Tim Wilder

Tim specializes in helping clients assess the risks and financial implications associated with their healthcare products, reimbursement systems, and risk-sharing arrangements. Tim has worked with insurance companies, TRICARE (USFHP), HMOs, PPOs, BCBS plans, and provider organizations for all populations— Commercial, Medicare, Medicaid, and TRICARE populations.

Tim has significant experience in:

• Assisting with healthcare benefit plan design, pricing, feasibility studies, and financial modeling
• Working with public and private organizations in the cost evaluation of their current and proposed benefit programs
• Developing expected utilization and cost benchmarks for commercial, Medicare, and Medicaid populations
• Providing regulatory filings for health carriers and projecting healthcare claim reserves
• Negotiating rates for USFHP (TRICARE) and Medicaid populations
• Negotiating provider contracts
• Preparing Medicare Advantage bids