Milliman is among the world’s largest providers of actuarial consulting services and related products in the healthcare market. Milliman serves more than 80% of ACAP members, providing actuarial and strategic consulting, data management, and predictive analytics and data analytics solutions.
Our consultants advise clients on a wide range of issues in a changing healthcare market. Consulting services include assisting plan with such items as:
• Medicaid capitation rate support, negotiation, and strategy,
• Commercial marketplace and Medicare Advantage rate and bid development,
• Risk adjustment program management,
• Provider network development,
• Strategic planning related to healthcare and provider payment reform.
We work closely with plans on challenges in these and other areas, to share market breadth and expertise, in support of the plan’s goals.
In addition to our consulting actuaries, Milliman’s body of professionals includes health IT experts, clinicians, administrative efficiency experts, health care data analysts, industry-experienced management consultants, regulatory and policy experts.
Our consulting services are supported by a powerful toolkit of data analytics and predictive analytics solutions and informed by the most trusted, comprehensive set of actuarial cost models in the industry. Our risk adjustment tool, Milliman Advanced Risk Adjusters® (MARA®), is used by health plans and healthcare providers to predict future costs and implement appropriate care management programs for their specific situation. Milliman MedInsight® is one of the industry’s most highly regarded platforms for data warehousing and healthcare analytics, providing preconfigured or custom reporting and data configurations, which turn healthcare data into actionable information.