As the world changes, the role of property and casualty (P&C) actuaries is changing too, from the emerging risks they study—including climate change and self-driving cars—to the technologies they employ to devise solutions. On this episode of Critical Point, Milliman recruiter Liz Shickles speaks with two P&C actuarial consultants, Zora Law from Milliman and Dane Grand-Maison from partner firm Eckler, about their own career journeys, the influence of AI (hint: it won’t ever replace le...
Feb 11
35 min
Since 2005, the Milliman Medical Index (MMI) has estimated annual healthcare costs for people covered by a typical employer-sponsored health plan. To mark the 20th anniversary of the report, MMI authors past and present gathered to review how healthcare has changed over the past two decades. They discussed the impact of the Affordable Care Act and the COVID-19 pandemic, the rise in drug advertising and outpatient care, and how trends might change again in the next 20 years. You can read the e...
Sep 18, 2025
35 min
While the number of traditional pensions has been shrinking for decades, one type of defined benefit (DB) plan is expanding: the cash balance plan. Combining features of DB and 401(k) plans, cash balance plans are particularly well-suited to helping small-business owners and highly paid professionals such as doctors and lawyers save for retirement. On this episode of Critical Point, three Milliman employee benefits experts explain why the number of cash balance plans has recently swelled to 2...
Jun 30, 2025
27 min
In Europe, flooding was the most prevalent—and most expensive—climate peril last year, making 2024 the “Year of the Flood.” On this episode of Critical Point, five authors of Milliman’s annual Extreme Weather in Europe report assess the toll of flooding in their country and the response from insurers, governing bodies, and communities. They discuss what Italy is doing to protect the insurance industry, how construction in the UK and France may be contributing to flood risk, and why new regula...
Jun 3, 2025
16 min
AI has taken the world by storm—but not all insurance companies, or countries, are approaching the technology the same way. On this special episode of Critical Point, experts from Munich Re and Milliman who work across five continents come together for a global conversation exploring how insurers and regulators are approaching AI around the world. Plus, don’t miss Part 1 and Part 2 of this series on AI and insurance. You can read the episode transcript on our website.
Feb 11, 2025
28 min
Cell and gene therapies have been grabbing news headlines, both for their potential to cure rare diseases and for their million-dollar price tags. Milliman pharmacists and healthcare experts explain why state Medicaid agencies are particularly affected and the strategies many are using for predicting uptake and covering these high costs. You can read the episode transcript on our website.
Dec 17, 2024
25 min
Healthcare costs are a hot topic as we approach open enrollment and the presidential election. In this episode of Critical Point, host Deana Bell sits down with Dave Liner and Jason Clarkson, principals at Milliman and co-authors of the Milliman Medical Index (MMI), to discuss the key drivers of 2024’s healthcare costs. They dive into the effects of government programs like Medicaid and the Inflation Reduction Act, the rising use of weight loss medications, and how these factors are shaping h...
Oct 7, 2024
20 min
Cyber risk, climate change, new pharmaceutical therapies—as companies look for ways to manage increasing costs and unforeseen exposures, captives are a popular mechanism to insure against the unexpected. Around since the 1950s, today there are more than 7,000 captive insurers worldwide, with many headquartered in Vermont, Bermuda, and the Cayman Islands. As these insurance vehicles grow in popularity, Milliman experts answer the top 10 questions everyone’s asking about captives. You can read ...
Aug 12, 2024
22 min
Drugmakers are taking steps to make sure clinical trials include participants from a variety of backgrounds—and they are steadily making progress, as evidenced by new studies of multiple sclerosis and sickle cell disease. Milliman health researchers Ellyn Russo and Chris Page unpack a history of distrust in medical research, the implications of failing to attract diverse study participants, and how simple strategies like rideshare vouchers, childcare, and check-in apps can help expand a study...
Jun 27, 2024
28 min
Life insurers have historically invested their portfolios in the relative safety of mortgages and bonds, but economic volatility, sticky inflation, and other headwinds have spurred many insurance companies to diversify into alternatives, a trend explored in a recent Milliman paper. On this episode of Critical Point, three of the paper’s authors discuss two alternative asset classes that are particularly attractive to insurers in today’s market: private equity and real estate. They talk about ...
May 16, 2024
29 min
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