assessment

Integrated Medical and Pharmacy Record Optimization and Validation Engine (IMPROVE)

IMPROVE combines your detailed claim and enrollment information with a proprietary algorithm to uncover opportunities to investigate undocumented or unsupported conditions or encourage enrollees to schedule annual wellness visits.

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Healthcare cost modeling

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

Analyze historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.

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Healthcare risk adjustment

EDGE ASSIST

EDGE ASSIST is Milliman's end-to-end managed service solution—from data ingestion and manipulation to the final submission and everything in between.

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Manage cost and risk in a constantly changing world

Meet healthcare payment challenges with intelligent insights

Where wellbeing is the bottom line.

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The uncertainties and benefits of gene and cell therapies: A payer’s dilemma

The preliminary reported impact of COVID-19 on ACA premiums

Loading component...

Milliman health plans products

MedInsight

IntelliScript

CORAL

Health Cost Guidelines Suite

Milliman Medical Underwriting Suite

Integrated Medical and Pharmacy Record Optimization and Validation Engine (IMPROVE)

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

EDGE ASSIST

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We’re here to help

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CHOOSE A LOCATION AND LANGUAGE

Where wellbeing is the bottom line.

The uncertainties and benefits of gene and cell therapies: A payer’s dilemma

The preliminary reported impact of COVID-19 on ACA premiums

Milliman health plans products

MedInsight

IntelliScript

CORAL

Health Cost Guidelines Suite

Milliman Medical Underwriting Suite

Integrated Medical and Pharmacy Record Optimization and Validation Engine (IMPROVE)

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

EDGE ASSIST

We’re here to help

CHOOSE A LOCATION AND LANGUAGE