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HEALTH SOLUTIONS

Government

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Government
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Overview
Overview

Solutions for the public sector in India

Central and state government, and the private sector interact in complex ways throughout the healthcare industry in India. As the nation works to improve cost, access and quality, Milliman partners with government entities at all levels to provide insights and expertise.

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Insight
Services

Milliman government services

Payment mechanisms Skilled consultants Fraud prevention Capacity building Financial projections

Payment mechanisms

Modernizing payments

With the growth of value-based reimbursement, as well as cost pressure, governments are re-evaluating how they pay for care. We assist with provider payment mechanisms (such as package pricing, also known as bundled payments), and work closely with state and central government to develop and review rates and packages.

Skilled consultants

Global expertise, local knowledge

Milliman combines the scope and knowledge of a global consulting firm with deep expertise on the Indian healthcare industry. We bring deep-rooted knowledge of public and private health systems from across the world to our practice, enabling the identification of best practices and new approaches relevant to local needs. Whether it’s understanding value-based care, meeting regulatory requirements or evaluating insurance rates, we can help.

Fraud prevention

Data-driven protection

Healthcare fraud affects everyone—from healthcare consumers to government and private payers. We can help you strengthen existing fraud management frameworks and use intelligent technology to enhance the precision and scalability of fraud detection.

Capacity building

Scaling up your team

In addition to providing expert services, we can help upskill your team through training and knowledge enhancement. By making the most of your people’s skills and knowledge, you can enhance your impact, meet the needs of your constituents, increase employee retention and reduce costs related to additional staffing.

Financial projections

Improving accuracy, reducing risk

Stay ahead of the curve as healthcare needs change and meet financial and regulatory requirements. We model future cash flows and changes in population mix affecting healthcare costs for planning and budgeting, providing projections for government schemes and private health insurance plans.

Products
Insight

Milliman government insight

Article

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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White Paper

National Health Protection Scheme: Short-term and long-term challenges

India’s National Health Protection Scheme, when fully implemented, will be the largest of its kind in the world and is likely to be a boon for Indian healthcare consumers.
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Article

Medical inflation and health insurance practices in India: Current practices and the way forward

This paper discusses the common definitions of medical inflation, factors driving medical inflation in the short and long term and current medical inflation trends in India.

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White Paper

Six challenges to the successful adoption of value-based care in the Middle East

The successful adoption of value-based care in the Middle East faces important challenges.
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White Paper

Population health and value-based care collaboration: Primary care case study

A discussion of the primary care redesign of seven U.S. practices over the course of three years, including their reported utilisation and savings achievements.

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Video

The advantage of a top-down cost-allocation approach in developing markets

In this short film, Lalit Baveja provides a primer on top-down cost-allocation and discusses a Milliman project for the state government of Meghalaya, India, that used the methodology.
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Services
Related products

Milliman government products

Digital health and wellness

Milliman RapidHRA

Gain powerful insights into the health and risk profile of your employees—and give them the ability to monitor their own health and wellness. Flexible, secure, and cloud-based MillimanHRA provides objective, in-depth intelligence for better health.

Insurance risk assessment
Claims processing and data analysis

Milliman Health ClaimsRef

Reduce errors and improve cost savings with standardized, consistent claims processing tools.

Healthcare analytics
Healthcare analytics

MedInsight

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

Healthcare cost modeling
Healthcare cost modelling

Health Cost Guidelines Suite

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

Healthcare risk adjustment
Healthcare risk adjustment

Milliman Advanced Risk Adjusters

Fuel population health analytics and manage risk adjustment with our award-winning suite of tools and data.

Resources

We’re here to help

Ask the tough questions. We’re ready for them.

Contact an expert

We’re here to help

Ask the tough questions. We’re ready for them.

Contact an expert
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