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HEALTH SOLUTIONS

Analytics

Analytics

Modeling a better future

Ever-growing amounts of data hold the promise to illuminate better ways forward for healthcare. Milliman combines leading technology with decades of real-world expertise to help you find meaning in the numbers.

OVERVIEW

Milliman analytics solutions

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Predictive Modeling

Predictive analytics technology is a profit engine, enabling you to uncover hidden opportunities and challenges using a wide range of data. With clear, actionable results, you can select and price business, reduce loss ratios, project operating costs, and much more.

Advanced analytics for a changing industry

Milliman MedInsight® combines vital patient information into a single, comprehensive reporting system that can accurately generate performance metrics on demand for insurers, employers, and Medicaid agencies.

Milliman Health Cost Guidelines

Estimate expected claims costs and model healthcare utilization with Milliman’s Health Cost Guidelines™, an industry gold standard used by health care organizations worldwide. More than 100 risk-bearing entities rely on our proprietary methodologies and comprehensive data to model healthcare utilization, estimate claim costs, and adjust national benchmarks to local conditions.

Milliman PRM Analytics

Used by 24 of the 25 largest health plans, Milliman PRM Analytics® predicts costs and clinical drivers, helping accountable care organizations deliver better care and financial performance.

Redefining the science of insurance risk assessment

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

Insight

Milliman analytics insight

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White paper

Medicare's Kidney Care Choices (KCC) Model: A focus on Comprehensive Kidney Care Contracting (CKCC)

Chronic kidney disease (CKD) and end-stage renal disease (ESRD) are both very costly and impact a significant portion of the U.S. population.

Read the white paper

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Article

An essay on using costs in health technology assessments

A robust approach to modeling costs is necessary for a health technology assessment to accurately describe a medical intervention

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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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VIDEO

The story behind the Milliman Medical Index

The importance of understanding the full cost of healthcare—and how and where costs are increasing.

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Article

The progression of value-based healthcare in the Middle East: From data to payment adjustors

This paper examines implementation of value-based healthcare and how it can link to quality outcomes.

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RELATED PRODUCTS

Milliman analytics products

Benchmarking

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.

Healthcare analytics

Procurement management

Milliman Payer Network Check

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

Healthcare analytics

Healthcare analytics

MedInsight

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

Insurance risk assessment

Insurance risk assessment

IntelliScript

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

Healthcare cost modeling

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.

Medical underwriting

Medical underwriting

Milliman Medical Underwriting Suite

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

Healthcare risk adjustment

Healthcare risk adjustment

Milliman Advanced Risk Adjusters

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

Benefit plan evaluation

Benefit plan evaluation

CORAL

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

Benefit plan evaluation

Research reports

Milliman Supplemental and Specialty Research

Discover specialized market research to support your product strategies.

Medicare advantage benchmarking

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.

Hospital performance analysis

PPO network study

Dental Actuarial Analytics (DAA)

Actionable insights for your dental network competitiveness

ACA utilization and cost evaluation

Medicare plan selection solution

Medicare Suggest

Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.

Healthcare cost modeling

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.

Healthcare cost modeling

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.

Healthcare analytics

Employer reporting

Milliman DEPTH

Optimize your benefits cost management strategy.

Healthcare cost modeling

Healthcare cost modeling

Individual Medical Underwriting Guidelines (IMUGs)

Evaluate the expected relative cost of an individual applying for coverage with detailed ratings on more than 1,400 conditions.

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

ACO analytics

Milliman ACO Builder

Leverage complete data, meaningful analytics, and Millman’s ACO expertise to analyze provider performance.

Premium comparison platform

Cost-saving analysis

Milliman Specialty Pharmacy Insights

Identify opportunities to manage specialty pharmacy costs for existing and new drug therapies.

Digital health and wellness

Milliman RapidHRA

Flexible, secure, and cloud-based MillimanHRA provides objective, in-depth intelligence for better health.

Healthcare analytics

Price transparency analytics

Milliman Price Transparency Solutions for Payers and Providers

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

RELATED SERVICES

Milliman analytics services

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