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Experience
Brian works in Milliman’s Healthcare Practice.
His area of expertise is Medicare Advantage Part C and Medicare Supplement. Brian also has experience working with provider organizations and commercial health insurers.
In the Medicare market, Brian has assisted MA-PDs with strategic planning, feasibility studies, and Medicare Advantage bid preparation. He has assisted Medicare Supplement carriers with product pricing and annual rate filings.
In the commercial market, Brian has assisted carriers with pricing, reserving, cost benchmarking, and annual statements of opinion. In addition, he has assisted provider organizations with financial projections, contracting analysis, and provider-owned health plans.
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BBA, Actuarial Science, University of Wisconsin - Madison
Publications
Read their latest work
Article
2027 Advance Notice: Examining the influence of fee-for-service Medicare spending trends on federal payments in Medicare Advantage
05 March 2026 - by Jason Karcher, Brian Larsen
We review the impact of FFS spending trends on federal payments in Medicare Advantage.
Article
Estimated financial impact of removing in-home health risk assessments diagnoses for Medicare Advantage risk adjustment
06 June 2025 - by Philip Nelson, Brian Larsen, Douglas Rodrigues
We look at the effects of CMS potentially excluding diagnosis submissions from in-home HRAs in the Medicare Advantage risk adjustment calculations.
Article
Might Medicare Advantage impact traditional Medicare costs?
02 March 2016 - by Andy Mueller, Brian Larsen
When comparing Medicare Advantage (MA) plan payments to fee-for-service (FFS) costs, consideration should be given to how MA plans might affect FFS costs.
