Senior living and CCRC Consulting Services

Milliman senior living services
Senior living services
With deep expertise in the senior living space and a commitment to innovation, Milliman helps continuing care retirement communities (CCRC), life plan communities, and other senior living organizations navigate the complex intersection of resident care, financial sustainability, and regulatory oversight.
Whether you're facing questions about long-term viability, pricing for contracts, balance sheet sufficiency, or contract design, our team delivers clear, data-driven insights tailored to your community’s unique needs. By combining unmatched actuarial knowledge of the CCRC marketplace with advanced data analytics and proprietary modeling tools, we help you make confident decisions that support resident well-being and long-term financial strength.
Our clients rely on us for actionable advice, peer benchmarking, and forward-looking strategies that align mission and sustainability—ensuring your community can thrive today and into the future.
Actuarial services for senior living communities
- Actuarial assumption setting
- Population projections
- Cash flow projections
- Balance sheet calculation
- Pricing analysis
- Sensitivity testing
- Predictive modeling
- Best-in-class data management
Actuarial assumption setting
We bring deep actuarial expertise to setting assumptions for deaths, transfers, and withdrawals—grounded in credible data, industry benchmarks, and community-specific experience—to help life plan communities forecast with confidence and plan with precision.
Modeling communities using Milliman Integrate®
Milliman’s senior living consultants use Integrate to model future populations with precision—capturing resident transitions, care utilization, and longevity trends. This powerful platform delivers accurate, data-driven insights to support strategic, sustainable decision-making.
Data-driven insights for smarter decisions
Integrate blends historical residence and services data with high‑granularity actuarial assumptions. We support customized modeling of morbidity, mortality, and service utilization, allowing our team to simulate future resident mixes across independent living, assisted living, memory care, and skilled nursing.
Flexible, transparent forecasting
Whether tracking lifetime occupancy scenarios or care mix shifts, Integrate’s intuitive interface adjusts variables—such as resident attrition, expense inflation, or contract options—and shows instant impacts. Our scenario engine supports robust stress testing, benchmarking, and transparent audit trails, giving boards and regulators confidence in your financial strategy.
Proactive, resident-centric planning
Our consultants use Integrate to model how changes—such as contract design revisions, entrance fee structures, or care level enhancements—ripple through your resident population and your bottom line. Through advanced predictive analytics, we identify emerging trends before they surface in operational data, whether it’s uptake of enhanced care, longevity extension, or resident turnover.
Integrated view of mission and margin
By pairing Integrate’s cutting-edge analytics with our deep sector expertise, we deliver forecasts that shape every aspect of your community’s health: financial stability, care capacity, pricing strategy, and balance sheet calculations. Whether you're seeking regulatory compliance, validating contract assumptions, or optimizing your long‑term care financial model, Integrate enables confident, defensible decisions rooted in data.
Milliman CCRC database

Leverage proprietary data to plan with precision
Milliman cultivates a proprietary nationwide database of CCRC experience, capturing mortality, transfers to assisted living and skilled nursing, and community withdrawals. We use this robust dataset to develop benchmark assumptions tailored to level-two and level-three communities, helping our clients model more accurately and plan with greater confidence. Our data-driven insights empower senior living providers to align assumptions with real-world trends and peer benchmarks.

Mortality
Milliman senior living actuaries are trained in experience analysis and assumption development. We use actuarial standard practices in determining benchmarks for mortality to use in population projections.

Morbidity
Milliman senior living actuaries study morbidity in senior living communities, mapping how frequently residents move into assisted living, memory care, or skilled nursing facilities. Our consultants are informed by trends in the long-term care and long-term supports and services sectors.
We’re here to help
Ask the tough questions. We’re ready for them.