Andy Wendroth

Andy has 10 years of actuarial experience, including five years of consulting. He has experience with Medicare, Medicaid and commercial populations.

During the past eight years, Andy’s work within the Medicare Advantage market has included bid pricing and preparation, strategic planning, desk review and audit services, claim processing analysis, risk sharing arrangements, experience analysis, forecasting and reserving, and the expansion/introduction of new plans. Andy has extensive experience working with SNPs (FIDE, HIDE, ISNPs) and the specific nuances that come with pricing them, including VBID applications, Frailty projections, ESRD subsidies, and the pricing of supplemental benefits.

Prior to re-joining Milliman, Andy worked for a large Minnesota-based MCO, in its Government Programs Actuarial Department. While there, he worked primarily on Medicaid and dual-eligible products (MSHO, MSC+, SNBC) providing actuarial analyses used for Medicaid rate negotiations and RFP submissions, developing provider capitation rates and evaluating risk sharing arrangements, as well as conducting migration analyses. He has done extensive work with CMS public/non-public data files, including MMR, MOR, PDE, and TRR files, as well as encounter submission and return validations. He also helped lead the transition of actuarial models and processes to new claims processing systems.

In the commercial market, Andy has provided a variety of services to small-to-medium sized employers. His work in this market included pricing self-insured clients and evaluating fully-insured client renewals, as well as helping them set benefit and contribution levels. His work also provided clients with IBNR reserve calculations, M&A benefit analyses and financial monitoring and reporting, as well as evaluating 1332 Waivers. He has also helped employers assess impacts of potential provider ACO arrangements.