ACA compliance & affordability

Healthcare Reform Dashboard

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Healthcare Reform Dashboard

The Milliman Healthcare Reform (HCR) Dashboard helps carriers, brokers, and advisors provide small and mid-size employers with essential analysis needed for ensuring compliance and plan affordability under the Affordable Care Act (ACA).

The ACA introduced significant changes to the commercial health insurance landscape, requiring employers to quantify the shifting cost impacts for their plans. Carriers, brokers, and advisors can rely on the Milliman HCR Dashboard to provide their small and mid-size clients with key analytics, helping those customers understand the financial implications of the law. The HCR Dashboard, designed for companies serving organizations with 500 or fewer employees, helps service providers develop strategic solutions to optimize their clients’ benefit spending, as well as providing consolidated summaries of projected health-care-reform impacts.

Carriers, brokers and advisors can use the HCR Dashboard to provide unlimited scenarios for their customers. The underlying assumptions in the calculations are supported by proprietary methodologies and resources, such as Milliman’s Health Cost Guidelines. By entering varying data sets into the model and presenting different scenarios, customers will realize potential outcomes they face with the ACA and be able to make informed choices.

Delivering critical information needed under the ACA

The HCR Dashboard helps users better manage their customers' health plans. Functionality includes:

Compliance
Conduct an assessment of whether plan design is compliant with ACA requirements for actuarial value, deductible level, and out-of-pocket maximum.
Financial impact
Determine the effect of terminating plan, on a pre-tax and post-tax basis, with and without salary adjustment.
Eligibility for ACA provisions
Assess potential eligibility for items such as the small group tax credit, employee eligibility for subsidized exchange or Medicaid coverage, and other features of the ACA.
Self-funding assessments
Conduct preliminary analyses to assess the financial risk of changing to a self-funded program.
Excise “Cadillac” tax risk
Determine how likely a large group is to pay the excise tax.

Estimates of key results

In-depth databases and modeling produces estimates of key metrics such as:

Employee household income distribution by key ACA Federal Poverty Level tiers.
Employee premium and cost sharing under the employer’s plan relative to silver or bronze plans in the exchange (including applicable cost-sharing subsidies).
Impact of adjusted community rating reflective of the employer’s state and insurance carrier for small employers.
Number of employees with unaffordable coverage based on employee income or estimated household income.
Salary increases by employee household income level to make employees whole for losing coverage.

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Milliman experts

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Paul R. Houchens

Principal, Consulting Actuary

Paul is a principal and consulting actuary with the Indianapolis office of Milliman. He joined the firm in 2002.

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Robert L. Schmidt

Principal and Consulting Actuary

Robert L. Schmidt, FSA, EA, MAAA, is a principal and consulting actuary with Milliman. He serves on Milliman’s Health Steering Committee as a national OPEB and Health Benefits leader and was elected as a member of the Milliman Board of Directors in 2021.

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Scott A. Weltz

Principal and Consulting Actuary

Scott Weltz is a principal and consulting actuary with the Milwaukee office of Milliman. He joined the firm in 2008.

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Resources

Milliman Healthcare Reform Dashboard resources

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