Solution

Government

Our work in the public sector

Milliman has a wide range of experience working with federal, state, and local governments on healthcare, retirement, and more. Milliman has successfully developed and maintained federal contract status under the General Services Administration (GSA) and Financial and Business Solutions (FABS). Milliman’s GSA contract is listed on the GSA Advantage!® purchasing site. We have also maintained direct contracts with the Department of Veterans Affairs (VA), Pension Benefit Guaranty Corporation (PBGC), Federal Emergency Management Agency, Federal Insurance and Mitigation Administration, Department of Homeland Security, and numerous state and local governments including Medicaid agencies, public employers, state insurance departments, and state-based insurance exchanges under the Patient Protection and Affordable Care Act.

GSA Advantage listing
SIN/NAICS codes: 541611

Overview

Milliman government solutions

Healthcare consulting

We offer unbiased information to health plan decision makers—including local, state, and federal government agencies—to transform their programs and services in response to improving the health of populations they serve, the quality of the care received, and the cost of that care. Our unmatched resources draw from sophisticated modeling, unique visual tools, and broad experience consulting to federal and state agencies to provide insight into driving factors in healthcare costs. We perform actuarial and financial modeling for complex health systems on both the state and federal levels.

We routinely analyze the fiscal impact of proposed legislation, and frequently testify before legislative committees and councils regarding the actuarial implications of proposed changes to benefit plans. We also help agencies successfully interpret, implement, and comply with laws and regulations by providing the requisite advice and counsel. Our services also include budget forecasting, risk management, product development, payment methodology development, and evaluation of health policy.

Retirement

We are leaders in retirement, helping shape significant changes in the industry. We have experience in contracting with federal and state governments, enabling us to assist agencies with critical and complex issues, including retirement funding, healthcare financing, risk management, and regulatory compliance. We provide pension plan consulting and created the annual Public Pension Funding Index along with quarterly and monthly public pension studies. We also work closely with our clients on policy analysis and compliance. We track and analyze legislation and regulation affecting retirement and also routinely provide agencies—like the PBGC – with analyses of the fiscal impact of proposed retirement-related legislation. Specifically, we provide highly qualified and specialized professional services and personnel resources to support the PBGC’s Office of Benefits Administration (OBA) in calculation of benefits for participants in the PBGC trusteed pension plans. The support is primarily provided to the OBA’s Actuarial Services and Technology Department and its two divisions: the Actuarial Services Division and the Technology and Risk Management Division. We provide the required services in accordance with Title IV of ERISA and applicable PBGC regulations, standards, settlements, policies, and procedures.

Mortgage consulting

We specialize in building and licensing off-the-shelf cost-effective solutions to measure and manage the unique risks associated with guaranteeing or direct origination of credit such as mortgage, small business, and student loans, providing credit enhancement and risk share analytics, and producing credit subsidy estimates and policy analysis for government entities. Milliman also provides risk management support through model development and/or IV&V (independent verification and validation) for quantitative models utilized for budget estimation and policy analysis. We provide industry-leading standards for documentation and transparency of work product while maintaining secure data center and Graham-Leach-Bliley Act compliance. Our professionals help governmental agencies deliver successful results in budget estimates, risk analysis, and policy impact studies.

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Climate resilience consulting

Modeling has become increasingly climate-aware, and we work with governments to address a variety of climate resilience questions. We perform actuarial redesign of rates, including modernization and improved granularity of rating elements for a government insurance program. We perform regulatory research to understand how to implement innovative solutions that comply with state insurance regulation, and we create and support the associated filings with state regulators. We also advise governmental officials and stakeholders on strategies to mitigate catastrophic risk, educate consumers to enable better decision-making, and promote insurance availability and affordability. Milliman has a deep understanding of catastrophic perils such as wildfire, hurricane, flood, earthquake, and severe/winter storms. Our climate resilience team can help define scenarios, specify and model hazards, and develop options for resilience that offer clear insight into costs, benefits, and uncertainty. Milliman is a trusted adviser, managing the nexus of hazard, climate, resilience, and insurance.

Insight

Milliman government insight

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ARTICLE

Implementing a long-term care statewide program: See how tax rates could vary by state

As states consider long-term care programs, we examine differences in payroll taxes under a front-end design, given the diverse environments across the U.S.

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Federal Agencies Report

The SECURE 2.0 Act of 2022: Federal agencies’ required actions and stakeholder reports

The Consolidated Appropriations Act, 2023 (CAA 2023), includes the long debated and expected changes to employer-sponsored benefit programs known as SECURE 2.0.

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Article

Analysis of municipality workers' compensation costs

In 2009, Milliman created a nationwide workers' compensation database consisting of $61.8 billion of incurred losses across all 50 states. We continue to update this database on an ongoing basis.

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Article

Medicare for All sounds expensive. How expensive? Here are three questions you need to answer.

How much will single-payer healthcare in the United States cost and how will it be paid?

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Article

Fifty states, fifty stories: A decade of healthcare reform under the ACA

This report looks at the different outcomes for the 50 states from the Affordable Care Act in terms of reduction of the uninsured rate, cost, and availability of health insurance coverage.

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Article

The current impact of legacy losses

It’s important to consider the impact of potential legacy losses not only in the context of establishing an appropriate reserve, but to form a view of the load for mass torts needed to price current policy years.

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Article

A new Part D benefit design?

An overview of the provisions in the Prescription Drug Pricing Reduction Act of 2019.

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Article

Meeting the needs of Medicaid Home and Community-Based Services program participants during the COVID-19 pandemic and beyond

The COVID-19 pandemic presents unique challenges for Medicaid Home and Community-Based Services program participants.

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Index

Milliman Mortgage Default Index

The latest monthly estimate of the lifetime default risk of U.S.-backed mortgages.

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Milliman government products

Pension modeling & analytics

FutureCost

Project pension assets and liabilities into the future to answer complex questions and make data-driven decisions.

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ACA compliance & affordability

Healthcare Reform Dashboard

Give small and mid-size employers essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).

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GASB 75 compliance

GASBhelp

Comply with GASB 75 requirements through easy-to-answer questions and step-by-step guidance.

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Pension funding & FAS reporting

Pension Performance Dashboard

See how movements in capital markets affect your pension plan's financial status, with real-time updates on projected funded status, and FAS expense.

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Pension administration & communication

Milliman Actuarial Retirement Calculator (MARC)

Administer defined benefit and cash balance pension plans with one of the industry's leading retirement planning and communication tools.

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Predictive analytics

REVEAL

Assess the volatility embedded in pension plans, immediate annuities, and deferred annuities with longevity guarantees.

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Claims data analytics

Bundled Payment Reporting Interface

Manage episodes of care under Medicare bundled payment models using the same logic and claims data employed by CMS.

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Healthcare cost modeling

Dashboard for Research, Insight, and Validation of Experience (DRIVE)

Analyze historical data to inform policy decisions, validate encounter data, understand emerging experience, and more.

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Healthcare analytics

MedInsight

Adopt the healthcare industry’s leading platform for data warehousing and healthcare analytics.

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Healthcare risk adjustment

Milliman Advanced Risk Adjusters

Manage Medicare, Medicaid, and commercial risk adjustment with our award-winning suite of tools and data.

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Medicare Advantage benchmarking

Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)

Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.

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Claims data analytics

Medicare Repricer

Milliman’s Medicare Repricer software assigns Medicare-allowable fees to administrative claims data, allowing payers and providers to surface those fees in their enterprise data warehouse.