Presenter Information

Daniel W. Bailey, FSA, MAAA
Consultant

Daniel Bailey is a consulting health actuary in West Hartford, CT and founder of Acumen Actuarial. He has over 25 years of experience in positions from actuarial student to AVP, VP and chief actuary. In addition to expertise in Medicare Advantage, his background includes both commercial health care and other government programs. He has worked with all group sizes and funding types, fully insured and self-funded, including small group, large group, federal government, state government and municipality plans. Bailey has many years of experience with government programs, such as Medicare Advantage, Medicaid, CHIP, and high risk pools. He has developed and certified hundreds of Part C and Part D Medicare Advantage bids of all different types for many MAOs in the United States and its territories. Bailey has been involved with managed Medicare since the mid 1990’s. He assists clients with Retiree Markets strategies.

Bailey originally developed the SOA Boot Camp course in Medicare Advantage Pricing in 2009 and has led and taught it for the past six years. Bailey helps his clients with strategy, business reviews and feasibility studies, pricing and trend, product development, R&D, actuarial research and modeling, forecast and plan, financial reporting, rating systems, risk adjustment, predictive modeling, underwriting, reserving and valuation, provider analysis and market analysis. He has signed hundreds of rate filings in multiple states. Bailey has helped companies develop reporting that enables them to better understand the key drivers of their business performance and the risks underlying their contracts and enterprise. Bailey has also been involved with health reform. In addition to MAOs and other private health care payers, Bailey has worked with state governments, physician groups, hospital systems, and ACOs. He has analyzed existing regulations and proposed policy changes around essential benefits and mandates. Bailey has numerous publications and is a frequent speaker on health topics.

Kevin L. Pedlow, ASA, FCA, MAAA
Actuarial Consultant
Susquehanna Actuarial Consulting Inc

Kevin L. Pedlow has over 20 years of experience as an actuary in health insurance, managed care and reinsurance. He has experience with HMOs, PPOs, indemnity insurance, Medicare risk products, Medicaid products and stop loss. Pedlow has experience with strategic direction, pricing, financial reporting, setting and auditing claim and contract reserves, ACR filings and both the development and audit of MA-PD bids. Pedlow is a Fellow with the Conference of Consulting Actuaries, an Associate in the Society of Actuaries, and is a Member of the American Academy of Actuaries.