Kathryn Rains-McNally

Kathryn is an experienced actuary with 20 years of experience and a diverse background, having worked at both a health plan and a provider system, in addition to many years as a consulting actuary. Kathryn is well-versed in commercial rating and underwriting, Medicare Advantage bidding, and essentially all forms of provider/payer contracting.

Kathryn’s areas of expertise include:

• Medicare Advantage bid development and ongoing Medicare Advantage support, including product feasibility and risk adjustment analyses
• Commercial rating and underwriting, including ACA rate filings and risk adjustment
• Payer and provider contracting – fee-for-service, direct-to-employer, capitation, commercial risk, Medicare Shared Savings Program and CMS Direct Contracting, Centers of Excellence, bundled payments, and other alternative payment arrangements
• Expertise in contract negotiation strategy, rate modeling, and helping providers understand risk and opportunity inherent in alternative payment arrangements