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 efforts to model the impact of COVID-19 on enrollment and morbidity across state markets
- 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
- Co-authoring Milliman summaries of federal regulation involving the Affordable Care Act
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, co-authored Milliman’s whitepaper on COVID-19 considerations for 2021 commercial rate filings, and is experienced with small and large employer group benefit design, rate development, and rate filings.
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 and national health plans, provider groups, hospitals, integrated systems, and the federal government.
