Our solutions are built on a strong data foundation and are supported by predictive analytics that help you identify and manage risk
Value Based Care has changed the way healthcare providers do business
The responsibility for managing the risk associated with a patient population has moved from the payer to the provider.
Milliman PRM Analytics® has developed a predictive model that provides a prospective estimate of potentially avoidable healthcare expenses and their specific clinical drivers, providing critical business information required for population management decision making
Patient Flow explores the connections observed between healthcare providers as they deliver care. Using traditional medical claims sources, potential connections between providers are identified when a patient visits two providers within a short period of time.
Conditions to Consider uses machine learning to understand the disease state of a population. Results can be used to analyze HCC risk scores or to identify patients at heightened risk of developing chronic diseases. The Point of Care Dashboard is focused for use in a point of care setting.
Conditions to Consider uses machine learning to understand the disease state of a population. Results can be used to analyze HCC risk scores or to identify patients at heightened risk of developing chronic diseases. The Financial Dashboard focuses on financial impacts.
The Care Coordinator Report provides care managers with a comprehensive view of recent patient clinical and claims activity, making management more efficient and effective.
The Cost Model Dashbord is a financial utilization tracking tool to identify trends in spending and utilization.
Unlike other analytics solution vendors, Milliman PRM Analytics is based on decades of risk management expertise and deep domain knowledge.
PRM Analytics clients benefit from the depth and breadth of Milliman's experience managing risk since 1947, including:
"We use Milliman [PRM Analytics] to identify and rectify ESRD cases that have not yet been classified as such by CMS. Using the attributed population classified as duals, disabled and aged, we perform a search for dialysis procedures. If the dialysis has spanned a continuous time of at least 3 months, we alert the physician to contact the nephrologist and/or dialysis facility for correction. Tracking the process was easy with PRM as the CMS enrollment status is present on every Care Coordinator Report."
ACO Director of Coding Compliance and Quality Improvement
"We looked at products from industry leading companies to help us measure our performance and plan our future in our ACO business. No one comes close to the product [they] ha[ve] put together at Milliman."
President, Physician-owned Group Practice