Erin Birkeland
FSA, MAAA
Consulting Actuary
Seattle, WA, US
Erin Birkeland is a consulting actuary specializing in healthcare with Milliman's Seattle office. She joined the firm in 2021.
Experience
Erin has experience working with a variety of value-based care arrangements in the Medicare, Medicaid, and commercial markets. She enjoys helping clients solve challenging problems supported by the most appropriate data. Her recent projects include:
- Effectiveness studies and ROI evaluations for care management organizations and digital health companies
- Support for provider groups in Medicare risk-sharing programs, including MSSP, REACH, and CKCC
- Provider reimbursement benchmarking
- MA bid development and D-SNP feasibility analysis
Publications and Presentations
- MSSP minimum savings/(loss) rates: A double-edged sword (milliman.com)
- Medicare's Kidney Care Choices (KCC) Model: A focus on Comprehensive Kidney Care Contracting (CKCC) (milliman.com)
- Independent review of Teladoc Health’s return on investment (ROI) estimation methodology for its Chronic Care programs
- Independent review of TailorCare’s model for estimating musculoskeletal medical cost impacts in the United States
- Independent review of Teladoc Health’s Cardiometabolic Health Value Model
- MSSP rebasing: A fresh start
- Independent review of ParetoHealth’s methodology for quantifying the financial impact of its captive insurance model
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BS, Actuarial Science, University of St. Thomas
Publications
Read their latest work
Article
Independent review of Sword Health’s return on investment methodology for the Thrive program
17 December 2025 - by Austin Barrington, Erin Birkeland, Kit Powell, Rachel Ferguson
We share findings from our review of Sword Health’s methodology to estimate ROI for its AI-guided musculoskeletal program.
Article
Independent review of ParetoHealth’s methodology for quantifying the financial impact of its captive insurance model
10 July 2025 - by Erin Birkeland, Jakob Finney, Austin Barrington
We reviewed ParetoHealth’s method for estimating cost savings for its captive programs, which offer medical stop-loss coverage and other advantages.
Article
MSSP rebasing: A fresh start
18 March 2025 - by Chris Smith, Erin Birkeland, Brandin Kuklinski
With an eye toward the next performance year, we discuss some considerations for accountable care organizations under the Medicare Shared Savings Program.
Article
Independent review of Teladoc Health’s Cardiometabolic Health Value Model
12 July 2024 - by Austin Barrington, Deana Bell, Erin Birkeland
We examine the methodology of Teladoc Health’s Cardiometabolic Health Value Model used to estimate return and value on investment.
Article
Independent review of TailorCare’s model for estimating musculoskeletal medical cost impacts in the United States
09 July 2024 - by Austin Barrington, Erin Birkeland
We review TailorCare’s musculoskeletal care model for its consistency with typical practices for estimating cost impacts of a healthcare intervention.
Article
Independent review of Teladoc Health’s return on investment (ROI) estimation methodology for its Chronic Care programs
02 February 2024 - by Austin Barrington, Deana Bell, Erin Birkeland
We offer thoughts from our independent review of Teladoc Health’s return-on-investment estimation methodology for its chronic care programs.
Article
MSSP minimum savings/(loss) rates: A double-edged sword
01 February 2024 - by Erin Birkeland, Tabish Shaikh, Chris Smith
The Medicare Shared Savings Program is a double-edged sword for accountable care organizations: It can protect against losses, but can also prevent ACOs from sharing in the savings.