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Experience
Scott's actuarial experience includes pricing, rating, reserving, regulatory filings, and expert testimony, and he has worked with Veterans Healthcare, Medicare, and Commercial populations.
Recent projects include:
- Participating on a team developing the Department of Veterans Affairs Enrollee Health Care Projection Model. Leading enrollment projections, including special populations and eligibility (e.g., VA Choice & MISSION, combat Veterans, community vs. VA facility patient distributions, etc.)
- Analyzing the impact of legislation and administrative policies on the VA’s integrated health care system
- Estimating Incurred But Not Reported (IBNR) claim liabilities
- Certifying actuarial assets and liabilities on insurance company financial statements
- Developing revenue recognition models for ASC 606, including conducting analysis of policy persistency
- Developing commercial exchange filings and consulting; testing mental health parity
- Conducting Medicare Advantage bid development
- Preparing commercial and Medicare Advantage medical loss ratio (MLR) filings
- Leading the firm’s weekly internal call on ACA-related pricing, filing, and regulatory matters for two years
Publications and Presentations
- ACA RADV for 2020 Year-End Financial Reporting (Society of Actuaries Health Financial Reporting Subgroup, December 2020).
- Comparing health insurance company surplus levels (Milliman Insight, August 2020).
- Health insurer balance sheets 10 years after ACA (Health Watch, June 2020).
- Impact of Quality Improvement Activities on Medical Loss Ratio (Society of Actuaries Annual Health Meeting, 2019).
- Risk-based Capital (RBC) (Milliman Health Forum, October 2018).
- I’m the Appointed Actuary for the Orange Blank – Now What? (Valuation Actuary Symposium, August 2018).
- Case Studies in Commercial Risk Adjustment Valuation (Society of Actuaries Annual Health Meeting, June 2018).
- Reserving for Commercial Risk Adjustment Payment Transfers (Society of Actuaries webinar, December 2017).
- Impacts of hurricanes on health outcomes and health insurance company operations (Milliman Insight, October 2017).
- Medicare Advantage MLR: year two (Society of Actuaries Annual Meeting, October 2016).
- Medical loss ratio and actuarial value: application to dental products (NADP CONVERGE, September 2016).
- Related party considerations for Medicare bids (Society of Actuaries Annual Health Meeting, June 2016).
- Medical Loss Ratio (MLR) in the “Mega Reg”: Medicaid adopts comprehensive MLR standards (Milliman Insight, June 2016).
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- MA, Mathematics, Statistics, University of Montana
