Our Company

1-10 of 12

China's commercial health insurance market04 March 2019 - By Rong Yi and Sharon Huang - Article

This article provides a high level background of the health insurance market in China, including a discussion of recent trends and how data and analytic innovations may be used to address challenges and support market growth.

EHB, MLR, and risk adjustment: Stakeholder considerations on the 2019 proposed Notice of Benefit and Payment Parameters05 January 2018 - By Victoria Boyarsky and Rong Yi - Article

This paper focuses on three proposed changes in the Notice of Benefit and Payment Parameters for 2019 that would likely affect premiums in the individual and small group markets.

Provider coding accuracy in commercial value-based contracts02 October 2017 - By Jared Hirsch and Howard Kahn and Rong Yi - Article

This paper explores various aspects of risk sharing as it pertains to value-based contracting for commercial lines of business.

Pairing risk adjustment to support state 1332 waiver activities28 August 2017 - By Gary Bacher and Rong Yi - Article

When states consider market reforms such as reinsurance under the 1332 Waiver with the aim of stabilizing the market and providing affordable coverage, it is important to consider the challenges and options in the context of their effects on other market stabilization mechanisms like risk adjustment.

Analysis of cancer care under the ACA risk adjustment methodology22 January 2016 - By Catherine M. Murphy-Barron and Howard Kahn and Rong Yi - Article

An analysis on actual claims data using stochastic simulations to model if the Patient Protection and Affordable Care Act of 2010 (ACA) risk adjustment is able to fully compensate carriers for adverse selection on cancer claims.

Risk adjustment for pediatric populations12 November 2013 - By Howard Kahn and Robert Parke and Rong Yi - Article

Do existing risk management methodologies capture the characteristics of pediatric-only populations?

Uncertainty in risk adjustment28 September 2012 - By Syed Muzayan and Rong Yi - Article

Risk adjustment and knowing how to quantify risk will play a central role in national healthcare reform.

Making workers’ compensation medical costs more manageable21 June 2012 - By Rong Yi and Stephen R. DiCenso - Article

Workers’ compensation insurers can now tap newer, more advanced predictive modeling platforms as a way to contain the spiraling costs of medical claims and thereby gain a competitive advantage. But they can only take advantage of these modeling platforms if they have endorsement from all levels of the organizati

Risk adjustment: Important considerations for global payments to providers20 July 2011 - By Jonathan Shreve and William Bluhm and Rong Yi - Article
Risk adjustment has become an important tool in setting global payments in provider payment reforms. A discussion of key principles and important considerations.Risk adjustment and its applications in global payments to providers18 July 2011 - By Jonathan Shreve and William Bluhm and Rong Yi - Article
This paper discusses the main characteristics of risk adjustment models and the use of risk adjustment in provider payment reforms.
  • Work at Milliman

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