Adrian’s expertise is in group healthcare, with an emphasis on health plan pricing and predictive modeling. Types of clients he has supported include:

• BCBS and traditional insurance companies
• Managed care organizations (HMO, PPO)
• Large and small employer groups
• Medicare Advantage plan sponsors
• Medicaid, low-income, and uninsured programs
• Other government programs (e.g., Veterans)
• Hospitals and physician groups

His consulting assignments have included:

• Review, implementation, and customization of risk adjustment algorithms
• Calibrating risk adjusters for commercial populations
• Health plan pricing
• Feasibility studies for entering new markets, such as Medicare or Medicaid.
• Medicare Part C and Part D bid support
• Commercial payer utilization benchmarking
• Provider contract analysis
• Medicare/Medicaid/Uninsured cost shift analysis

Prior Experience

Before joining Milliman, Adrian worked at a large Blue Cross Blue Shield plan, where he worked on traditional actuarial projects such as estimating reserves, financial planning, projection and analysis, experience and trend analysis, and predictive modeling.