HEALTH SOLUTIONS
Actuarial consulting
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.
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.
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.
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.
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.
Milliman actuarial consulting insight
Milliman actuarial consulting products
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.
Milliman Payer Network Check
Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.
Health Cost Guidelines Suite
Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard.
MedInsight
Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.
CORAL
Estimate actuarial equivalent relative values for health plans based on variables such as copays, deductibles, and coinsurance.
Milliman Advanced Risk Adjusters
Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.
Milliman Supplemental and Specialty Research
Discover specialized market research to support your product strategies.
Dental Actuarial Analytics (DAA)
Actionable insights for your dental network competitiveness
Dashboard for Research, Insight, and Validation of Experience (DRIVE)
Analyze historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.
Milliman Health Trend Guidelines
Get accurate monthly information on healthcare expenditures and utilization for individuals enrolled in U.S. commercial insurance plans.
Milliman DEPTH
Optimize your benefits cost management strategy.
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
Milliman Price Transparency Solutions for Payers and Providers
Demystify payer and provider contract pricing data for better transparency across the industry.
Milliman actuarial consulting services
Benchmarking
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
Health, wellness, and disease management ROI
We bring our customary rigor and objectivity to evaluating employer-sponsored health, wellness, and disease management programs.
IFRS insurance contract consulting
Meet exacting standards while managing the operational and strategic implications with our modeling, actuarial, and consulting skills.