HEALTH SOLUTIONS

Market entrants

Overview

Entering the health insurance market

Every country’s health insurance market is unique, and India is no exception. Navigating the complex relationship amongst regulator, payer, provider, and intermediaries requires expertise and experience.

Milliman offers both. For companies entering the Indian health insurance market, we provide support for the full range of business needs, including regulatory filings, claims and underwriting strategy and manuals, product design and pricing, training and capacity building, reinsurance program design, provider contracting strategy, and technology selection. We can help your business focus on competitive innovation while minimizing cost, risk, and time to market.

Services

Milliman market entrants services

Business plan
New products
Data and analysis

Business plan

Health insurance business plan development and review

To succeed, you need a solid plan. Our services can help build your business plan at any stage. We can start from the ground up, review assumptions, or strengthen your existing plan in the context of Indian business, regulation, and healthcare markets.

INSIGHT

Milliman market entrants insight

Article

You can't manage what you can't measure: Medication adherence in chronic disease management

We summarise different methodologies adopted by healthcare stakeholders to measure medication adherence, and offer some advancements in standardizing this critical metric.

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Article

The role of wearables in private medical insurance India survey report

This paper discusses the implementation and practical uses of wearables in the private medical insurance market.

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Article

Use of generalised linear modelling in Indian insurance market for pricing health products

Many actuaries are now willing to employ generalised linear modelling (GLM) for the pricing of health products. What are the current and potential uses of GLM in the Indian health market?

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White Paper

Chronic disease management: Considerations for international adoption

The literature shows that a disease management programme is not a guarantee of cost savings, but in addition to community health improvements and improved clinical outcomes, desired cost savings can be realised if the programme is designed correctly.

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White Paper

Innovations in healthcare technologies: Opportunities for health insurers

What are some healthcare technologies that can be harnessed directly by health insurers in different parts of the world?

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White Paper

Administrative benchmarks for health insurance in India

Milliman can help clients improve their administrative performance by conducting company function-by-function comparisons of administrative performance and staffing levels versus competitors and peers, and recommending appropriate process improvement initiatives.

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Milliman market entrants products

Healthcare cost modelling

Health Cost Guidelines Suite

Estimate expected claims costs and model healthcare utilisation with Milliman’s Health Cost Guidelines™, an industry gold standard.

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Claims processing and data analysis

Milliman Health ClaimsRef

Reduce errors and improve cost savings with standardized, consistent claims processing tools.

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Healthcare analytics

MedInsight

Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.

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Digital health and wellness

Milliman RapidHRA

Gain powerful insights into the health and risk profile of your employees—and give them the ability to monitor their own health and wellness. Flexible, secure, and cloud-based MillimanHRA provides objective, in-depth intelligence for better health.

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