Our Company

1-10 of 25

2018 summary of individual market enrollment and Affordable Care Act subsidies31 July 2018 - By Paul R. Houchens and Jason A. Clarkson and Zachary Fohl - Article

A profile of the individual health insurance market for each state and the District of Columbia, summarizing insurer financials, marketplace enrollment, and federal assistance provided to households purchasing insurance coverage through the insurance marketplace, incorporating recently released data from the 2018 open enrollment period.

Commercial health insurance: Overview of 2016 financial results and emerging enrollment and premium data17 May 2018 - By Paul R. Houchens and Jason A. Clarkson and Jason Melek - Article

This report provides a detailed review of the commercial health insurance industry’s financial results in 2016 and evaluates changes in the market’s expense structure and enrollment prior to relative years.

Medicaid buy-in: Section 1332 Innovation Waivers, state options, and top ten considerations11 May 2018 - By Paul R. Houchens and Christine M. Mytelka and Susan Philip - Article

Medicaid buy-ins are currently getting states’ attention.

The individual mandate repeal: Will it matter?01 March 2018 - By Fritz Busch and Paul R. Houchens - Article

With the passage of the Tax Cuts and Jobs Act of 2017, there are renewed concerns related to the stability of the individual market.

Reinsurance and high-risk pools: Past, present, and future role in the individual health insurance market06 June 2017 - By Fritz Busch and Paul R. Houchens - Article

This paper examines the historical uses of high-risk pools (HRPs) prior to the implementation of the Patient Protection and Affordable Care Act (ACA), the role of reinsurance under the ACA, the proposed usage of reinsurance and HRPs under the American Health Care Act, and considerations for states examining the creation and deployment of these types of mechanisms.

The Patient and State Stability Fund: What happens now?26 April 2017 - By Kathleen E. Ely and Thomas D. Murawski and Paul R. Houchens - Article

The future of the Patient Protection and Affordable Care Act is still in question. The Patient and State Stability Fund (PSSF), a grant program intended to stabilize individual and small group state insurance markets and lower patient costs is one element under discussion. This paper examines the PSSF and considerations for stakeholders.

Summary of individual market enrollment and Affordable Care Act subsidies01 April 2017 - By Paul R. Houchens and Zachary Fohl and Jason A. Clarkson - Article

Milliman prepared a profile of the individual health insurance market for each state and the District of Columbia, summarizing insurer financials, marketplace enrollment, and federal assistance provided to households purchasing insurance coverage through the insurance marketplace.

2015 commercial health insurance: Overview of financial results21 March 2017 - By Paul R. Houchens and Jason A. Clarkson and Jill S. Herbold and Zachary Fohl - Article

This report provides an overview of health insurer financial results in 2015 and evaluates changes in the health insurance industry’s expense structure and enrollment relative to prior years.

Encounter data standards: Implications for state Medicaid agencies and managed care entities from final Medicaid managed care rule17 May 2016 - By Jeremy Cunningham and Maureen Tressel Lewis and Paul R. Houchens - Article

Encounter data provides the most transparent view of a managed care entity's delivery of healthcare services, but encounter data that is incomplete, missing information, or reported incorrectly can severely limit its effectiveness.

2014 commercial health insurance: Overview of financial results21 March 2016 - By Colin R. Gray and Jason A. Clarkson and Jill S. Herbold and Paul R. Houchens - Article

The 2014 edition of our annual report on the commercial health insurance market provides an overview of financial results in the individual and group insurance markets as well as focuses on enrollment changes in the individual market and the impact of the Patient Protection and Affordable Care Act of 2010’s (ACA) risk adjustment and risk corridor programs.


  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman