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.

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 modelling, 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, utilisation, 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

Research Report

Milliman Medical Index

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

Read the index

Podcast

Critical Point Podcast: Alternative Payment Methods

Alternatives to fee-for-service payment have been a hot topic in healthcare for some time. Learn about the challenges and benefits of various approaches and how payers, physicians, and patients are affected.

Listen to the podcast

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Milliman actuarial consulting products

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.

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Healthcare analytics

MedInsight

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

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Healthcare risk adjustment

Milliman Advanced Risk Adjusters

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

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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 cost modelling

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

Analyse historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.

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Healthcare cost modelling

Milliman Health Trend Guidelines

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

Actuarial consulting