Blaine Miller
FSA, MAAA
Consulting Actuary
Denver, CO, US
Blaine Miller is a consulting actuary with Milliman’s Health Practice. He is located in Knoxville, Tennessee, and joined the firm in 2012.
Experience
Blaine has extensive experience in many facets of the health insurance industry, assisting both health plans and provider systems with performance evaluation and business strategy. Currently, Blaine manages client engagements, including:
- Developing risk-based pricing tools for underwritten employer medical and reinsurance offerings
- Evaluating employer stop-loss and reinsurance portfolios, including results monitoring, pricing analysis, reserving, and underwriting reviews
- Providing value-based contracting support for providers and payers
- Conducting ACO performance reviews and optimization and evaluating networks
- Developing Medicare Advantage bids
- Conducting benchmarking and reserving
- Providing statements of actuarial opinion for actuarial liabilities
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BS Actuarial Science, North Central College, Naperville, IL
Publications
Read their latest work
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
Eight key impacts of COVID-19 on MSSP ACOs
27 April 2020 - by David Byron, Noah Champagne, Blaine Miller, Charlie Mills, Sam Shellabarger
Medicare Shared Savings Program Accountable Care Organizations are especially concerned about the potential for 2020 results to deteriorate due to COVID-19.
Article
Population health management program development: The path to the Triple Aim
10 October 2016 - by Blaine Miller
This paper outlines a process to define effective population health management programs that will help hospital systems develop a step-by-step approach to care redesign that can improve the health of a population, improve the patient experience, and reduce costs.