Jeff is an expert in commercial rate development and plan pricing. Jeff currently leads Milliman’s Affordable Care Act community of practice, has priced and prepared or certified individual ACA marketplace rate filings in over 20 states since ACA reforms were enacted, and is experienced with small and large employer group benefit design, rate development, and rate filings.
Jeff has extensive experience modeling the impact of healthcare reform and market disruptions, including the impact of legislative and regulatory changes (both state and federal) on health insurance market composition and rate levels. Examples of recent projects include:
- Leading Milliman’s modeling of the American Rescue Plan of 2021 (ARPA).
- Co-authoring or peer reviewing Milliman’s ACA Payment Notice summaries since 2019.
- Modeling the impacts of COVID-19 on enrollment and morbidity across state markets, and evaluating direct and indirect impacts of COVID-19 on healthcare costs in 2020, 2021, and 2022.
- Developing a stochastic simulation model and associated research report to evaluate different 1332 reinsurance waiver parameters and state premium subsidy designs and their impacts on market stakeholders, premiums, and APTCs.
Jeff’s experience also encompasses risk adjustment and Medicaid Managed Care, including evaluating and modeling the impact of changes to ACA and state Medicaid risk adjustment programs, assisting managed care organizations (MCOs) with financial reporting and forecasting, and supporting MCOs through the competitive bidding and negotiation process for state managed care programs (physical health, behavioral health, and dental).
Jeff has worked with various types of clients, including regional, national, and international health plans, provider groups, hospitals, integrated systems, and the federal government.
