Financial analysis of ACA health plan issuers, By Daniel J. Perlman and David M. Liner
A summary of 2014 risk mitigation estimates with actual amounts published by the Center for Consumer Information and Insurance Oversight.
Telemedicine and the long-tail problem in healthcare, By Jeremy Kush and Susan Philip
A potential solution to access barriers can be telemedicine.
Healthcare Access: Illustration of the Long-Tail Problem
Public Pension Funding Study, By Rebecca A. Sielman
The Milliman Public Pension Funding Study annually explores the funded status of the 100 largest U.S. public pension plans, and we report the plan sponsor’s own assessment of how well funded a plan is.
Life insurance risks: Observations on Solvency II and the modeling of capital needs, By Stephen H. Conwill
There has been an explosive growth in potential applications of data analytics, predictive algorithms, and behavioral modeling to challenges related to insurance risk. This paper describes several key ideas that serve as building blocks for a new analytical framework.
Encounter data standards: Implications for state Medicaid agencies and managed care entities from final Medicaid managed care rule, By Jeremy Cunningham, Maureen Tressel Lewis, and Paul R. Houchens
Relative to other sources of data that may be used in developing capitation rates—summarized managed care entity (MCE) utilization and cost experience, fee-for-service data, statutory financial statements, etc.—encounter data provides the most transparent view of an MCE’s provision of healthcare services.
Student loan debt update: A look at a possible future, By Katherine A. Pipkorn and Michael A. Henk
Student loan debt is a key concern underlying the country’s economic stability.
Institution for Mental Disease (IMD) as an "in lieu of" service, By Mat DeLillo
Institutions for Mental Disease will continue to be a topic of interest to state policy makers as they bolster the continuum of behavioral health and substance use disorder services.
Pokémon Go and augmented reality: Not all fun and games, By Michael A. Henk
Pokémon Go may generate extreme levels of distractedness while posing a new front for cyber risk.
DFS Moneyball: Beating daily fantasy sports with predictive analytics, By Michael A. Henk and Nicholas Blaubach
Daily fantasy sports contests continue to sweep the globe despite well documented and yet to be resolved concerns regarding legality.
Next Generation ACO Model: Should we take the plunge?, By Charlie Mills, Cory Gusland, and Noah Champagne
Five key considerations that all accountable care organizations (ACOs) should closely review before deciding whether or not to use the Next Generation ACO Model.
Pass-through payment guidance in final Medicaid managed care regulations: Transitioning to value-based payments, By Andrew Gaffner, Carmen Laudenschlager, and Christine M. Mytelka
An overview of pass-through payment provisions in the new Medicaid managed care regulations, including the rationale and phase-out timing of the Centers for Medicare and Medicaid Services.
Pension Funding Study, By Alan H. Perry, Charles J. Clark, John W. Ehrhardt, and Zorast Wadia
In a tumultuous year that buffeted pension plans with volatile markets and interest rate movement, the 100 largest corporate defined benefit pension plans made little progress in 2015.
Pension Funding Index, By John W. Ehrhardt and Zorast Wadia
Monthly reports on the funded status of the 100 largest corporate defined benefit pension plans as measured by the Milliman 100 Pension Funding Index.
G100 Discount Rates, By Craig McCulloch and Danny L. Quant
The paper assesses whether the Australian corporate bond market meets the requirements as outlined in Australian Accounting Standard 119 and determines a methodology to derive a full discount rate curve allowing for possible limitations in available market data.
Milliman Medical Index, By Christopher S. Girod, Scott A. Weltz, and Susan K. Hart
In 2016, the cost of healthcare for a typical American family of four covered by an average employer-sponsored preferred provider organization plan is $25,826, according to the Milliman Medical Index.