Operational consulting
Working together to achieve operational goals
Milliman operational consulting solutions
Claims
Operational consulting insight
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You can't manage what you can't measure: Medication adherence in chronic disease management
We summarise different methodologies adopted by healthcare stakeholders to measure medication adherence, and offer some advancements in standardizing this critical metric.
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Opportunities for cost savings—healthcare claims management in India
With an urgent need to bring cost inflation into a sustainable range, we examine best practices in reducing spending, while maintaining or improving patient outcomes.
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Four levers of controlling health claim costs
With the ongoing COVID-19 pandemic, it has become all the more important for insurers to manage their claims and expenses.
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Administrative benchmarks for health insurance in India
Milliman can help clients improve their administrative performance by conducting company function-by-function comparisons of administrative performance and staffing levels versus competitors and peers, and recommending appropriate process improvement initiatives.
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Changing gears for changing times: Population health analytics and India’s health insurance industry
Sophisticated population health analytics enable insurers to make smarter and more informed decisions on financial trend drivers, and can help medical management departments by more effectively allocating disease and care management resources.
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Chronic disease management: Considerations for international adoption
The literature shows that a disease management programme is not a guarantee of cost savings, but in addition to community health improvements and improved clinical outcomes, desired cost savings can be realised if the programme is designed correctly.