Jeremy Palmer
FSA, MAAA
Principal and Senior Consulting Actuary
Indianapolis, IN, US
Jeremy is a principal and consulting actuary with the Indianapolis office of Milliman. He joined the firm in 2004.
Experience
Jeremy has developed an expertise in the financial forecasting, reporting, and reserving of all types of health insurance, including commercial and government sponsored populations. He has extensive experience in the evaluation of Medicaid managed care financing, including negotiation and strategy of risk-based managed care capitation contracts, as well as healthcare trend analysis. Jeremy consults to state Medicaid agencies and health plans in more than 15 states.
Prior to joining Milliman, Jeremy worked as a healthcare staff actuary with Anthem Blue Cross Blue Shield for eight years.
Relevant experience includes:
- State Medicaid agency risk-based capitation rate development – IL, IN, MI, OH, and SC
- State Medicaid agency budget, forecasting, and special projects – AR, CT, and NE
- Medicaid health plan association consulting – MA, NY, and OH
- Medicaid health plan capitation rate certification and bid development – FL, KY, MA, NH, PA, RI, VA, and WA
- Medicare/Medicaid dual eligible demonstration analysis – IL, MA, MI, NY, OH, RI, and SC
Publications and Presentations
- Basic Health Program, CMS facilitated policy discussion, April 2013
- Medicaid risk-based managed care: Analysis of financial results for 2011, July 2012
- Healthcare reform and the basic health program option, April 2011
- Managed Healthcare Executive magazine, June 2011
- Presenter, Basic Health Program under ACA, ACAP Roundtable Webex, March 2011
- Speaker, Achieving Actuarial Soundness, Medicaid Managed Care Conference, September 2010
Professional Designations
- Fellow, Society of Actuaries (2003)
- Member, American Academy of Actuaries (2001)
Education
- BS, Actuarial Science, Ball State University
Affiliations
- Society of Actuaries Health Section
- Society of Actuaries Social Insurance & Public Finance Section
- Society of Actuaries Entrepreneurial Actuaries Section
- American Academy of Actuaries Medicaid Workgroup
- Ball State University Actuarial Science Advisory Board
Publications
Read their latest work
Article
Medicaid managed care financial results for 2023
31 July 2024 - by Jeremy Palmer, Christopher Pettit, Ian M. McCulla
Our analysis of Medicaid MCO financial performance for 2023 provides a key reference and benchmarking information for program administrators.
Article
Medicaid managed care financial results for 2022
29 June 2023 - by Jeremy Palmer, Christopher Pettit, Ian M. McCulla, Corey Miller
Our analysis of Medicaid managed care organization financial performance for 2022 serves as an important reference and source of benchmarking information for program administrators.
Article
Medicaid managed care financial results for 2021
08 July 2022 - by Jeremy Palmer, Christopher Pettit, Ian M. McCulla, Cameron Kinnick
Uncertainty remains regarding COVID-19’s impact on Medicaid MCO financial performance, including the deferral of care, pent-up demand, and future claims.
Article
Medicaid managed care financial results for 2020
07 July 2021 - by Jeremy Palmer, Christopher Pettit, Ian M. McCulla, Cameron Kinnick
We review various key metrics, such as the composite underwriting ratio increasing to 3% in 2020 due to COVID-19, versus less than 1% in other years.
Article
Medicaid managed care financial results for 2019
02 July 2020 - by Jeremy Palmer, Christopher Pettit, Ian M. McCulla
This report summarizes the calendar year 2019 experience for selected financial metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.
Article
Medicaid managed care financial results for 2018
28 June 2019 - by Ian M. McCulla, Jeremy Palmer, Christopher Pettit
This report summarizes the calendar year 2018 experience for selected metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.
Article
Medicaid managed care financial results for 2017
04 June 2018 - by Ian M. McCulla, Jeremy Palmer, Christopher Pettit
This report summarizes the calendar year 2017 experience for selected financial metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.
Article
Medicaid risk-based managed care: Analysis of administrative costs for 2016
07 July 2017 - by Ian M. McCulla, Jeremy Palmer, Christopher Pettit
This report summarizes the calendar year 2016 experience for selected administrative metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.
Article
Medicaid risk-based managed care: Analysis of financial results for 2016
07 July 2017 - by Jeremy Palmer, Christopher Pettit
This report summarizes the calendar year 2016 experience for selected financial metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.
Article
Medicaid risk-based managed care: Analysis of administrative costs for 2015
20 June 2016 - by Ian M. McCulla, Jeremy Palmer, Christopher Pettit
This report summarizes the calendar year 2015 experience for selected financial metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.