Jill Brostowitz

FSA, MAAA

Principal and Consulting Actuary

Brookfield, WI, US

Main +1 262 784 2250 | Office +1 262 641 3561

Jill Brostowitz is a principal and consulting actuary with the Milwaukee office of Milliman. She joined the firm in 2014.

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Experience

Jill’s primary area of expertise is government managed care programs. She has over 25 years of health actuarial experience, including over 15 years working with Medicaid, Medicare Advantage, and Part D.

Jill develops capitation rates for state Medicaid agencies and advises Medicaid Managed Care Organizations (MCOs). Examples include:

Working with the WI Medicaid program for over 15 years with both the state and an MCO
Designing a comprehensive financial template to use for capitation rate development, encounter data validation, and medical loss ratio (MLR) reporting
Evaluating the financial implications of using high-cost prescription drugs to treat members infected with hepatitis C
Working with the Milliman teams developing FL and MN Medicaid capitation rates
Providing a MI MCO with guidance on capitation rates and financial projections
Evaluating entry into new eligibility categories and service areas

Examples of Jill’s Medicare Advantage and Part D expertise include:

Certifying bids since 2006
Leading bid audits and participating in financial audits
Developing in-house pricing models and reporting from CMS files while employed by an MCO
Contributing to product design, service area expansion, strategy, and policy
Preparing budgets, re-forecasts, reserves, and accruals for financial reporting
Developing provider capitation rates and risk-sharing arrangements

In a prior role, Jill led the rate development and rate filings in 17 states for individual major medical and Medicare Supplement policies, including pricing new products and states. She also has expertise with commercial group pricing and providers.

Professional Designations

Fellow, Society of Actuaries
Member, American Academy of Actuaries

Education

BS, Mathematics and Business Administration, University of Wisconsin - Stevens Point

Affiliations

Current member of American Academy of Actuaries Medicare Subcommittee
Prior member of Wisconsin Health Insurance Risk Sharing Plan (HIRSP) Actuarial Subcommittee
Prior participant in two different association groups focused on government programs

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Publications

Read their latest work

Article

Medical Loss Ratio (MLR) in the Mega Reg: MLR Reporting Update

01 November 2017 - by Jill Brostowitz, Ian M. McCulla

This report discusses specific considerations for state Medicaid agencies in the development of the medical loss ratio reporting template.

Article

Medical loss ratio (MLR) in the “Mega Reg”

27 June 2016 - by Jill Brostowitz, Scott Jones, Ian M. McCulla

While the Medicaid medical loss ratios (MLR) formula itself largely follows the commercial and Medicare Advantage (MA) MLR formula, there are key differences between the Medicaid minimum MLR standards and those currently established for the commercial and MA markets.

Experience

Jill develops capitation rates for state Medicaid agencies and advises Medicaid Managed Care Organizations (MCOs). Examples include:

Working with the WI Medicaid program for over 15 years with both the state and an MCO
Designing a comprehensive financial template to use for capitation rate development, encounter data validation, and medical loss ratio (MLR) reporting
Evaluating the financial implications of using high-cost prescription drugs to treat members infected with hepatitis C
Working with the Milliman teams developing FL and MN Medicaid capitation rates
Providing a MI MCO with guidance on capitation rates and financial projections
Evaluating entry into new eligibility categories and service areas

Examples of Jill’s Medicare Advantage and Part D expertise include:

Certifying bids since 2006
Leading bid audits and participating in financial audits
Developing in-house pricing models and reporting from CMS files while employed by an MCO
Contributing to product design, service area expansion, strategy, and policy
Preparing budgets, re-forecasts, reserves, and accruals for financial reporting
Developing provider capitation rates and risk-sharing arrangements

Jill Brostowitz

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Experience

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Read their latest work

Medical Loss Ratio (MLR) in the Mega Reg: MLR Reporting Update

Medical loss ratio (MLR) in the “Mega Reg”

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Jill Brostowitz

Experience

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