Brent Jensen
FSA, MAAA
Principal, Consulting Actuary
Salt Lake City, UT, US
Brent Jensen is a principal and consulting actuary with Milliman's Health Practice. He is located in Salt Lake City, Utah, and joined the firm in 2010.
Experience
Brent’s consulting experience covers a wide range of health actuarial projects. He leads projects that cover value-based care, risk sharing arrangements and provider contracting, financial forecasting, pro forma projections, and bundled payment analyses. He is also an expert in pricing, reserving, and employer health and welfare benefits consulting. His clients include ACOs, insurance companies, hospitals and physician groups, and employers.
He is an expert in the various ACO programs and has supported clients as they evaluate and apply for the various direct contracting tracks.
Brent’s recent experience also includes:
- Payer/Provider risk sharing arrangements
- MSSP and ACO REACH track evaluations
- Bundled payment development studies
- Evaluations of Centers of Excellence
- Provider benchmarking analyses
- Plan design relativity studies
- ACA rate filings
- Annual statements of actuarial opinion
- Wellness program ROI studies
Publications and Presentations
Publications
- “Medical Inflation: Drivers and patterns.” Milliman White Paper, February 2023.
- “ACO REACH: Leveraging data to reach the underserved and address disparities.” Milliman White Paper, December 2022.
- “Medicare Shared Savings Program: ACO financial results for 2021.” Milliman White Paper, December 2022.
- “ACO REACH: Direct Contracting 2.0.” Milliman White Paper, March 2022.
- “How to Succeed in the ACA.” Milliman White Paper, February 2022.
- “Evaluating Point Solutions – Employer Considerations.” Milliman White Paper, November 2021.
- “Medicare Shared Savings Program: ACO financial results for 2020.” Milliman White Paper, November 2021.
- “How does COVID-19 impact risk-based contracting?” Milliman White Paper, January 2021.
- “Summary of changes to the CMS direct contracting program.” Milliman White Paper, December 2020.
- “Is the vaccine for COVID-19 a white knight for employers?” Milliman White Paper, December 2020.
- “Direct Contracting: A program summary and comparison with MSSP and NGACO.” Milliman White Paper, March 2020.
- “How Employers Can Address Plan Selection Bias with Risk Adjustment.” Milliman White Paper, September 2019.
Recent Presentations
- Society of Actuaries, Webinar, “Inflation in Healthcare”, August 2023.
- Society of Actuaries, SOA Health Meeting, “Value Based Care: Panel Discussion,” June 2023.
- Society of Actuaries, SOA Health Meeting, “The Inflating Game,” June 2023.
- ACO Collaboration Event, “Succeeding as an ACO,” June 2023.
- Society of Actuaries, “Value Based Care: Panel Discussion,” October 2022.
- NAACOS, “Understanding the Preliminary Benchmark Reporting,” May 2022.
- NAACOS, “Adapting ACO Strategy in a Post-Pandemic Environment and Track Selection,” April 2022.
- Society of Actuaries, “Competitive Considerations in the ACA Market,” April 2022.
- MCOL “Understanding and Evaluating the ACO REACH Model,” March 2022.
- Employers Health Coalition of Idaho “COVID Costs to Employers,” January 2022.
- MCOL “MSSP ACO Financial Results: The state of the MSSP ACO Market,” December 2021.
- MCOL “How does COVID-19 impact risk-based contracting," March 2021.
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BA, Economics, Brigham Young University
Publications
Read their latest work
Article
Evaluating and negotiating value-based care contracts
04 August 2025 - by Dustin Grzeskowiak, Jason Altieri, Brent Jensen
Learn how provider organizations can evaluate if value-based care is right for them and what type of arrangements exist. Explore types of VBC arrangements, associated risks, and forecasting performance.
Article
Financial monitoring and revenue recognition in value-based care
04 August 2025 - by Dustin Grzeskowiak, Jason Altieri, Brent Jensen
Explore financial monitoring and revenue recognition strategies in value-based care, including claims lag mitigation, predictive modeling, and best practices for tracking costs and shared savings.
Article
Value-based care reconciliation: Auditing and payment distribution
04 August 2025 - by Dustin Grzeskowiak, Jason Altieri, Brent Jensen
Learn how value-based care reconciliation works, why third-party audits are essential, and how providers can ensure fair payment distribution after the performance period.
Article
Opportunity identification and implementation in value-based care
04 August 2025 - by Dustin Grzeskowiak, Jason Altieri, Brent Jensen
Learn how provider organizations can identify and implement strategic initiatives in value-based care. Explore risk adjustment, predictive modeling, and cost-saving interventions.
Article
2025 Milliman Medical Index
27 May 2025 - by Deana Bell, Jason Clarkson, Brent Jensen, David M. Liner, Annie Man, Andrew L. Naugle, Andrew Timcheck
How much is employer-sponsored healthcare expected to cost families and employers in 2025?
Article
Simulating the future impact of shifts to level-funded plans: Health insurance market dynamics
28 March 2025 - by Daniel Perlman, Les Kartchner, Brent Jensen
Our research shows that lower-cost groups moving to the level-funded market will likely result in higher costs for those remaining in the ACA small group market.
Article
Analyzing the impact of shifts to level-funded plans
19 March 2025 - by Daniel Perlman, Les Kartchner, Brent Jensen
With multiple health plan funding options available to small employers, we analyze the impact of shifts to level-funded plans.
Article
Medicare Shared Savings Program: ACO financial results for 2022
02 April 2024 - by Matthew Smith, Brent Jensen, Jacob Anderson, Korye Lockett
We take a close look at ACOs under the Medicare Shared Savings Program, identifying some key trends and patterns associated with financial success.
Article
The winding road to value: Understanding VBC dynamics in each market
12 February 2024 - by Anders Larson, Brent Jensen, Blaine Miller, Simon Moody
As providers increasingly adopt value-based care for reimbursement, it’s important they know the dynamics of each market, from Medicare to commercial to Medicaid.
Article
Medical inflation: Drivers and patterns
02 February 2023 - by Brent Jensen, Doug Norris
With the American economy’s overall costs rising faster in 2022 than in past years, what can we anticipate in the health sector?