Milliman Healthcare Investment Solutions
Milliman has a unique combination of expertise and access
Healthcare Consultant
Since 1947
over 2,000 clients
- Largest employer of healthcare actuaries in the world
- Consulting to most major payers and providers
- Detailed insights into industry risks
Index Provider
Since 2013
Publishing over 70,000 indices monthly
- Leading actuarial market expertise in healthcare cost and trend forecasts
- Development of Milliman's Health Trend Guidelines and resulting indices
Investment Advisor
Since 1998
$229.2B in AUA as of 9/30/2025
- Risk management specialists
- Trusted hedging provider to insurers
- Leading subadvisor for annuities and ETFs
- Trade implementation
How Milliman Healthcare Inflation Strategies Work
How The Health Trend Guidlines (HTG) Index Works
Strategy Performance
| Performance | As of 10/17/2025 | ||||||
|---|---|---|---|---|---|---|---|
| 3 Months | YTD Total Returns | 1 Year | 3 Year | 5 Year | Since Inception (4/22/2024) | ||
| Milliman Healthcare Inflation Strategy | 10.41% | 16.95% | 12.19% | - | - | 13.03% | |
Solid lines indicate actual historical data and performance. The dotted line for the HTG index represents the anticipated changes in the future levels of healthcare costs. Data for the HTG Index is lagged on a trailing 3-month basis and then combined with up-to-date economic data that is correlated with the costs of healthcare and used to forecast expected claims data for these services in the future. It is important to note that the indices created through the Milliman Health Trend Guidelines are not standard market indices. They do not measure the price or total return performance of specific securities, but rather serve as a guideline as to expected changes in the general cost of healthcare.
Top 10 Holdings
| Symbol | Security | Value | Allocation |
|---|---|---|---|
| XFIV | Bondbloxx Bloomberg Five Year Target Duration Us Treasury Etf | $195,940.68 | 42.6% |
| IAU | Ishares Gold Trust | $149,324.04 | 32.5% |
| SPY | Spdr S&P 500 Etf Trust | $17,320.68 | 3.8% |
| USD CASH | USD CASH | $8,166.49 | 1.8% |
| UNH | UNITEDHEALTH GROUP INC | $7,941.90 | 1.7% |
| XHLF | Bondbloxx Bloomberg Six Month Target Duration Us Treasury Etf | $7,613.42 | 1.7% |
| LLY | ELI LILLY & CO | $6,104.00 | 1.3% |
| ABT | ABBOTT LABORATORIES | $5,223.66 | 1.1% |
| JNJ | JOHNSON & JOHNSON | $4,450.08 | 1% |
| TMO | THERMO FISHER SCIENTIFIC INC | $4,365.18 | 0.9% |
| ABBV | ABBVIE INC | $3,936.18 | 0.9% |
| Top 10 Holdings Total | $410,386.31 | 89.2% | |