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Richard A. Kipp, MAAA, FCA, RHU

Principal, Consulting Actuary
Wayne, PA, US

Tel: +1 610 6875644

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Professional Designations

  • Member, American Academy of Actuaries
  • Fellow, Conference of Consulting Actuaries
  • Registered Health Underwriter

Education

  • BS, Southern Utah University

Current Responsibility

Richard is a principal and consulting actuary with the Philadelphia office of Milliman. He joined the firm in 1986 and has more than 35 years of health industry experience.

Experience

Richard's areas of expertise include provider risk sharing, managed care, and disease management. His experience includes product feasibility and strategic business plan development, as well as the more traditional actuarial areas of forecasting, rating structures and systems, liability estimation, capitation and case rate analyses and trend analysis.

He has particular expertise in the Medicare Advantage and Prescription Drug Plan markets. He advises Blue Cross and Blue Shield (BCBS) organizations, insurance companies, HMOs, PPOs, providers, disease management companies, and pharmaceutical companies in the commercial, Medicare, and Medicaid markets. Consulting services that Richard has provided to clients include:

  • Product development and pricing
  • Regulatory rate filings
  • Medicare and Medicaid feasibility studies
  • Medicare Part C and Part D bid development
  • Medicaid rate analysis and projections
  • Trend analysis
  • Medical utilization and cost experience analysis and benchmarking
  • Estimation of claims and other reserves
  • Evaluation of risk based capital requirements
  • Provider reimbursement design and analysis
  • Review of rating and underwriting practices
  • Risk score development and analysis

He has also assisted clients with actuarial projects involving small group rating and underwriting mechanisms, dental programs, surplus requirements, transferred business analysis, claim reserve analysis, and pharmaceutical cost benefit analyses.

Prior to joining Milliman, Richard was chief actuary for the BCBS New Hampshire and worked for 10 years in various roles at the BCBS Rhode Island, the BCBS New Hampshire, and the BCBS of Vermont.

Presentations and publications

Richard is a frequent speaker at industry meetings on provider risk sharing and disease management and various actuarial topics.

Affiliations

  • Richard served as the national health research manager for Milliman.
  • Richard currently serves as the chairman of the Milliman Global Health Steering Group.
  • He is on the board of the National Association of Health Data Organizations.
  • Richard also serves on the editorial board of the Journal of Managed Care Pharmacy.
  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman