Blaine Miller

Blaine has extensive experience in many facets of the health insurance industry, assisting both health plans and provider systems with performance evaluation and business strategy. Currently, Blaine manages client engagements, including:

• Developing risk-based pricing tools for underwritten employer medical and reinsurance offerings
• Evaluating employer stop-loss and reinsurance portfolios, including results monitoring, pricing analysis, reserving, and underwriting reviews
• Providing value-based contracting support for providers and payers
• Conducting ACO performance reviews and optimization and evaluating networks
• Developing Medicare Advantage bids
• Conducting benchmarking and reserving
• Providing statements of actuarial opinion for actuarial liabilities