Employing industry-leading data analytics and solutions, clients across the healthcare spectrum are helped to control costs, expand coverage, and untangle regulatory complexity to improve the health and well-being of people everywhere. From reducing waste and operating costs to expanding into new markets and services, payers, providers, governments, and employers are supported in managing the impact of healthcare reform, streamlining operations, building new analytical capabilities, and advancing the quality of patient care.

Staying ahead of 100-year storms, expanding coverage to vulnerable populations, deciphering daunting new reporting requirements, and unlocking the promise of disruptive technologies while guarding against their risks — these are the challenges at the forefront of insurance expertise. Innovation is the future of the insurance industry. From expanding access and reach to creating entirely new categories of products, work is done at the forefront of the trends that will define tomorrow's industry, while protecting the lives and property of people today.

Rising interest rates, soaring inflation, longevity risk, and market volatility are just some of the forces threatening to undermine the retirement of millions of people worldwide, making innovative solutions that help people retire with confidence essential. Retirement plans today are as almost as diverse as the workforces they support. Innovative retirement and benefits solutions are powered by cutting-edge ALM modeling, performance monitoring, plan administration, and asset protection capabilities, helping clients navigate options, mitigate liabilities, and develop flexible, comprehensive approaches to complex retirement challenges.

The most dangerous risks to a business are those that can't be seen. By helping clients to identify and manage hidden and emerging risks, decisions can be made with greater confidence and growing threats to businesses can be guarded against. A rigorous, distinctly innovative approach to risk management is built on a foundation of actuarial expertise and shaped by some of the most advanced thinking in the industry. Whether improving capital efficiency, complying with regulatory requirements, or guarding against market volatility, a complete range of operational, strategic, and financial risk management solutions and tools is offered.

Comprehensive actuarial and advisory consulting for payers, providers, governments, and employers across the full healthcare spectrum. Delivers actuarial consulting, Medicaid and Medicare consulting, pharmacy benefits strategy, product development and pricing, and value-based reimbursement model design to optimize healthcare economics and payment structures. Services span the full continuum of health plan operations from risk assessment and actuarial reserves to strategic product positioning and alternative payment arrangements, enabling clients to navigate regulatory complexity and design sustainable models for different population segments and benefit configurations.

Full-spectrum insurance consulting encompassing actuarial reserving, capital management, catastrophe modeling, mergers and acquisitions, product development and pricing, Solvency II, IFRS consulting, and underwriting and operations advisory. Supports insurers across property and casualty, life and annuity, and specialty lines with deep expertise in regulatory capital, financial reporting standards, and M&A transaction support. Delivers end-to-end advisory across insurance product lifecycle including underwriting optimization, claims operations, reserving methodologies, catastrophe exposure quantification, and cross-border regulatory compliance to help insurers manage capital efficiency, pricing accuracy, and strategic portfolio decisions.

Retirement and employee benefits consulting covering defined benefit and defined contribution plan administration and consulting, investment policy and structure, multiemployer services, health and welfare administration, and total retirement outsourcing. Advises employers, plan sponsors, and fiduciaries on plan design, funding strategies, investment governance, and regulatory compliance across retirement and health benefit programs. Provides actuarial valuation, liability assessment, contribution forecasting, and benefit administration support to optimize retirement security outcomes, manage plan costs and volatility, and navigate evolving regulatory and accounting requirements affecting pension and post-retirement health obligations.

Enterprise and operational risk advisory services including complex risk assessment, enterprise risk management, mortgage consulting, regulatory assistance, risk framework assessments, and warranty and service contract consulting. Helps organizations identify, quantify, and mitigate risks across business operations, financial exposures, and strategic initiatives through structured risk modeling and scenario analysis. Delivers frameworks for risk governance, loss forecasting, and resilience planning to support decision-making under uncertainty and enhance organizational preparedness for operational, financial, and regulatory challenges.

An advisory organization licensed to submit loss costs, rating factors, and risk scores with state insurance regulators across the U.S. Enables insurers to efficiently file actuarially justified rate and rating factor requests with state insurance departments. Streamlines the regulatory filing process and helps insurers maintain compliant rating structures across multiple jurisdictions with centralized submission and tracking capabilities.

A private flood insurance plan that includes advisory loss costs, risk classification rating factors, and rating rules. Provides flood insurance coverage with actuarially sound pricing and underwriting criteria. Delivers a complete flood insurance product with embedded risk analytics and rating methodology to address market gaps and provide insurers with an alternative flood coverage offering.

Litigation cost analytics platform that detects patterns in attorney billing practices using powerful algorithms to help manage claims defense costs. Analyzes defense counsel billing data to identify cost optimization opportunities and manage outside counsel expenses. Provides benchmarking and pattern detection to support cost containment strategies and enable more informed decision-making around claims defense spending and counsel performance management.

A pension modeling and analytics tool that projects pension assets and liabilities into the future to support data-driven decision-making. Projects long-term pension funding requirements and liability trends under multiple scenarios. Enables pension sponsors to model strategic funding decisions, deferential outcomes, and investment strategy impacts through integrated asset-liability projections and scenario analysis.

A GASB 75 compliance tool that guides users through requirements via easy-to-answer questions and step-by-step guidance. Provides guided compliance assessment for GASB 75 accounting and disclosure requirements for public sector retirement plans. Simplifies GASB 75 compliance through an interactive Q&A format and step-by-step compliance guidance for public sector entities sponsoring retirement and other post-employment benefit plans.

An ACA compliance and affordability analysis tool giving small and mid-size employers essential analysis for ensuring plan compliance and affordability. Provides ACA compliance assessment and affordability testing for employer-sponsored health plans. Enables small and mid-size employers to evaluate compliance with ACA requirements including affordability testing, coverage requirements, and reporting obligations through an integrated dashboard.

A cloud-based solution that automates and accelerates actuarial modeling and reporting. Converts and automates complex actuarial calculations previously managed in spreadsheets, reducing manual effort and improving calculation speed and accuracy. Provides a centralized modeling platform with automated workflows and report generation to streamline actuarial operations and improve time-to-insight for enterprise risk and financial reporting.

An insurance risk assessment platform combining industry-leading data and analysis to help insurers confidently assess applicant risk. Leverages comprehensive data sources and predictive analytics to evaluate underwriting risk and support underwriting decision-making. Enables underwriters to make data-driven risk assessments with consistent, calibrated risk scoring across applicant populations to improve selection and pricing accuracy.

A retirement asset allocation tool that deploys an age-based asset-allocation strategy for core funds within defined contribution plans. Provides age-based investment allocation recommendations for defined contribution plan participants. Helps plan sponsors design and communicate age-appropriate investment strategies to participants through target-date and risk-based fund allocation methodologies.

Portfolios of hypothetical risks with realistic distributions of characteristics used for property and flood insurance pricing and market exposure analytics. Provides pre-constructed portfolios with representative risk characteristics for pricing validation and market analysis. Enables insurers to benchmark pricing models, stress-test rate adequacy, and validate market exposure assumptions against industry standard risk distributions.

The healthcare industry's leading platform for data warehousing and healthcare analytics. Provides comprehensive healthcare data aggregation and analytics capabilities for payers, providers, and healthcare organizations. Enables healthcare organizations to consolidate claims, enrollment, clinical, and operational data into an integrated analytics platform supporting population health analysis, financial reporting, and operational performance management.

An industry-leading seriatim valuation system for producing accurate and timely statutory, tax, and GAAP reserve calculations. Performs individual risk-level valuations to generate reserve estimates across multiple regulatory and accounting frameworks. Accelerates reserve reporting processes with automated seriatim modeling and supports reconciliation across statutory, tax, and GAAP reserve methodologies in a single integrated platform.

A multinational accounting disclosure management platform with automated validation and report consolidation. Provides centralized accounting disclosure management and financial consolidation for multinational entities. Automates financial consolidation, validation, and reporting processes across entities and jurisdictions with integrated compliance checking and audit trail support.

An industry-leading pension administration and communication tool for defined benefit and cash balance pension plans. Provides defined benefit pension plan administration including benefit calculations, member communications, and actuarial reporting. Enables pension administrators to manage member records, perform benefit calculations across plan types, and generate required actuarial and member communications efficiently and accurately.

A benchmarking tool to assess the quality of stochastic unpaid claim distributions used for enterprise risk management and dynamic financial analysis. Enables actuaries to validate the quality and realism of stochastically modeled claim distributions against industry benchmarks. Provides reference distributions and assessment criteria to help insurers evaluate the appropriateness of their reserve variability modeling and support governance of actuarial assumptions in risk models.

A benefit enrollment and API/EDI data exchange platform that streamlines benefits management and enhances compliance across operations. Provides a centralized platform for benefit enrollment, benefits communication, and data exchange with third-party systems. Simplifies benefits administration workflows, improves data accuracy and timeliness through automated data integration, and supports regulatory compliance through consolidated benefits records and audit trails.

A pension plan management tool that monitors plan volatility daily to support rapid derisking decisions and market shift responses. Provides real-time pension plan funding and liability monitoring with daily updates on funded status. Enables pension sponsors to monitor market-driven changes in pension obligations and funding status daily and make timely derisking decisions in response to market conditions.

An employer reporting tool that helps optimize benefits cost management strategy. Provides benefits cost analysis and benchmarking to support employer benefits strategy optimization. Enables employers to analyze benefits spending patterns, benchmark costs against industry comparables, and identify opportunities for cost optimization and strategic benefits design improvements.

A cloud-native economic scenarios generator providing advanced modelling capabilities for both risk-neutral and real-world applications with regulatory compliance and API integration. Generates stochastic economic scenarios for use in actuarial valuations, financial projections, and risk modeling. Supports multiple regulatory frameworks and modeling methodologies through a scalable cloud platform with API access to integrate scenarios into downstream valuation and reporting processes.

A benefits assessment and benchmarking report focused exclusively on higher education employee benefits design. Provides benefits benchmarking and best practices for higher education institutions. Enables higher education employers to benchmark their benefits offerings against peer institutions and evaluate benefits competitiveness and design effectiveness in the higher education market.

A cloud-based tool to monitor and assess IFRS 17 readiness and compliance and plan remaining implementation tasks effectively. Tracks implementation progress against IFRS 17 requirements and identifies gaps requiring remediation. Provides a structured assessment framework to help insurers evaluate system readiness, data availability, and process maturity across finance, actuarial, and IT functions for IFRS 17 adoption.

A comprehensive mortgage platform to evaluate mortgage investment opportunities, market trends, and portfolio aggregation for investments and reinsurance. Provides mortgage portfolio analytics and investment analysis capabilities for mortgage investors and reinsurers. Delivers market trend analysis, risk assessment, and portfolio aggregation tools to support investment decision-making and risk management for mortgage-backed securities and mortgage portfolios.

A flexible web-based financial modeling platform that automatically converts Excel spreadsheets into more powerful actuarial models, with an IFRS 17 calculation module. Transforms Excel-based financial models into cloud-native actuarial calculations with enhanced performance and auditability. Provides IFRS 17-compliant valuation capabilities and eliminates spreadsheet risks through centralized model management, automated calculations, and integrated audit trails.

Advanced hedging software for mortgage capital markets teams facilitating enhanced risk management and attribution analysis. Provides hedging analysis and portfolio risk management tools for mortgage portfolios and mortgage securities. Enables capital markets teams to evaluate hedging strategies, analyze market exposure, and perform attribution analysis on mortgage portfolio returns and risks.

An online projection tool and information center providing projections for multiemployer pension plans. Provides multiemployer pension plan financial projections and funded status analysis. Enables multiemployer pension plan sponsors and administrators to project long-term plan funded status and identify funding challenges or surpluses under different contribution and demographic scenarios.

A reserve and liability modeling platform that dramatically reduces the time required for life insurance reserves and liabilities calculations. Automates life insurance reserve and liability calculations across statutory, GAAP, and tax frameworks with seriatim modeling capabilities. Accelerates the financial reporting process for life insurers through parallel processing and integrated valuation logic, reducing calculation time while maintaining accuracy and auditability across regulatory reporting requirements.

A predictive analytics platform that analyzes claims data to identify those likely to incur high costs, helping optimize management and reduce costs. Uses machine learning to flag high-cost claims early in their lifecycle for targeted intervention. Enables claims organizations to proactively manage claims through predictive identification of high-severity cases, supporting cost containment and improved claims outcomes.

A pension funding and FAS reporting tool providing real-time updates on projected funded status and FAS expense as capital markets move. Provides real-time pension funding status and financial reporting metrics updates tied to market movements. Enables pension sponsors to monitor funding progress and FAS/ASC 715 expense impacts throughout reporting periods as market conditions change, supporting decision-making on contribution strategies and funding policy adjustments.

A geographic rating insights platform that delivers relevant rating data to insurers' systems at the point of decision through a simple API. Provides location-based risk data and rating factors to underwriting and rating systems in real-time. Enables insurers to access granular geographic risk data at the point of decision through seamless API integration, supporting more precise underwriting and pricing decisions.

A web-based premium comparison tool that helps insurers identify new market sectors, pinpoint adverse selection, and make better pricing decisions. Enables insurers to analyze premium positioning relative to competitors and evaluate market segments. Supports competitive pricing analysis and market segmentation to identify underpriced segments, attractive market opportunities, and adverse selection risks in insurance portfolios.

A predictive analytics platform that enables visual exploration of industry experience against one's own data to inform decisions based on policyholder behavior drivers. Provides comparative analytics and visualization tools to analyze policyholder behavior patterns against industry benchmarks. Enables data-driven decision-making by visually comparing organizational experience to industry data and identifying key behavioral drivers influencing claims, lapses, and customer outcomes.

A predictive analytics tool that assesses the volatility embedded in pension plans, immediate annuities, and deferred annuities with longevity guarantees. Analyzes portfolio risk and embedded option costs in retirement income products through stochastic modeling. Quantifies tail risk and volatility in pension obligations and annuity portfolios to support risk management decisions and valuation assessments for retirement security products.

A cloud-based tool that simplifies Solvency II regulations into straightforward self-assessments while tracking compliance progress. Provides a simplified compliance assessment framework for Solvency II readiness evaluation. Guides insurers through Solvency II requirements via structured self-assessment and progress tracking to support compliance planning and gap identification.

A multi-user, multi-site Solvency II reporting and compliance tool for Standard Formula SCR and quantitative reporting templates. Provides centralized Solvency II reporting and compliance calculations for multi-entity insurance groups. Enables standardized Solvency II calculations and automated report generation across multiple insurance entities with consolidated compliance tracking and audit capabilities.

A platform for valuing variable annuities against Japanese statutory reserve and capital requirements with support for all types of minimum guarantees. Provides variable annuity valuation and reserve calculations for Japanese regulatory requirements. Supports complex variable annuity product valuations with embedded guarantee calculations to comply with Japanese statutory reserve and capital adequacy requirements.

Milliman ACO Builder quantifies participant-level performance inside and outside your ACO, based on comprehensive data that’s always current. Through Excel or a web-based solution, it helps you improve partnerships with providers and payers to make healthcare more affordable, build the best network for your patient population, and excel in value-based care. Milliman ACO Builder is more than just a dashboard. It is a full pro-forma projection model with Milliman’s unparalleled ACO expertise and the complete Medicare experience data is built in. You can also connect with the same consultants who created ACO Builder to tailor it to your needs and interpret results for your organization. Milliman ACO Builder is available for all major Medicare risk programs including: Medicare Shared Savings Program (MSSP) Direct Contracting (DC) Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Medicare Advantage

Milliman’s ACO Care Management Impact Model (ACO CMIM) allows consultants, medical management staff, and financial analysts to model the impact of care management on healthcare costs and utilization. ACO CMIM enables organizations interested in setting up an accountable care organization (ACO) to establish medical management goals and performance targets that will help achieve desired financial results. They can also carefully analyze operations or the likely outcome of decisions before changes are implemented. Optimize operations and care management structure ACO CMIM draws on Milliman’s Health Cost Guidelines database for its comprehensive modeling. Users can determine the costs of their desired care management functions or work to structure care management to meet established financial goals. With this tool, new or existing ACOs can: Optimize care management operations and address waste or medically unnecessary healthcare utilization. Model a range of effective performance and know whether the organization is meeting goals or is able to improve. Analyze operations or the impact of decisions before a change is implemented. Determine administrative or staffing costs associated with the desired care management. Benchmark their performance against similar ACOs.

Milliman’s ACO Insight reporting interface provides claims data insights to identify opportunities for efficiently managing the cost and quality of care provided to Medicare, Medicaid and commercial ACO populations. Users can analyze utilization patterns over time and drill into the detail of individual patient cohorts to identify cost savings opportunities. This web-based data visualization tool contains a number of pre-defined data views along with benchmarks, where available. Users can log on to the interface at their convenience and access personalized, comprehensive reports prepared by Milliman.

Insights Identify quality of care improvements, savings opportunities, and ways to lower financial risk – and visually communicate them to stakeholders through the MedInsight reporting interface. Analytics Perform advanced, custom analysis on claims data that is aggregated across payers, enriched with groupers and metrics, and run through the MedInsight Data Confidence Model. Performance Benchmarking Suite MedInsight Performance Benchmarking Suite empowers organizations to compare their performance against Milliman’s highly respected benchmarks. With comprehensive metrics and key performance indicators, organizations gain a clear understanding of their strengths, weaknesses, and areas for improvement. Risk Adjustment Suite MedInsight Risk Adjustment Suite offers advanced algorithms and predictive modeling capabilities that optimize coding accuracy, identify documentation gaps, and ensure appropriate reimbursement. Clinical Suite MedInsight Clinical Suite offers revolutionizes healthcare delivery by empowering organizations with advanced clinical analytics and decision support capabilities. This comprehensive suite enhances clinical decision-making, improves patient outcomes, and drives operational efficiency.

Milliman has the expertise and claims data analytics to support participants in Medicare bundled payment programs, including BPCI, CJR, OCM, and BPCI Advanced. Dynamic claims interface Leverage self-service data visualization and guided analytics. Time saving search tools Filter data based on time period, attending/operating provider, beneficiary demographic characteristics, or other criteria. Customized, comprehensive reports Access dashboards and detailed reports including data insights such as overall episode costs, anchor hospitalizations and related expenditures, post-acute care costs, and many more.

MARA population health models and tools offer person-centric, clinically meaningful risk profiles. Discover risk by health service categories to: Analyze acute, chronic, complex, and social drivers of clinical risk Segment members by expected cost increase or decrease Identify risk of emergency department visit or hospital admission Evaluate social and community-specific health risk factors Industry-leading health risk models enhance predictive analytics Benefit from the highest overall performance among 11 other claims-based predictive risk models. Accuracy of Claims-Based Risk Scoring Models (soa.org) Responsive client services Engage the team behind MARA directly to help with implementation, technical support, and user training so you can get the most value from your investment. Add Milliman consulting expertise for critical financial applications, including value-based payment, underwriting workflow, care analytics, and predictive analytics. Flexible licensing License only the models you need from the extensive MARA Library. Select models based on your organization’s business applications, population types, and available data. Simple deployment and management Keep data local with a platform-independent solution that runs on Windows, Linux, and Unix desktop environments, or run in the cloud for maximum performance. You can use MARA through a graphical user interface, batch mode, or APIs for JavaScript, .NET, or MARA Spark API + Databricks. Consistently updated Stay current with rapid changes in healthcare coding and treatment thanks to easy code updates for new drugs and diagnosis codes. Load and process historical data using MARA’s Rolling Risk feature Select this time-saving feature when processing two or more years of historical data. Observe risk changes over time with this efficient feature.

CREW ™ stands out from the pack with its efficient, flexible Microsoft Excel-based template that uses a single, simple-to-use workbook. The flow of the calculations can be easily understood by actuaries and non-actuaries alike. CREW’s primary asset is its ability to accommodate unusual claim payment patterns, as well as changing enrollments, benefits, unit costs, and other key factors like changes in capitation and provider contracts. The result is a far more accurate estimate. A better monitoring tool with more accurate estimates CREW performs a series of actuarial-based claim-reserve calculations using historical, client-specific claims and exposure data. CREW also offers reporting features that make it an exceptional management tool. CREW can: Summarize claims and calculate loss ratios by incurred month, quarter, and calendar year Analyze incurred claim trend and reflect seasonal patterns including working day adjustments by service category Calculate restated reserve levels using claim run-out data Sensitivity-test best estimates against alternative assumptions Graph results to better display estimates Summarize results several ways to identify patterns and outliers Flexible approach supports unique client needs CREW uses a dual approach by developing incurred claim estimates based on both claims lag patterns and projections of historical costs on a unit cost basis. The tool is designed so that the user can easily test and document the sensitivity of different sets of assumptions on the resulting IBNP estimate. This feature is critically important because reserve estimates are often very sensitive to the assumptions used. Client focus offers timely support Milliman consultants provide training and ongoing support for CREW users. In our thorough, half-day training session, we give CREW users a comprehensive understanding of how to use this tool, typically using the client’s data as part of the process. Any necessary client-Milliman interaction is seamless and efficient because Milliman uses the same model the client licenses to develop the reserves. Data concerns are eliminated, and advice is easily shared. Get started Any entity with claim run-out risks and reserve estimation needs can benefit from CREW. Whether you set reserves for one cohort of claims or many, CREW easily adapts to your needs. Contact us today to find out how CREW can help you develop more accurate reserve estimates and gain a new insight on your business.

CORAL makes navigating the intricacies of cost sharing and actuarial value straightforward. This powerful tool simplifies comparisons between benefit plans, taking the guesswork out of assessing relative cost. CORAL translates complex data into actionable insights, empowering insurers, brokers, and consumers to confidently make informed decisions and supporting more accurate underwriting. Access anywhere anytime Harness the power of web-based actuarial software for on-demand analyses. Stay ahead with data-driven insights Leverage Milliman’s Health Cost Guidelines for reliable results and access Milliman actuarial services for deeper analysis. Streamline underwriting processes Simplify and improve your underwriting tasks with precision-driven software for advanced commercial use cases. Transform cost relativity analysis Get faster, more accurate results using powerful relativity software. Stay compliant and informed Benefit from a tool that meets regulatory scrutiny while retaining its leading-edge capabilities.

The Dashboard for Research, Insight, and Validation of Experience (DRIVE™) is a business intelligence tool that provides clients a way to visualize and quickly manipulate their summarized historical experience data in relation to other comparative data, such as pricing information or experience from other time periods or geographic areas. Using a web-based application, users can “slice and dice” data by any of the key dimensions loaded into DRIVE, enabling them to identify outliers at a high level and drill into detailed drivers of the outlier to better understand and take corrective action in a timely manner. DRIVE is flexible; the tool doesn’t require users to hit a specified data format and is not limited to a specified list of dimensions. This allows for easy acceptance of new data and results in a short implementation timeline and quick turnaround times back to states, health plans, providers, and other partners. This quick turnaround allows all parties to see the impact of ongoing changes for further analysis—which has proven to be especially helpful to our clients when crafting policy decisions. The DRIVE tool provides client and related party personnel the following capabilities: Compare encounter and/or fee-for-service claims experience at the service detail level across multiple key high level dimensions. Provide a dynamic comparison of multiple data sources at an aggregate level by choosing two data dimensions to split the report. Allow users to identify high-level issues and drill into service level drivers. Line chart functionality allows users to effectively visualize data over time across various dimensions in the underlying data. Bar chart functionality allows users to effectively visualize differences in experience across multiple data dimensions. DRIVE use cases To validate encounter data. Encounter data is crucial to setting capitation rates, monitoring program effectiveness, evaluating health plan performance, and more. Without complete, up-to-date, and accurate encounter data, it is impossible to have a successful managed care program. DRIVE transforms previously static reconciliations into dynamic comparisons of data with drill-down capabilities, allowing states and health plans to work through encounter data quality concerns using the same information. The DRIVE tool allows states, health plans, and other key stakeholders to view summarized encounter data from the state’s data warehouse as well as the health plan-reported experience. To provide the data book for purposes of health plan procurement or rate setting. By providing the data book in DRIVE, bidders and contracted health plans can quickly understand the managed care program’s historical enrollment, utilization, and cost information. To understand emerging experience. We load emerging fee-for-service and encounter data on a monthly basis into DRIVE for many of our state Medicaid clients so that state Medicaid personnel can quickly understand emerging trends and respond to any questions from health plans or other key stakeholders. To compare to historical fee-for-service experience. A key comparison our state Medicaid clients are interested in when setting up a new managed care program is how the emerging experience compares to the fee-for-service experience. DRIVE provides an effective way to compare metrics across multiple key dimensions. DRIVE has allowed us to help identify areas of concern in the emerging encounter experience in a quick and efficient manner so that issues can get communicated and addressed. To compare to the underlying benefit expense in the capitation rates. Another key comparison our state Medicaid clients are interested in is how the emerging experience is coming in relative to the underlying benefit expense in the capitation rates experience. DRIVE allows us to identify areas where emerging experience is coming in higher than estimated in the capitation rates. Additionally, it helps answer questions from health plans in an efficient manner. To inform policy decisions. DRIVE has provided our state Medicaid clients with the ability to get real-time answers to key questions during policy meetings. DRIVE provides the necessary bridge between policy and data to enable states to make the best decisions in a timely fashion. In all of these use cases, clients and any other key stakeholders could have access to the data to provide as much transparency as possible and to quickly answer and provide documentation to key questions (related to program, health plan, or provider performance) from stakeholders with its export functionalities and data visualization.

Now you can have the tools you need to truly understand your business. Your team will get a more efficient actuarial analysis process and a deeper understanding of the underlying insurance exposure so you can make more informed business decisions. Ease of use Startup time for most users is measured in hours, not weeks, thanks to Arius’ intuitive, user-configurable interface, and its extensive help in parameterizing even sophisticated models. Flexibility Arius conforms to the way your department works, not the other way around. Customize reports or exhibits based on what you need, and the system will manage them for you. Track record Arius’ heritage includes some of the industry’s leading reserving tools. It combines both proven reserving strategies as well as some of the latest actuarial thinking. Speed & reliability Arius sets the standard for speed and reliability. All deterministic calculations happen in real time, and simulations run hundreds of times faster than in spreadsheet models. Expertise Milliman consultants have extensive experience using Arius, so we can provide the support you need, from basic training to a complete redesign of your reserving process. Return on investment Arius provides the shortest possible time to value thanks to fast implementation, ease of learning, and informative reporting.