Article
12 March 2026 - by Austin Barrington, Spencer Marshall, Patrick Baiza, Sam Yih
In Washington state, commercial group members in Kaiser HMO and PPO plans experience statistically significant Rx cost savings, our study shows.
Article
24 July 2025 - by Spencer Marshall, Danjie Zhou, Charlie Mills
We present the latest data on reimbursement as a percentage of Medicare fee-for-service rates, a key benchmark for providers.
Article
16 May 2025 - by Spencer Marshall, Austin Barrington, Sam Yih, Samuel Kwao
If the Centers for Medicare and Medicaid Services were to approve cardiac ablations for ambulatory surgery centers, we estimate a savings of $181 million in 2026.
Article
02 January 2025 - by Melonie O'Connell, Spencer Marshall
As price transparency data transforms payer and provider negotiations, we examine how Milliman Transparent can help stakeholders develop targets and strategy.
Article
02 January 2025 - by Melonie O'Connell, Spencer Marshall
As price transparency data transforms payer and provider negotiations, we examine how Milliman Transparent can help stakeholders develop targets and strategy.
Article
11 November 2024 - by Spencer Marshall, Brian Hartman, Christopher Kunkel, June Chu
We share five key findings from our evaluation of models for predicting an individual’s risk undiagnosed dementia.
Article
01 November 2024 - by Spencer Marshall, Danjie Zhou, Charlie Mills
We review the key pricing factors for the latest guidance issued by CMS for Medicare inpatient and outpatient prospective payment systems, for fiscal year 2025.
Article
27 August 2024 - by Erica Reijula, Spencer Marshall, Mike Gaal, David C. Lewis
Milliman Transparent can support self-funded employers with analytics based on price transparency data to enhance their benefit offerings and fulfill their obligations as fiduciaries.
Article
19 June 2024 - by Spencer Marshall, Danjie Zhou, Casey Anderson, Charlie Mills
We estimate the national commercial reimbursement payment rates increasing in 2024 to 190% of Medicare fee-for-service rates, up from 188% last year.
Article
17 October 2023 - by Chris Smith, Spencer Marshall, David C. Lewis
We discuss real-world examples and highlight key questions to show how Milliman Transparent contains the analytics that healthcare payers need to succeed in contracting.