Milliman is the leader in providing actuarial consulting services to the health industry. We also develop and maintain sophisticated healthcare tools and products that are industry standards.
Known for our technical acuity and comprehensive knowledge of the industries we serve, Milliman offers intelligent, independent analysis to help clients cost-effectively manage their businesses or populations without compromising quality of care. Our expertise derives from the diverse backgrounds of our consultants, who include actuaries, clinicians, and information technology specialists.
The Patient Protection and Affordable Care Act (PPACA) provides for an expansion of Medicaid eligibility for individuals who have an annual household income at or below 138% (including the 5% income exclusion) of the federal poverty level (FPL). Using the 2009 American Community Survey (ACS) data published by the U.S. Census Bureau, this paper explores the potential number of individuals receiving Social Security or SSI and other family members within the household who may have been excluded from the Medicaid population expansion analyses because of the differences between defining household income under the public surveys and the modified adjusted gross income (MAGI).
CORAL is a groundbreaking program that helps users quickly estimate actuarial equivalent relative values of different health benefit plans. CORAL is an Excel-based model based on Milliman's Health Cost Guidelines. It lets you see how changing a multitude of variables such as copays, deductibles, and coinsurance rates will affect your per-member-per-month cost. CORAL takes complicated insurance plan calculations and organizes everything into a user-friendly interface, making benefit calculations much simpler. It also lets you easily see the effects of the new healthcare reform law.
