Jeff is an expert in commercial rate development and plan pricing. He has priced and prepared or certified individual ACA marketplace rate filings in over 20 states since ACA market reforms were enacted. His experience also extends to small and large employer group benefit design, rate development, and rate filings.
Health reform is one of Jeff’s primary focus areas, and he has extensive experience modeling the impact of legislative and regulatory changes (both state and federal) on health insurance market composition and rate levels. Examples of recent health reform projects include:
- Co-authoring Milliman summaries of federal regulation involving the Affordable Care Act
- Modeling the impact of Section 1332 Innovation Waivers, 1115 Medicaid Demonstration Waivers, Medicaid Expansion, and elimination of the individual mandate penalty on state insurance marketplaces
Jeff's expertise also includes Medicaid rate development (physical health, behavioral health, and dental), and risk adjustment in the commercial, Medicare, and Medicaid markets.
Jeff has worked with various types of clients, including regional and national health plans, provider groups, hospitals, integrated systems, and the federal government.
