Paul R. Houchens

Paul has extensive experience evaluating health care reform proposals from the prospective of numerous sectors of the healthcare industry, including: State Medicaid agencies, employers, health insurers, and other state agencies.

Paul has assisted five states in analyzing or projecting insurance market changes as a result of the Affordable Care Act. Additionally, he recently performed an actuarial certification for a state’s Section 1332 State Innovation Waiver. He has published numerous white papers on healthcare reform issues including the individual and employer mandates, insurer financial results under the Affordable Care Act, and evaluation of proposed federal legislation.

He has consulted on a wide array of topics for state Medicaid agencies, including capitation rate development, financial projections, risk adjustment, financial reporting, and encounter data quality improvement. Paul authored and assisted in the development of several white papers during 2016 related to the new Medicaid managed care regulations released by the Federal government.