John Rogers

ASA, MAAA, MS

Consultant

San Diego, CA, US

John Rogers’ passion is to help Americans realize the best possible healthcare system. His experience in bridging technology and finance in the actuarial profession often leads to crisp, simple solutions to complex analytical and financial problems. In John’s current role, he assists a range of clients such as health plans, large group plan sponsors, and other stakeholders to achieve success.

Growth strategy and technical solutions for Milliman’s product, MyRxConsultant
Medicare Advantage bids
Actuarial analysis to determine the financial impact of proposed legislation
Analysis to support provider organizations and digital health companies

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Experience

John first joined Milliman in 2011. His experience includes:

Advanced analysis of claims data, including storyboarding pathways of care and cohorting clinical conditions
Rate filings for marketplace products
Pricing and reserving for insurance carriers and self-funded large employer health plans
Reimbursement auditing of PBM arrangements
Modeling of reimbursements under prospective PBM contracts
Review of pharmacy benefit agreements and outpatient pharmacy agreements
Analysis of Medicaid and Medi-Cal experience to support innovative risk sharing arrangements and care delivery models

Prior to rejoining Milliman in 2020, John worked for a rapidly growing Medicare Advantage plan. He focused on business intelligence and financial management. Projects included drawing insights from raw application data such as online HRAs, prior authorizations, claims data, and call logs. He focused on both quality improvement and medical cost savings initiatives, including evaluation of claim operations, medical audit, utilization management, and clinical interventions. John managed the budget (FP&A) for human resources, office expense and rent, communications, sales, and marketing.

Previously, John also worked for KPMG UK, including a project for a major international life insurer calculating EV for the first time, financial reporting and due diligence at major financial institutions, and strategic growth analysis.

Prior to joining Milliman in 2011, John served as the Executive Officer of USS Chinook and Patrol Coastal Crew INDIA. His responsibilities included security sweeps of vessels in the Northern Arabian Gulf, navigation, and communications. During his military career, he received three navy achievement medals.

Professional Designations

Associate, Society of Actuaries
Member, American Academy of Actuaries
Chair of Society of Actuaries Technology Section (2022)
Council Member, Society of Actuaries Technology Section (2020-2022)

Education

BS, Mathematics, Massachusetts Institute of Technology (MIT)
MS, Computer Science, Naval Postgraduate School (NPS)

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Publications

Read their latest work

Article

Building a long-range GLP-1 forecast: When could commercial health plans see a plateau?

11 September 2025 - by John Rogers, Liam Kussman, Brian Anderson, Jeremy Sarich, Andrew Marshall

GLP-1 drugs: We provide a framework for building a long-range forecast to help employers understand how trends may change over time.

Article

Understanding the cost dynamics of antidiabetic medications: A trend analysis (2016-2024)

19 December 2024 - by John Rogers, Barbara Dewey

Using eight years’ worth of data, we provide some historical trends for antidiabetic medications to help plan sponsors better understand cost drivers.

Video

Midnight approaches: Reactions to Part D reforms

20 March 2024 - by Jeremy Sarich, John Rogers, Les Kartchner, Michelle (Klein) Robb

As midnight on June 3 approaches, many plans face considerable uncertainties relating to the Inflation Reduction Act’s benefit redesign, Medicare Prescription Payment Plan, and changes from the Advance Notice.

Article

Best practices: Is your point solution on point?

25 April 2023 - by Kylie Young, John Rogers, Alex Zuckerman

We provide decision-making guidance for health plan sponsors looking to implement point solutions to reduce overall healthcare costs, increase healthcare access, and improve health outcomes.

Video

Webinar: How do you look? Positioning your plan in Medicare Plan Finder

10 November 2021 - by Todd Wanta, Merry Beth Ward, John Rogers, Deana Bell

Article

How might COVID-19 impact 2021 supplemental benefits

10 April 2020 - by John Rogers, Annie Man, Kyle Hutmaker

While no one knows what will happen with COVID-19 in 2021, in the absence of a vaccine or other curative treatment, Medicare Advantage plans may be advised to consider possible impacts of the disease well into the future.

Experience

John first joined Milliman in 2011. His experience includes:

Advanced analysis of claims data, including storyboarding pathways of care and cohorting clinical conditions
Rate filings for marketplace products
Pricing and reserving for insurance carriers and self-funded large employer health plans
Reimbursement auditing of PBM arrangements
Modeling of reimbursements under prospective PBM contracts
Review of pharmacy benefit agreements and outpatient pharmacy agreements
Analysis of Medicaid and Medi-Cal experience to support innovative risk sharing arrangements and care delivery models

John Rogers

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Experience

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Read their latest work

Building a long-range GLP-1 forecast: When could commercial health plans see a plateau?

Understanding the cost dynamics of antidiabetic medications: A trend analysis (2016-2024)

Midnight approaches: Reactions to Part D reforms

Best practices: Is your point solution on point?

Webinar: How do you look? Positioning your plan in Medicare Plan Finder

How might COVID-19 impact 2021 supplemental benefits

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John Rogers

Experience

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