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Critical Point Episode 10: What is a Critical Point anyway?04 March 2019 - By Hans K. Leida and Doug Norris - Article

What is a critical point and why would we name Milliman’s podcast after this mathematical concept?

Potential economic impact of integrated medical-behavioral healthcare: Updated projections for 201712 February 2018 - By Stephen P. Melek and Doug Norris and Katie Matthews and Ally Weaver and Stoddard Davenport - Article

This report uses healthcare cost and utilization data to project spending estimates for people with chronic medical and comorbid behavioral conditions in 2017.

The risk and the adjustment: Managing ACA marketplace selection risk if cost-sharing reductions fall short23 August 2017 - By Jeffrey G. Milton-Hall and Doug Norris and Jason Karcher - Article

If cost-sharing subsidies were to be eliminated, it could expose insurance carriers to a substantial increase in selection risk related to their particular mix of business.

The old and the beautiful: How age and gender affect costs and premiums in commercial health care08 June 2017 - By Doug Norris and Hans K. Leida and Erica Rode and Travis J. Gray - Article

Age/gender rating is an area in which actuarial considerations are often in direct tension with social or public policy considerations.

Value of ACA coding improvement: Market share and market effects25 January 2016 - By Doug Norris - Article
Diagnosis coding is crucial for health plans looking to maximize risk adjustment transfer payments. This report focuses on the role of certain variables—carrier size, market share, and market size, to name a few—on the ACA risk adjustment formula.Transitional reinsurance at 100% coinsurance: What it means for 2014 and beyond24 June 2015 - By Daniel J. Perlman and Doug Norris and Hans K. Leida - Article

The 2014 transitional reinsurance program will have a coinsurance rate of 100% rather than 80%, and this has implications for the final 2014 financial results of issuers of individual and small group market plans that comply with the Patient Protection and Affordable Care Act.

2015 health insurance marketplace competitiveness study24 February 2015 - By Doug Norris and Matthew Smith - Article

In this paper, we analyze the 37 states participating in the Federally Facilitated and State Partnership Marketplaces to find key competitiveness metrics that could drive future health insurance rates.

Risk corridors episode IV: No new hope18 December 2014 - By Daniel J. Perlman and Doug Norris and Hans K. Leida - Article

The rules surrounding risk corridors are continually evolving and uncertain.

Update on canceled plans: Will changes to 2014 reinsurance and risk corridor programs provide financial relief?27 January 2014 - By Doug Norris and Hans K. Leida - Article

What do the healthcare reform changes announced in November 2013 mean for insurers?

Risk corridors under the ACA01 October 2013 - By Doug Norris and Hans K. Leida and Mary van der Heijde - Article

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

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