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Jonah Broulette

ASA, MAAA
Principal and Consulting Actuary
New York, NY, US

Jonah Broulette is a principal and consulting actuary with the New York Health Practice of Milliman. He joined the firm in 2007.

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Experience

Jonah’s experience as a healthcare consultant includes:

  • Providing network and ACO development and curation
  • Developing and evaluating risk contract and alternative payment frameworks between payers and providers
  • Assessing and benchmarking care management opportunities
  • Providing enterprise analytics

He is an expert in Medicare claims data and has worked extensively with clients participating in Medicare's Bundled Payments for Care Improvement, Pioneer ACO, Next Generation ACO, Shared Savings Program (MSSP), Direct Contracting, and ACO REACH programs.

In addition, Jonah provides clients the tools and expertise needed to leverage data in their decision-making processes. Jonah has played a key role in the development of a number of Milliman products, including the Bundled Payment Reporting Interface, ACO Insight, and ACO Builder.

Publications

Read their latest work

Article

Variation in skilled nursing facility practice patterns: Opportunities exist for more efficient management

13 September 2024 - by Kate Fitch, Jonah Broulette, Phil Ellenberg, Jaron Jackson
Our analysis of skilled nursing facilities suggests significant variation among Medicare beneficiaries in terms average length of stay and readmission rates.
Article

Direct Contracting opportunity for MA plans

01 March 2021 - by Noah Champagne, Jonah Broulette, Catherine M. Murphy-Barron
How Direct Contracting presents an opportunity for Medicare Advantage plans.
Article

Variability in average length of stay for skilled nursing facilities: Opportunities exist for more efficient management

21 January 2021 - by Kate Fitch, Jonah Broulette, Kyle King
There is significant variation in skilled nursing facility (SNF) average length of stay among Medicare beneficiaries admitted to an SNF after an acute inpatient hospital stay, and this variation is unexplained by differences in patient case mix, highlighting the opportunity for more efficient management of length of stay.
Article

Direct Contracting may offer ACOs a unique opportunity

09 April 2020 - by Noah Champagne, Jonah Broulette, Ted Gary
The Direct Contracting model includes a unique feature allowing accountable care organizations the ability to contract with providers.
Article

“Pathways to Success” MSSP proposed rule: Beneficiary assignment

07 September 2018 - by Jonah Broulette, Colleen Norris
This paper describes how the impact of the rule change will vary by ACO depending on its current situation and unique characteristics and examines the rule from the perspective of different ACO situations.
Article

Why accurate claims coding for MSSP ACOs has become increasingly important

26 June 2018 - by Jonah Broulette, Noah Champagne, Kate Fitch
This brief explains how benchmark year 3 risk scores affect the benchmark calculation for Medicare Shared Savings Program (MSSP) renewals, presents an overview of the prior and new MSSP benchmark calculations, and illustrates how the change can affect an accountable care organization’s benchmark under various scenarios.
Article

Costs and repeat rates associated with colonoscopy observed in medical claims for commercial and Medicare populations

14 March 2014 - by Jonah Broulette, Bruce S. Pyenson
Inadequate patient prep can reduce the effectiveness of colorectal cancer screening—but the rate for repeat screenings is lower than the reported rate of inadequate patient prep.
Article

An actuarial analysis of breast cancer screening and follow-on diagnostics in a commercially insured population

24 February 2014 - by Jonah Broulette, Tyler Engel, Kate Fitch
Higher breast cancer screening rates under ACA will lead to more follow up diagnostic testing, so payers and employers should evaluate the quality and value of follow up diagnostics.
Article

The incidence rate and economic burden of community-acquired pneumonia in a working-age population

01 September 2013 - by Jonah Broulette, Kosuke Iwasaki, Bruce S. Pyenson
What is the economic impact of community-acquired pneumonia (CAP) in the employed population?
Article

Utilization of anticoagulation therapy in Medicare patients with nonvalvular atrial fibrillation

30 June 2012 - by Jonah Broulette, Kate Fitch, Kosuke Iwasaki, Bruce S. Pyenson
An analysis of Medicare Part D claims data shows that a significant proportion of patients with AF are not receiving guideline-recommended anticoagulation therapy.