What IBM Benefit Modeler can do for you

IBM® Benefit Modeler is an online analytics solution that helps employers, health plans and benefits consultants evaluate a broad range of employee benefit plan types. It uses actual claims cost and utilization experience, industry group, enrollee age/gender and geographic distribution to tailor the modeling results to your specific healthcare experience.

Benefit Modeler contains updated actuarial assumptions based on the IBM MarketScan® Commercial Claims database, as well as significant methodology and functionality changes to support healthcare reform, pharmacy benefit planning and federal Minimum Value Calculator reporting.

IBM Benefit Modeler

Budget more accurately

Use projections from your organization-specific demographic and geographic data. Measure the impact of in- and out-of-network utilization on plan usage and cost.

Use a flexible application

Benefits Modeler is an intuitive web-based application that can compare up to five plan design changes at once.

Save money

Negotiate with carriers to receive the best rates and plan more effectively for collective bargaining or benefits consolidation.

Five reasons why you should use Benefit Modeler

  • Make more informed plan decisions
  • Get ACA compliance alerts
  • Address the consumer-driven trend
  • Perform more sophisticated analyses and modeling
  • Gain access to a powerful IBM MarketScan database

Security and privacy in the cloud

  • IBM enables companies to scale and adapt quickly to changing business needs without compromising security, privacy or risk levels when using IBM cloud offerings.

    Learn more about IBM Cloud security