Kevin works primarily with group healthcare programs, including commercial and Veteran populations.
Kevin’s experience as a healthcare consultant includes:
- Medicare reimbursement, provider contracting support, and benchmarking to market average reimbursement
- Milliman GlobalRVUs and Medicare Repricer research and development, with an emphasis on outpatient and pharmacy
- Mental Health Parity and Addiction Equity Act (MHPAEA) quantitative treatment limits compliance review
- ACA pricing and rate filings for individual and small group lines of business
- ACA Risk Adjustment Transfer Payment estimates and monitoring
- Large group underwriting model development
- Risk weight and morbidity model development for large groups
- Estimation of Incurred But Not Reported (IBNR) claim liabilities
- Usual & Customary fee schedule development based on Medicare fee schedules
- Medicare Advantage bid preparation and support, with an emphasis on Part D
