Brian Allen

ASA

Associate Actuary

Seattle, WA, US

Brian Allen is an associate actuary at Milliman specializing in provider reimbursement analysis and product development. He joined the firm in 2008.

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Experience

Brian has 15 years of experience working with provider contracting, market reimbursement analysis, and building software solutions. He has extensive experience repricing detailed claims level data to Medicare and other contract bases and performing related reimbursement analysis. He has worked with commercial health plans, health maintenance organizations, health insurance carriers, and provider organizations on projects, such as evaluating provider reimbursement and performing detailed claims data analyses, including commercial contract evaluation and repricing, Medicare and Medicaid schedule repricing and benchmarking, rate guarantee valuation, and parity audit analysis. Brian is a project lead for the Department of Veteran’s Affairs Medicare pricing auditing evaluation to support validation of VA’s Medicare claims repricing using the Medicare Reference Pricer. He is also the technology lead for the Medicare Reference Pricer product.

Brian also has experience in several other areas of healthcare analysis and consulting, with projects related to:

Provider reimbursement benchmarking and contracting strategy
Risk adjustment for population benchmarking and government risk-based payment programs
Pricing and rate development
Medicare Advantage bid preparation
Claims mapping and categorization
Claims repricings
Analysis of actuarial liabilities
Software development and data analysis

Professional Designations

Associate, Society of Actuaries
Member, American Academy of Actuaries

Education

BS, Mathematics and Economics, University of Washington
Certificate in Quantitative Managerial Economics, University of Washington

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Publications

Read their latest work

Video

Proxy Pricing and Medicare Pricing Gaps

08 August 2024 - by Charlie Mills, Bill Alto, Brian Allen, Austin Levenson

In this webinar, we will help you understand Percent of Medicare and its role in the commercial healthcare market and provide case studies.

Video

Percent of Medicare Caps and Guarantees: How it can work for you

08 August 2024 - by Charlie Mills, Bill Alto, Brian Allen, Austin Levenson

Our experts discuss what falls out when using Medicare fee schedules.

Article

Hospital price transparency data: Case studies for how to use it

03 May 2022 - by Chris Smith, Adam Singleton, David C. Lewis, Brian Allen

Legislation requiring hospitals to publicly post data about negotiated prices for all hospital services unlocks significant potential opportunity for stakeholders working with healthcare strategy and analytics.

Video

Checking in on the Medicare Reference Pricer

01 January 1901 - by Bill Alto, Brian Allen, Uriah McCanna

Updates, new functionality, and how the MRPricer can help you

Brian Allen

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Experience

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Read their latest work

Proxy Pricing and Medicare Pricing Gaps

Percent of Medicare Caps and Guarantees: How it can work for you

Hospital price transparency data: Case studies for how to use it

Checking in on the Medicare Reference Pricer

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Brian Allen

Experience

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