In the wake of guidance by the Department of Health and Human Services on the 2027 Payment Notice, we walk through the proposed rule’s effects on dental coverage in the individual and small group markets.

We highlight some correlations among dental utilization, healthcare costs, and risk scores in Medicare Advantage beneficiaries with chronic conditions.
We offer dental insurers four reasons to take another look at their rating processes and controls.
We present key considerations to help dental insurers evaluate the impacts on claims and potentially negative oral health effects.
With California’s new dental rate filing rules, we cover the critical details for dental insurers to stay compliant and ensure approval for changes in premiums.

We highlight some key definitions and our methodology.
This whitepaper reviews the dental benefits provided within MA general enrollment plans using 2024 Centers for Medicare and Medicaid Services (CMS) data and explores how the overall MA dental landscape is changing.
An analysis of changes in the national average utilization rates for dental services for 2021 through 2023
We highlight some key definitions and our methodology.

Milliman, Inc., a premier global consulting and actuarial firm, today announced the acquisition of Dental Actuarial Analytics, LLC (DAA), a Connecticut-based boutique actuarial consulting firm specializing in competitive assessments of insurers’ dental provider networks.