Technology & Operations Solutions

The Milliman Technology & Operations Solutions practice has assisted many healthcare organizations in evaluating and developing solutions to complex business problems. Our consultants are experienced in the key issues related to healthcare operations and the use of technology to support those operations. Because of our focus on those unique technology and operations issues facing the healthcare industry, we are uniquely qualified to assist organizations in solving complex business problems.

Milliman consultants are experts in the topic of healthcare management. Our practice maintains industry benchmarks for delivery of productive and high-quality customer service. These benchmarks include statistics and best practice methodologies that have been compiled from our relationships with more than 70 healthcare organizations from throughout the United States. We will rely on this quantitative data, as well as our consultants’ experience in our analysis and the development of our recommendations.

Providing consulting and actuarial services to clients in these disciplines for more than 50 years, Milliman has earned an international reputation for integrity and work of the highest professional standards. We attribute our success in part to five characteristics of our business model:

  1. Flexible Approach to Consulting – Our approach to consulting is client directed. We are flexible and work as a team with the client. We listen and apply our professional expertise to help our clients achieve their goals.
  2. Service – Milliman is committed to providing the highest level of service. This requires responsiveness, timeliness, and accuracy, delivered with efficiency. We build strong client relations some of which have endured throughout the firm’s 50-year history.
  3. Location – Milliman is an international firm with offices located in 35 cities throughout the United States and in Bermuda, Hong Kong, London, Melbourne, Seoul, and Tokyo.
  4. Complete Independence – Milliman is an entirely independent, fee-for-service organization. We act exclusively on behalf of our clients to provide unbiased and objective opinions and work products.
  5. Leading Edge Tools and Databases – Milliman is committed to conducting front-line industry research and developing and maintaining tools that can be used by our clients to better manage their businesses and make strategic decisions.

Data Warehouse Competencies

Data Warehousing Implementations

One of the major focuses of our Technology and Operations Solutions practice is providing data warehouse solutions to healthcare payors. We perform these implementations either on-site or as an applications services provider (ASP). Our core data warehouse product, MedInsight, is the foundation for these data warehouse implementations and has been in existence since 1996.

MedInsight is an established, successful data warehousing approach developed by Milliman’s Technology and Operations Solutions practice specifically for the healthcare marketplace. MedInsight can be deployed as a stand-alone data warehouse or it can be integrated and layered with existing data warehousing systems and initiatives. Implemented as a stand-alone system, MedInsight offers the advantage of rapid deployment, open systems architecture, and proven healthcare oriented data structures. MedInsight works with existing claims, enrollment, and medical management systems, so it is not necessary to abandon current operational systems in order to add data warehousing capability.

Integrated with existing data warehousing systems and initiatives, MedInsight helps healthcare organizations harness and leverage the power of the industry’s most comprehensive performance measurement and analysis product.

Milliman has a 100% success rate for our data warehouse implementations. The scope of these implementations ranges from basic to highly customized databases, and from simple reporting to complex analytic processing and OLAP drill down capabilities. Since 1996, Milliman has implemented over 30 MedInsight data warehouse systems for healthcare organizations ranging from 30,000 to several million covered lives.

MedInsight Product Development

Milliman’s MedInsight product team, led by Rich Moyer, is responsible for developing and maintaining the MedInsight product. Currently on release 6.0, MedInsight consists of standard database structures, loading, and aggregating tools, proprietary Milliman analytics, and integration with third party reporting tools. The MedInsight data warehouse itself is developed on both Microsoft SQL Server, and Oracle, with all of the design done in-house. Analytic processes are also designed in-house and are developed in both database environments. Third party tools include reports developed in Crystal, and OLAP cubes and drill-down using Dimensional Insight’s Diver product. MedInsight has the capability to be integrated with Symmetry’s Episode Treatment Groups, and Episode Reporting Groups, as well as other episode grouping methodologies.