Please join us on Wednesday, December 2 2020, at 1 PM Eastern as Milliman’s Jennifer Carioto, Andrew Bochner, and Luis O. Maldonado Irizarry, discuss the initial and longer-range impact of COVID-19 on health plan MLR including market-specific considerations for Commercial, MA and Medicaid, in the HealthcareWebSummit event: Implications of the COVID-19 Pandemic on Medical Loss Ratio for Health Plans.
Webinar: Wednesday, December 2, 2020, at 1:00 PM – 2:00 PM Eastern
- Review of Medical Loss Ratio formula, requirements and current issues
- COVID-19 initial MLR impact
- Market-specific considerations for Commercial, Medicare Advantage and Medicaid
- COVID-19 future implications and considerations
Faculty: Jennifer Carioto, FSA, MAAA, Principal and Consulting Actuary, Milliman; Andrew Bochner, FSA, MAAA, Consulting Actuary, Milliman; and Luis O. Maldonado Irizarry, FSA, MAAA, Principal and Consulting Actuary, Milliman
The COVID-19 pandemic will have a significant impact in all segments of healthcare for a prolonged period. As such, health plans have critical financial decisions to make in the upcoming months with limited data available and wide uncertainty on how the COVID-19 pandemic will transition toward the end of 2020 and into 2021.
This session explores how COVID-19 may impact a health plan’s medical loss ratio (MLR) requirements in general and provides specific considerations for the Commercial, Medicare Advantage and Medicaid markets at the end of 2020 and into the future.
- Individual Registration: $195
- Individual Registration and Post-event materials - Includes webinar video and presentation pdf file: $240 for attendees
- Post-event materials for non-attendees - Includes webinar video and presentation pdf file. Available after the event: $260
MCOL Premium members receive a 50% discount on all Healthcare Web Summit events. Members can get the discount code on the Premium Member Website. Non-members can learn about MCOL Premium memberships and sign-up to get the 50% discount on this and future events.
Need a Printable Form? Download a registration form you can fax or mail.
In addition to the main faculty presentation, this event includes a fun whiteboard drawing format opening video, a brief moderated faculty interview, and concluding live audience questions and answers. The day before the event, you'll receive login information, including downloadable companion presentation slides.
Just after the event, you'll receive a follow-up request for feedback, also offering an opportunity to provide any final questions that can be forwarded to the faculty. Also, if you need support before, during or after the event, you can contact HealthcareWebSummit staff at any time.
After attending this webinar, attendees will be able to:
- Understand the concepts and structure of the MLR formula, MLR requirements and current issue involving Medical Loss Ratio
- Examine the initial impact of COVID-19 on health plan MLR
- Ascertain market-specific MLR considerations for Commercial, Medicare Advantage and Medicaid products in the context of COVID-19
- Explore COVID-19 implications and considerations going forward into 2021 and beyond
- Benefit from interactive learning including opportunities to engage with faculty with questions and discussion
Interested attendees would include:
- C-Suite Executives
- Actuarial Executives and Staff
- Analytics Executives and Staff
- Commercial, Medicare Advantage and Managed Medicaid product Executives
- Legal, Regulatory and Compliance Executives
- Planning and Strategy Executives and Staff
- Sales and Marketing Executives
- Product Development Executives
- Provider Network Payer Contracting Executives
- Business Intelligence Staff
- Other Interested Parties
Attendees would represent organizations including:
- Health Plans
- Employer Coalitions and Business Groups
- Provider Networks
- Solutions Providers
- Associations, Institutes and Research Organizations
- Government Agencies
- Other Interested Organizations
Jennifer Carioto, FSA, MAAA, is a consulting actuary with the New York office of Milliman. She joined the firm in 2013. Jennifer specializes in Medicare Advantage and Part D and pharmaceutical consulting. She has assisted clients and certified their Medicare Part C and D bid submissions. She also assists with Employer Group Waiver Plan (EGWP) pricing, Medicare and Fully-Integrated Dual Advantage (FIDA) feasibility studies, CMS one-third financial and bid audits, and Part D settlement estimates.
Jennifer also works with pharmaceutical manufacturer clients related to risk sharing arrangements, market share and profitability analyses through financial forecasting, and helping clients understand the impact of regulatory changes in the pharmacy industry. She is also well versed in performing financial projections, including risk-based capital and targeted surplus, pricing and reserving for insurers and employers, and premium development for employee benefits.
She is a Fellow with the Society of Actuaries and a Member of the American Academy of Actuaries. Jennifer received a BS in Actuarial Mathematics & Economics from Bryant University.
Andrew Bochner, FSA, MAAA, is a consulting actuary with the New York office of Milliman. He joined the firm in 2014. Andrew specializes in commercial health insurance pricing and pharmaceutical consulting. His areas of expertise include benefits pricing, reserving, financial forecasting, claims analysis, and model development.
Andrew primarily assists clients with individual and small group market federal and state filings of premium rates under the Affordable Care Act. Andrew has also consulted on various alternative payment risk-sharing strategies for pharmaceutical clients and assisted clients in the analysis of healthcare utilization, costs, and trends using large commercial, Medicare and Medicaid claims databases.
He is a Fellow with the Society of Actuaries and a Member of the American Academy of Actuaries. Andrew received a BA in Economics and Finance from Washington University in St. Louis.
Luis O. Maldonado Irizarry
Luis O. Maldonado Irizarry, FSA, MAAA, is a consulting actuary and joined Milliman in 2009 to open the San Juan, Puerto Rico office. While working at Milliman, Luis has assisted clients from different spectrums of the healthcare industry. This includes work with insurance carriers, health plans, hospitals, IPAs, employer groups, brokers, and PBMs.
His projects have involved calculating premiums, reviewing capitation contracts, analyzing benefit changes, and financial projections, among others. He also has a strong knowledge of Medicare advantage Prescription Drug plans. By having exposure to such a variety of clients, Luis is able to leverage his understanding of all stakeholders and bring significant insight into projects.
He is a Fellow with the Society of Actuaries and a Member of the American Academy of Actuaries. Luis received a BA in Applied Actuarial Math with a minor in Economics from Bryant College, School of Business Administration, Smithfield, Rhode Island.