HEALTH SOLUTIONS

Actuarial consulting

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Intelligent insights for improved healthcare

In a world of ever-changing regulations and ever-rising costs, Milliman’s actuarial services help you manage risk and deliver value. Combining breakthrough technology and 70 years of expertise, we’re your partner for transformational solutions to healthcare’s biggest challenges.

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OVERVIEW

Milliman actuarial consulting solutions

Pricing and plan design

Become more competitive and manage risk with our end-to-end pricing and plan design services. We bring comprehensive industry data and insight—plus proven, proprietary models based on the latest techniques—to help you accurately price new and innovative products.

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Reserving and financial reporting

The dynamic regulatory environment makes reserving and reporting more complex than ever. From standards-based reporting to stochastic modeling, we help you go beyond the basics to genuinely reduce your risk and increase your agility.

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Claim experience and financial analysis

Make better decisions with data. Based on company and industry claims experience, our advanced analytics reveal how to adjust pricing, utilization, and other characteristics to ensure profitability while preserving benefits.

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Regulatory filings

Compliance doesn’t have to be a chore. Our complete regulatory services include government filings and actuarial opinions so you can focus on what differentiates your business—and have peace of mind. Services include premium rate filings, annual actuarial statements of opinion, small group certifications, Medicare Retiree Drug Subsidy (RDS) certifications and Medicare Advantage bids.

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Insight

Milliman actuarial consulting insight

White paper

Cost and Effectiveness of Lung Cancer Screening in Poland: a 15-year projection

Lung cancer screening programs yield substantial improvements in outcomes, with our analysis estimating an increase of 3.74 life years per cancer case in Poland.

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White paper

Fine tuning actuarial values, one benefit at a time

Estimating the impact of cost-sharing changes on the federal actuarial values (AVs) for individual and small group plans that are part of the Affordable Care Act (ACA) is often a guessing game.

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Research Report

Milliman Medical Index

Read our latest analysis of healthcare costs in the U.S., including prescription drug and employer contribution trends.

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Milliman actuarial consulting products

HEALTHCARE UNIT COST INSIGHTS

Milliman Commercial Reimbursement Benchmarks

Access detailed, market-based provider commercial reimbursement benchmarks in multiple views, including Medicare FFS rates and allowed per RVU conversion factor.

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Procurement management

Milliman Payer Network Check

Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.

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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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Healthcare analytics

MedInsight

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

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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 risk adjustment

Milliman Advanced Risk Adjusters

Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.

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Research reports

Milliman Supplemental and Specialty Research

Discover specialized market research to support your product strategies.

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PPO network study

Dental Actuarial Analytics (DAA)

Actionable insights for your dental network competitiveness

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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 cost modeling

Milliman Health Trend Guidelines

Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.

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Employer reporting

Milliman DEPTH

Optimize your benefits cost management strategy.

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Medicare Advantage benchmarking

Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)

Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.

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Price transparency analytics

Milliman Price Transparency Solutions for Payers and Providers

Demystify payer and provider contract pricing data for better transparency across the industry.

Actuarial consulting