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Brandy N. Millen

ASA, MAAA
Principal and Consulting Actuary
Brookfield, WI, US

Brandy Millen is a principal and consulting actuary with the Milwaukee office of Milliman. She joined the firm in 2016.

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Experience

Brandy’s area of expertise is pharmacy management and PACE (Program of All-inclusive Care for the Elderly). Her current responsibilities include pharmacy management services, prescription drug analysis, and Medicare Part D bid development.

Brandy has more than 20 years of experience working with plan sponsors. Before Milliman, she held pharmacy management roles and was responsible for leading a large pharmacy team performing drug analytics and modeling, including overseeing pharmacy benefit manager (PBM) operations and compliance, customer service, and clinical operations, including utilization management and formulary design. Brandy assists major health insurance companies and employers in managing their pharmacy benefits, including PBM, audits, and evaluations, through requests for proposals, operational support, and strategy. In addition, her work includes contract negotiations with pharmacy benefit managers and specialty pharmacies.

Her insurer experience includes risk adjustment operations, short-term medical pricing, rate filing, and monitoring compliance in nearly all states.

Publications

Read their latest work

Article

Implications of Rutledge v. PCMA for pharmacy benefit managers and employers

04 March 2021 - by Jason Karcher, Troy M. Filipek, Brandy N. Millen
The implications of Rutledge v. PCMA for pharmacy benefit managers and employers.
Article

Every commercial health insurance issuer’s guide for understanding pharmacy benefit managers and medical loss ratio reporting

21 October 2020 - by Brandy N. Millen, Amy Giese, Jason Karcher
This article provides concrete examples of how pharmacy benefit manager (PBM) fees/margin, rebates, and quality improvement activities should be considered for calculating the medical loss ratio under different PBM arrangements.
Article

Benefits Perspectives: November 2018

05 November 2018 - by Michelle N. Angeloni, Rebekah Bayram, Joe Becker, Brandy N. Millen
This issue of Benefits Perspectives features an article comparing and contrasting three volatility-based investment strategies and discussing the implications of applying them in a retirement plan and an article about managing pharmacy costs through focused analytics.
Article

ACA risk adjustment management: Going all-out

22 December 2017 - by Brandy N. Millen, Jason J. Petroske
This paper introduces the broader concept of risk management adjustment and highlights actions you can take to maintain its long-term success.
Article

ACA risk adjustment management: Higher EDGE-ucation

22 December 2017 - by Brandy N. Millen, Jason J. Petroske
External Data Gathering Environment server management is technically demanding and resource-intensive, and issuers are still looking for a better, faster, and more efficient solution to ease the burden and streamline the reporting process for risk transfer calculations.
Article

ACA risk adjustment management: Cracking the code

22 December 2017 - by Lisa Mattie, Brandy N. Millen, Jason J. Petroske, Alan Vandagriff
This paper addresses strategies to facilitate an organizational coding completeness initiative and “crack the code” on the tools and methods for increasing risk adjustment management’s success.