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Objectivity matters. Today, more than ever.

Independent for over 70 years, Milliman delivers market-leading services and solutions to clients worldwide. With no agenda, other than getting it right.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

News

  • 27 March 2018 — The Seattle Symphony
    Seattle Symphony, musicians announce four year contract extension
  • 07 February 2018 — Reuters
    Reuters: What happened yesterday was just a very small blip
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Long-term care consulting

We offer unmatched depth and breadth of knowledge in long-term care.

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Expanding access to quality healthcare for a California community.

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Recent stories

  • 2018 Corporate Pension Funding Study
  • Market commentary, 1st Quarter 2018
  • Milliman FRM Insight: March 2018 Market Commentary
  • Monthly Benefit News and Developments, April 2018
DFS Moneyball

Beating fantasy sports with predictive analytics

insightMilliman insight

All insightHealthcareEmployee Benefits and InvestmentInsuranceRisk Management and Financial Services
Employers and the impact of healthcare reform
Understanding healthcare plan costs and complexities
Medical Managed Care
Experience under the Healthy Indiana Plan
When adverse selection isn’t: Which members are likely to be profitable (or not) in markets regulated by the ACA
Adverse selection and the individual mandate

Healthcare reform reading list: From the ACA archives

  • Are health carriers ready to explain the 2018 age curve?

    By Nicholas Krienke, Amy Giese | 16 November 2017

    For the first time since the inception of the Patient Protection and Affordable Care Act in 2014, the federal government is changing the age curve for ages 0 to 20, effective January 1, 2018.

  • Individual stop-loss is now optional for Next Generation ACOs

    By Hugh Larson, Timothy J. Wilder, Annie Man, Coleen Young | 08 November 2017

    For some Next Generation Accountable Care Organizations, the choice between an annual financial reconciliation based upon capped claims or uncapped claims could have a significant impact.

  • Next Generation ACO Program financial results for 2016

    By Hugh Larson, Timothy J. Wilder, Annie Man, Coleen Young | 08 November 2017

    This paper describes the financial results of the Next Generation Accountable Care Organizations program.

  • The differences are in the details: Considerations for comparing 30-day unplanned readmission rates

    By Maggie Alston, Michele M. Berrios | 17 October 2017

    This article identifies key elements that should be considered when evaluating readmission rates across populations or when comparing readmission rates with different methodologies.

  • Healthcare: It’s complicated

    By Hans K. Leida, Lindsy Kotecki | 08 August 2017

    Actuaries have had a front-row seat as healthcare reform has unfolded and are in a unique position to help address the challenges the complex system presents.

  • Identifying high-risk members under a Medicaid expansion program: Experience in Indiana

    By W. John Semmens, Christine M. Mytelka, Robert M. Damler | 07 May 2014

    A successful model for states that are seeking a methodology for identifying the medically frail.

  • President Obama’s transitional policy for canceled plans

    By Hans K. Leida | 19 November 2013

    The November 14, 2013 announcement that health insurance issuers would be permitted to renew certain canceled health insurance policies has raised new questions for the individual and small group marketplaces in 2014.

  • Risk corridors under the ACA

    By Doug Norris, Hans K. Leida, Mary van der Heijde | 01 October 2013

    We dispel some common misconceptions and demonstrate some of the less obvious aspects of the risk corridor program under the ACA.

  • Learning from Medicare Advantage and Part D: Lessons for the individual insurance market under ACA

    By Hans K. Leida | 15 August 2013

    Individual insurers can learn lessons from Medicare Advantage and Medicare Part D (MAPD) to help them reduce risk and plan for the future.

  • Employer mandate delay: Key considerations for employers

    By Paul R. Houchens | 19 July 2013

    Delay gives some respite, but ACA still requires employers to take action.

See More Articles

  • 30 August 2011

    The young are the restless: Demographic changes under health reform

    Starting in 2014, insurers can no longer charge different rates for men and women, and must adhere to tighter age-rating bands. What are the implications of these changes?

  • 07 March 2011

    Top 10 actuarial issues for a health exchange

    Each state needs to create a healthcare exchange that fits its own unique situation.

  • 01 August 2010

    Coming to grips with reform and its impact on prescription drug coverage

    Healthcare reform is affecting pharmacy benefits, and some of the most significant changes may come in the next 12 months.

  • 19 October 2009

    Adverse selection and the individual mandate

    Several of the reform bills in Congress share a common theme: A move away from the rating and underwriting techniques, and a move toward an individual mandate where all people are required to obtain health insurance.

  • 01 September 2009

    Retooling medical professional liability

    What does the future hold for medical professional liability insurance?

  • 26 August 2009

    Experience under the Healthy Indiana Plan: The short-term cost challenges of expanding coverage to the uninsured

    A relatively new Medicaid expansion program in Indiana is now offering experience data that is meaningful in the context of healthcare reform. The first year of this voluntary program revealed certain behavior by uninsured populations as they acquired coverage. Utilization

  • 15 June 2009

    Understanding healthcare plan costs and complexities

    This paper illustrates and clarifies some of the intricate interworkings of the complex drivers of health insurance costs and highlights the need for an actuarially sound approach to healthcare reform that can consider these variables alongside one another.

  • 14 January 2008

    Be careful what [guarantees] you ask for

    Most Americans support a guarantee of health coverage, and some states have enacted guaranteed issue, which has implications for insurance markets.We asked Milliman Principal Jim O'Connor to provide some perspective on this issue. Jan. 14, 2008

Healthcare

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See all topics
  1. Healthcare
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  5. Healthcare reform reading list: From the ACA archives
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  • Featured videos

    • Medicaid - ThumbnailUnderstanding healthcare costs: Medicaid(4:44)
    • Understanding Healthcare costs - ThumbnailUnderstanding healthcare costs: The employer-sponsored insurance system(2:52)
    • Story behind MMI - ThumbnailThe story behind the Milliman Medical Index(1:36)
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For more than seven decades, Milliman has combined technical expertise with business acumen to create elegant solutions for our clients. 

Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.


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