This work is performed at the request of the LTSS Trust Commission and the Legislature to support evaluating policy changes and better understand program solvency. Analysis from Milliman is published as soon as publicly available.
2023
Plan Design Changes
Milliman’s modeling of alternative program packages to assess feasibility of adjusting the program to feature portability of benefits.
Potential Program Changes with Portability of Benefits, October 2023
Milliman’s preliminary analysis comparing probability of benefit utilization under different benefit eligibility definitions.
HIPAA Benefit Eligibility Threshold Analysis, May 2023
Other
Milliman’s analysis reflecting a fully voluntary WA Cares Fund.
Fully Voluntary Modeling, December 2023
Milliman’s analysis on migration metrics, assumptions and methodology supporting the 2022 Baseline Analysis.
Migration Supporting Analysis, May 2023
2022
Baseline Analysis
Milliman’s analysis updated the 2020 study to refresh underlying modeling assumptions and reflect more up-to-date program parameters.
2022 WA Cares Fund Actuarial Study
Plan Design Changes
Milliman’s analysis on four alternative program features.
2022 Additional Modeling Requests, November 2022
Milliman’s feasibility analysis on portable benefits.
Portability Workgroup Analysis, November 2022
Millman’s analysis on premium impacts of various scenarios to include current near retirees.
Analysis of Near Retirees Modeling Alternatives, January 2022
Milliman’s analysis on preliminary feasibility analysis – private market opt-out recertification.
Recertification Analysis, September 2022
Other
Milliman’s analysis updating the 2020 study to incorporate private market exemption data through March 3, 2022.
Base Plan Updated to Reflect ESD Opt-Out Data, April 2022
2021
Plan Design Changes
Millman’s analysis on premium impacts of voluntary opt-out for military spouses and certain veterans.
Analysis of Voluntary Military Opt-Outs, December 2021
Milliman’s analysis on the financial impact to the Washington Medicaid program due to the WA Cares Fund.
WA Cares Fund Savings for the Medicaid Program, November 2021
Millman’s analysis on premium impacts of benefit eligibility workgroup alternatives impacting near-retirees, non-residents, and nonimmigrant visa holders.
Additional Modeling for Benefit Eligibility Workgroup, September 2021
Other
2020
Baseline Analysis
The most recent actuarial analysis on the LTSS Trust Program. OSA contracted with Milliman to perform this study based on the enacted version of the program.
WA LTSS Trust Actuarial Study by Milliman, 2020
Plan Design Changes
Milliman’s analysis on the 2020 LTSS Trust Commission recommendations to the Legislature.
Analysis of Washington LTSS Trust Program – Commission Recommendations
Other