Government
Government
Our work in the public sector
Milliman has a wide range of experience working with federal, state, and local governments on healthcare, retirement, and more. Milliman has successfully developed and maintained federal contract status under the General Services Administration (GSA) and Financial and Business Solutions (FABS). Milliman’s GSA contract is listed on the GSA Advantage!® purchasing site. We have also maintained direct contracts with the Department of Veterans Affairs (VA), Pension Benefit Guaranty Corporation (PBGC), Federal Emergency Management Agency, Federal Insurance and Mitigation Administration, Department of Homeland Security, and numerous state and local governments including Medicaid agencies, public employers, state insurance departments, and state-based insurance exchanges under the Patient Protection and Affordable Care Act.
GSA Advantage listing
SIN/NAICS codes: 541611
Milliman government solutions
Healthcare consulting
Milliman government insight
Evaluating California LTC proposed plan designs through a different lens
We estimate the California insurance program designs recently proposed by the task force to cover roughly 2% to 18% of LTC costs
Implementing a long-term care statewide program: See how tax rates could vary by state
As states consider long-term care programs, we examine differences in payroll taxes under a front-end design, given the diverse environments across the U.S.
The SECURE 2.0 Act of 2022: Federal agencies’ required actions and stakeholder reports
The Consolidated Appropriations Act, 2023 (CAA 2023), includes the long debated and expected changes to employer-sponsored benefit programs known as SECURE 2.0.
Analysis of municipality workers' compensation costs
In 2009, Milliman created a nationwide workers' compensation database consisting of $61.8 billion of incurred losses across all 50 states. We continue to update this database on an ongoing basis.
Medicare for All sounds expensive. How expensive? Here are three questions you need to answer.
How much will single-payer healthcare in the United States cost and how will it be paid?
Fifty states, fifty stories: A decade of healthcare reform under the ACA
This report looks at the different outcomes for the 50 states from the Affordable Care Act in terms of reduction of the uninsured rate, cost, and availability of health insurance coverage.
The current impact of legacy losses
It’s important to consider the impact of potential legacy losses not only in the context of establishing an appropriate reserve, but to form a view of the load for mass torts needed to price current policy years.
A new Part D benefit design?
An overview of the provisions in the Prescription Drug Pricing Reduction Act of 2019.
Meeting the needs of Medicaid Home and Community-Based Services program participants during the COVID-19 pandemic and beyond
The COVID-19 pandemic presents unique challenges for Medicaid Home and Community-Based Services program participants.
Milliman Mortgage Default Index
The latest monthly estimate of the lifetime default risk of U.S.-backed mortgages.
Milliman government products
FutureCost
Healthcare Reform Dashboard
GASBhelp
Pension Performance Dashboard
Milliman Actuarial Retirement Calculator (MARC)
REVEAL
Bundled Payment Reporting Interface
Dashboard for Research, Insight, and Validation of Experience (DRIVE)
MedInsight
Milliman Advanced Risk Adjusters
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)