Catherine M. Murphy-Barron
FSA, MAAA
Principal, Consulting Actuary
New York, NY, US
Cathy Murphy-Barron is a principal and consulting actuary in the New York office of Milliman. She joined the firm in 1991.
Experience
Cathy focuses primarily on health insurance and managed care consulting. Her clients include HMOs, commercial insurers, provider-led insurers, Blue Cross/Blue Shield plans, and healthcare providers. Cathy also works with Medicare and Medicaid programs.
Cathy’s experience includes assisting clients with pricing, benefit plan design, Medicare Advantage bid development, risk analysis, and claim liability estimates. She helps clients with reimbursement and incentive system development, including capitation and pay for performance. Cathy also assists clients with their regulatory filings and experience analysis.
Cathy's recent consulting assignments have included the following:
- Developing Medicare Advantage and Part D bids for numerous bids in multiple states, including Dual (D-SNPs) and Institutional (I-SNPs) special needs plans
- Providing actuarial support to a startup company for licensing, pricing, reserving, and financial projections
- Assisting a MAPD plan with developing new strategies to maximize enrollment while managing the inherent risks in the population
- Preparing commercial regulatory rate filings for both ACA and non-ACA products, including individual, small group, and large group
- Providing actuarial support to a Medicaid managed long term services and support (MTLSS) plan
Publications and Presentations
Cathy is a frequent speaker at Society of Actuaries, American Academy of Actuaries, and other professional and industry meetings. She has also published a number of papers and articles on various healthcare topics.
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- B Commerce, University College Galway, Galway, Ireland
- MBA, Rutgers Business School Rutgers, The State University of New Jersey
Affiliations
- Cathy is a long-time volunteer with the American Academy of Actuaries. She is chairperson of the Academy’s Medicare subcommittee and former American Academy of Actuaries Vice President, Health and Board member.
Publications
Read their latest work
Article
Overview of Medicare Advantage supplemental healthcare benefits and review of Contract Year 2023 offerings
29 March 2023 - by Catherine M. Murphy-Barron, Eric A. Buzby, Sean Pittinger
We examine the landscape for Medicate Advantage supplement healthcare benefits and review offerings for contract year 2023.
Article
Review of Contract Year 2023 Medicare Advantage expanded supplemental healthcare benefit offerings
22 November 2022 - by Catherine M. Murphy-Barron, Eric A. Buzby, Sean Pittinger
Medicare Advantage organizations continue to increase supplemental benefit offerings available through expanded flexibility.
Article
Overview of Medicare Advantage supplemental healthcare benefits and review of Contract Year 2022 offerings
21 March 2022 - by Catherine M. Murphy-Barron, Eric A. Buzby, Sean Pittinger
This paper examines several elements of Medicare Advantage plans that go beyond what traditional Medicare offers.
Article
Direct Contracting opportunity for MA plans
01 March 2021 - by Noah Champagne, Jonah Broulette, Catherine M. Murphy-Barron
How Direct Contracting presents an opportunity for Medicare Advantage plans.
Article
Overview of Medicare Advantage supplemental healthcare benefits and review of Contract Year 2021 offerings
10 February 2021 - by Catherine M. Murphy-Barron, Eric A. Buzby, Sean Pittinger
This paper gives an overview of Medicare Advantage and the additional benefits included that go beyond traditional Medicare.
Article
Review of Contract Year 2021 Medicare Advantage supplemental healthcare benefit offerings
30 November 2020 - by Catherine M. Murphy-Barron, Eric A. Buzby
Milliman analyzed Centers for Medicare and Medicaid Services reports to identify Medicare Advantage plans that are using new benefit flexibility in 2021.
Article
ヘルスアクチュアリーの年度末業務：COVID-19を踏まえて検討すべき5つのこと
13 November 2020 - by Catherine M. Murphy-Barron, Doug Norris, Daniel Perlman
CFOやアクチュアリーが年度末の財務諸表に対する感染症の影響を判断しようとしているため、本稿では、十分な注意が必要となる5つのポイントについて述べます。
Article
Year-end health actuarial work: Five things to consider in light of COVID-19
13 November 2020 - by Catherine M. Murphy-Barron, Doug Norris, Daniel Perlman
As chief financial officers and actuaries attempt to determine the pandemic’s impact on year-end financial statements, this article describes five issues that require additional attention.
Article
Comparing the Demographics of Enrollees in Medicare Advantage and Fee-For-Service Medicare
15 October 2020 - by Catherine M. Murphy-Barron, Bruce S. Pyenson, Christine Ferro, Matthew Emery
To better understand the increasing role of Medicare Advantage for Medicare beneficiaries, this report looks at similarities and differences among enrollees in a Medicare Advantage plan and those in a Medicare fee-for-service plan across several years.
Article
How Medicare Advantage benchmarks differ for ESRD beneficiaries versus other Medicare beneficiaries
06 April 2020 - by Eric A. Buzby, Catherine M. Murphy-Barron
As end-stage renal disease beneficiaries become a larger share of a Medicare Advantage plan’s total enrollment, there may be unintended revenue and cost consequences for the plan.