Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Deliver on the promises of the past and create smart solutions for the future.
This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
Milliman's healthcare consultants offer detailed knowledge of the critical success factors needed to create a world-class medical management programme. We are highly experienced in all types of medical management programmes. We offer a vast array of international expertise to help our clients determine what will be most effective in their markets.
Our expertise extends to all types of medical management functions, including inpatient concurrent reviews, post discharge reviews, ambulatory care management reviews, and disease, claims, and underwriting management.
Our medical management services teams combine a broad healthcare expertise from veteran physicians, nurses, and pharmacists with the financial knowledge of our actuarial staff to balance the clinical, financial, and operational imperatives of healthcare providers and insurers.
We offer extensive knowledge of disease management programme cost-effectiveness and employ the latest modelling techniques to estimate likely return on investment. Statistical methods used to measure the financial success of chronic disease management programmes are often fundamentally flawed, leading to incorrect conclusions and poor policymaking. Our skills in building robust models allow clients to pinpoint problem areas accurately, leading to better resource allocation. We help clients understand which programs are likely to lead to cost savings and which programs should be focussed on quality outcomes rather than cost savings.
In our operational reviews, a team composed of both actuaries and medical professionals studies the financial and clinical effectiveness of an organisation's case management, pre-authorisation procedures, and department-level efficiency to determine strategies for improvement.
Our clients carry out the strategies we help them develop. Milliman's consultants assist clients through the entire process, implementing necessary best practices through staffing, training, pay-for-performance programs, and provider profiling. If necessary, we review vendor costs and options and can assist organisations in identifying and negotiating with new vendors. Our implementation is always carefully tracked and benchmarked so our clients can prove the return on their investments.
Ask the tough questions. We’re ready for them.