Reserving — Healthcare

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In the developing healthcare markets of Central and Eastern Europe, private and supplemental insurance providers benefit from our global experience in healthcare reserving. We offer exceptional insight into the specific issues that impact claims reserves for health insurers. Our reserving services are often performed in the context of broader actuarial projects our clients request, such as capital modelling, product pricing, and experience analysis.

Our consultants possess unusual skill in assembling the complex and varied quantitative and qualitative data needed for accurate reserve calculations, a particular advantage in situations where quality historical data may be difficult to obtain. We then offer insightful actuarial analysis of the statistical patterns and trends relevant to this critical task.

Advanced reserving tools

Milliman's healthcare consultants enhance their knowledge with the use of our exclusive reserving tool built specifically for calculating medical claims reserves. Created by our in-house team of actuaries, our sophisticated tool's advanced modelling abilities benefit health insurers with more than 30 months of paid claims history in their policy portfolio.

Our specialised model can perform many different types of reserve calculations from a single database, saving time and preventing any errors that might occur in data re-entry. Our modelling process helps identify problems within a portfolio, spotlighting particular medical procedures, hospitals, or patient demographics experiencing elevated claims levels. Pinpointing the factors driving the need for higher reserves leads the way to advice on possible changes to medical management techniques or product design that might reduce reserve needs.

Next Steps

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