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Every commercial health insurance issuer’s guide for …

WEBRecent guidance from the Department of Health and Human Services has provided additional clarity on how issuers should reflect costs for a variety of pharmacy …

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URL: https://careers.milliman.com/en/insight/every-commercial-health-insurance-issuers-guide-pharmacy-benefit-managers-and-medical-loss-ratio

Five ways plan sponsors can manage their health benefit …

WEBThe financial risks associated with offering a health benefit plan can’t be entirely eradicated, but there are many proactive steps plan sponsors can take to …

Category:  Health Go Health

Health and group benefit administration: 2020 market …

WEBThis 2020 market overview highlights some of the changes affecting the health and group benefit administration market that employers need to understand to take advantage of …

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Communicating healthcare reform: Helping navigate the …

WEBCommunicating healthcare reform issues is a natural extension; it’s our job to navigate those waters so they can concentrate on the program’s strategy. The next …

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Data visualization for population health and chronic …

WEBThe cost and human suffering related to chronic diseases in the United States is staggering. Hypertension (high blood pressure) costs the United States about $131 …

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Understanding healthcare plan costs and complexities

WEBThe many available choices in the U.S. commercial insurance market, combined with the unique complexities of the current healthcare market, create a …

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Regulatory capital strategies in an evolving health …

WEBFor 75 years, we have combined technical expertise with business acumen to create elegant solutions for our clients. Today, we are helping organizations take on …

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The Affordable Care Act: Timeline of key deadlines …

WEBClick on the colored bars above to see ACA implementation deadlines. Financial reporting dates generally apply to states in which the U.S. Department of …

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Five ways plan sponsors can manage their health …

WEBMILLIMAN WHITE PAPER Five ways plan sponsors can manage their health benefit spend 3 February 2020 5. Communicate with participants about benefits

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Addiction and mental health vs. physical health: Analyzing

WEBAs state and federal regulators increase their focus on the enforcement of mental health and addiction parity laws, nonquantitative treatment limitations have …

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Benefit designs for high cost medical conditions

WEBWe present the cost burden high cost patients incur under less generous coverage as well as actuarially equivalent benefit design changes that can protect high …

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Understanding healthcare plan costs and complexities

WEBMilliman Healthcare Reform Briefing Paper June 2009 Understanding Healthcare Plan Costs and Complexities Thomas D. Snook, FSA, MAAA; Robert H. …

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Life and health insurance M&A

WEBLife and health insurance M&A 2 Overview This report provides an analysis of recent life and health insurance transaction activity across the globe, focusing on North America, 1 …

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How to implement a population health management programme

WEBPopulation health management (PHM) ensures that ways to improve health outcomes are considered objectively and with an open mind. This guide can assist …

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Overview Careers Milliman

WEBTrailblazers wanted. If you want to carve your own path, Milliman is the place for you. Founded by actuaries seeking to push the profession forward, we’ve pioneered solutions …

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Benefit Designs for High Cost Medical Conditions

WEBMilliman Research Report Benefit Designs for High Cost Medical Conditions Kate Fitch, and Bruce Pyenson April 2011 3 execuTive summaRy Benefit designs often …

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m-Health: Remote access

WEBm-Health: Remote access. By John Rogers, Lisa Morgan | 07 July 2015. Health microinsurance schemes seek to provide financial protection and access to …

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Why hospital cost shifting is no longer a viable strategy

WEBHospitals make up for the lower unit costs on Medicare and Medicaid patients by shifting costs to commercially insured patients. In 2008, Milliman research …

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Payer strategies for GLP-1 medications for weight loss

WEBThe estimated average annual wholesale acquisition cost (WAC) for GLP-1 drug class products that are utilized for weight loss ranges from $12,200 to $17,600.12 …

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