Our Company

1-10 of 19

The cost burden of blood cancer care29 October 2018 - By David Rotter and Gabriela Dieguez and Christine Ferro - Article

This study identifies the total healthcare allowed spending and patient out-of-pocket costs from the year before diagnosis with a blood cancer through the three years after diagnosis.

Newly diagnosed hepatitis C in the U.S. commercially insured population before and after the 2012 implementation of expanded screening guidelines30 July 2018 - By Gabriela Dieguez and Bruce S. Pyenson and Christine Ferro - Article

This research compares the demographics, comorbidities, and medical costs of newly diagnosed patients and those who were previously diagnosed with HCV infection after the Centers for Disease Control and Prevention expanded its HCV testing recommendations to target adults born between 1945 and 1965.

Understanding the Part D spending dynamics of heart failure patients26 July 2018 - By Gabriela Dieguez and Harsha Mirchandani and Jared Hirsch - Article

Understanding pharmacy spending by heart failure patients requires an evaluation of the complex interactions between members, payers, manufacturers, and the government in Part D.

A primer on prescription drug rebates: Insights into why rebates are a target for reducing prices21 May 2018 - By Gabriela Dieguez and Maggie Alston and Samantha Tomicki - Article

This article explains the finances associated with pharmaceutical manufacturer rebates and their impact on health insurer coverage decisions.

The impact of California’s prescription drug cost-sharing cap27 March 2018 - By Gabriela Dieguez and Bruce S. Pyenson and Andrew Bochner and Katherine Simon - Article

This report analyzes the impact of the per-prescription cost-sharing cap for non-catastrophic plans on projected prescription drug spending across the California individual and small group markets.

How will the Bipartisan Budget Act of 2018 impact Part D in 2019 and beyond?16 February 2018 - By Adam Barnhart and Gabriela Dieguez and David R. Mike - Article

Key changes to the Medicare Part D program will affect the donut hole in 2019, and this paper discusses the implications for stakeholders.

Impact of prescription drug copay regulatory action on ACA exchange plans in Colorado and Montana18 July 2017 - By Gabriela Dieguez and Harsha Mirchandani - Article

This report examines the Colorado and Montana markets before and after the guidance regarding fixed dollar prescription drug copays and no prescription drug deductible or coinsurance requirements in certain health plans.

Understanding the Part D spending dynamics of heart failure patients18 May 2017 - By Bruce S. Pyenson and Gabriela Dieguez and Mark Koransky - Article

Understanding pharmacy spending by heart failure patients requires an evaluation of the complex interactions between members, payers, and manufacturers in Part D.

A multi-year look at the cost burden of cancer care10 April 2017 - By Gabriela Dieguez and Christine Ferro and Bruce S. Pyenson - Article

This report characterizes the costs to cancer patients and their health plans for three cancers: breast, lung, and colorectal.

Evolution of the use of restrictions in commercial formularies03 November 2016 - By Gabriela Dieguez and Harsha Mirchandani - Article

This report uses drug formulary data covering over 150 million lives in the U.S. to examine trends in the use of prior authorization, step therapy, and formulary exclusion in commercial formularies for the years 2011 to 2016.


  • Work at Milliman

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