FSA, MAAA
Professional designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Current responsibility
Experience
Ed's expertise is in group healthcare, with an emphasis on government sponsored programs, (including Medicare and VHA) and provider contracting. His experience covers a broad spectrum including payers, providers, and purchasers. His consulting assignments have included:
- Medicare Advantage bid support for both Part C and Part D
- Evaluation and comparison of provider contracts including development of the Hospital
- Evaluation and Comparison System (HECSTM), a Medicare-based contract comparison tool
- Comparison of provider reimbursement for contract parity analyses
- Development of Reasonable and Customary charge model
- Analysis of utilization patterns for insured lives covered under multiple sources
- Review and implementation of risk adjustment algorithms and relative morbidity analyses
- Projecting liabilities for claims incurred but not paid
- Preparation and certification of annual actuarial opinions
- Projecting contribution rates for Multiple Employer Welfare Arrangements
Education
- BA, Mathematics, Actuarial Science, University of Waterloo, Waterloo, Ontario
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