FSA, MAAA
Professional designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Current responsibility
Experience
Susan provides actuarial and consulting services to a broad range of clients, including Blue Cross/Blue Shield plans, HMOs, commercial insurers, government agencies and healthcare providers. Her work includes rate development, provider contract review, reserve certification, capitation development, Medicare risk feasibility studies, HMO start-ups, HMO due diligence, and development of risk sharing and reimbursement arrangements for physician groups, PHOs, ACOs, and other integrated delivery systems.
In addition, Susan has extensive experience with the valuation, financial analysis, and projection of healthcare services for several state public health insurance (Medicaid) programs.
Prior to rejoining Milliman, Susan worked at Andersen LLP and Ernst & Young, LLP.Affiliations
- Member, Society of Actuaries’'Education and Examination Committee
- Member, American Academy of Actuaries' Health Care Quality Workgroup
- Member, American Academy of Actuaries' Medicaid Workgroup
- Former Chair, Health Section Council of the Society of Actuaries
| Presentations and publications |
- "Whose Patient Is It? Patient Attribution in ACOs" (Milliman Healthcare Reform Briefing Paper, January 2011)
- "An Electronic Prescription for Health Care Efficiency" (Society of Actuaries HealthWatch, January 2009)
- "Employer-Paid Nonmedical Costs for Patients With Diabetes and End-Stage Renal Disease" (Preventing Chronic Disease, July 2006)
- "How Savvy are Employees" (and Employers) about their Health Benefits?" (Milliman Benefits Perspectives, Winter 2008)
- "Medicaid Program Redesign: The Long Term Care and Developmentally Disabled Programs" (report for Wyoming Health Care Commission, September 2006, co-author)
Education
- BS, Mathematics, University of Pittsburgh
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