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19 February 2019 — Captive Review
The 2018 Captive Review Power 50
14 September 2018 — Wall Street Journal
Florence flood threat heightened by underinsured homeowners

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Long-term care consulting

We offer unmatched depth and breadth of knowledge in long-term care.

Expanding access to quality healthcare for a California community.

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Helping clients understand and navigate retirement risk

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Recent stories

Recalculation of the Transitional Measure on Technical Provisions

Employee Benefits and Investment

Risk Management and Financial Services

Healthcare reform reading list: From the ACA archives

Could 2019 be the year of MLR rebates for ACA issuers in the individual market?
By Esther M. Blount, Michelle Klein, Alison Fasching | 04 March 2019

As medical loss ratios (MLR) decrease, individual ACA issuers need to start thinking about something that has been mostly irrelevant to them until now—MLR rebates.
Healthcare: It’s complicated
By Hans K. Leida, Lindsy Kotecki | 08 August 2017

Actuaries have had a front-row seat as healthcare reform has unfolded and are in a unique position to help address the challenges the complex system presents.
Identifying high-risk members under a Medicaid expansion program: Experience in Indiana
By W. John Semmens, Christine M. Mytelka, Robert M. Damler | 07 May 2014

A successful model for states that are seeking a methodology for identifying the medically frail.
President Obama’s transitional policy for canceled plans
By Hans K. Leida | 19 November 2013

The November 14, 2013 announcement that health insurance issuers would be permitted to renew certain canceled health insurance policies has raised new questions for the individual and small group marketplaces in 2014.
Risk corridors under the ACA
By Doug Norris, Hans K. Leida, Mary van der Heijde | 01 October 2013

We dispel some common misconceptions and demonstrate some of the less obvious aspects of the risk corridor program under the ACA.
Learning from Medicare Advantage and Part D: Lessons for the individual insurance market under ACA
By Hans K. Leida | 15 August 2013

Individual insurers can learn lessons from Medicare Advantage and Medicare Part D (MAPD) to help them reduce risk and plan for the future.
Employer mandate delay: Key considerations for employers
By Paul R. Houchens | 19 July 2013

Delay gives some respite, but ACA still requires employers to take action.
The young are the restless: Demographic changes under health reform
By Doug Norris, Mary van der Heijde | 30 August 2011

Starting in 2014, insurers can no longer charge different rates for men and women, and must adhere to tighter age-rating bands. What are the implications of these changes?
Top 10 actuarial issues for a health exchange
By Michael G. Sturm | 07 March 2011

Each state needs to create a healthcare exchange that fits its own unique situation.
Coming to grips with reform and its impact on prescription drug coverage
By Brian N. Anderson, Troy M. Filipek | 01 August 2010

Healthcare reform is affecting pharmacy benefits, and some of the most significant changes may come in the next 12 months.

19 October 2009
Adverse selection and the individual mandate
Several of the reform bills in Congress share a common theme: A move away from the rating and underwriting techniques, and a move toward an individual mandate where all people are required to obtain health insurance.
01 September 2009
Retooling medical professional liability
What does the future hold for medical professional liability insurance?
26 August 2009
Experience under the Healthy Indiana Plan: The short-term cost challenges of expanding coverage to the uninsured
A relatively new Medicaid expansion program in Indiana is now offering experience data that is meaningful in the context of healthcare reform. The first year of this voluntary program revealed certain behavior by uninsured populations as they acquired coverage. Utilization
15 June 2009
Understanding healthcare plan costs and complexities
This paper illustrates and clarifies some of the intricate interworkings of the complex drivers of health insurance costs and highlights the need for an actuarially sound approach to healthcare reform that can consider these variables alongside one another.
14 January 2008
Be careful what [guarantees] you ask for
Most Americans support a guarantee of health coverage, and some states have enacted guaranteed issue, which has implications for insurance markets.We asked Milliman Principal Jim O'Connor to provide some perspective on this issue. Jan. 14, 2008
Healthcare reform reading list: From the ACA archives
Articles about healthcare reform principles, including pieces on the Patient Protection and Affordable Care (ACA), Medicaid, Medicare, and healthcare costs

Healthcare

Featured videos

Understanding healthcare costs: Medicaid(4:44)
Understanding healthcare costs: The employer-sponsored insurance system(2:52)
Understanding healthcare costs: Medicare Advantage(4:00)
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Milliman Market Monitor - Nederland

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