David works with Blue Cross and Blue Shield plans, HMOs, health insurance carriers, providers, and non-profit organizations.
His client activities include the following:
- Pricing and rate development for commercial, Medicare Supplement, and Medicare Advantage products
- Product development, rating, and underwriting for various lines of business
- Preparation and/or review of commercial regulatory rate filings for both ACA and non-ACA products - individual, small group and large group
- ROI analyses for healthcare intervention programs including strategies surrounding components of risk-sharing arrangements
- Estimation of actuarial liabilities/assets for financial reporting, including year-end annual statement support
- Financial forecasting and trend development for commercial and Medicare plans
- Healthcare cost analytics and actuarial cost model development for use in benchmarking or performance analysis
- Small group compliance
- Evaluation of blocks of business
- Provider contract and capitation analysis and development
- TRICARE rate development and change order processing
