HEALTH SOLUTIONS

Medicare

Making Medicare work for all concerned

In the ever-changing world of Medicare, it pays to have an experienced strategic partner to help you navigate new payment models, regulations, and market shifts. We have the data, methodologies, and in-market experience to help you succeed.

OVERVIEW

Milliman Medicare solutions

Medicare Advantage

A dynamic and growing market makes it more important than ever to offer competitive benefits and premiums to Medicare Advantage customers. Our comprehensive services include employer group pricing support, market and feasibility analysis, payment validation, and risk scoring.

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Medicare Part D

Milliman has been helping plan providers creates successful Medicare Part D solutions since the program’s inception. Turn to us for retiree prescription drug plan review, creditable coverage testing, actuarial equivalence testing, and communications consulting.

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Operational consulting

Milliman healthcare consultants with clinical, IT, operational, compliance and marketing backgrounds, coupled with in-depth knowledge of Medicare programs, help you streamline operations, increase efficiency, and improve your services.

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Bid development, desk review, and audit support

The CMS bid process is a gauntlet of complex regulations. Let Milliman help you find the right path forward for your Medicare plan, from Medicare Advantage to PACE. Our end-to-end support goes beyond initial submission to encompass desk review and audits.

INSIGHT

Milliman Medicare insight

White Paper

MACRA: The Series

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) represents a tectonic shift away from fee-for-service payment models. Milliman has developed a series of papers that examine the impacts of MACRA on providers and health plans.

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