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Provider Risk Sharing Boot Camp

Stoddard Davenport

Stoddard focuses on improving health care and has deep experience in the areas of behavioral health, program development, and population health. Stoddard is passionate about bridging the gap between actuarial analysis and the patient experience. Stoddard’s recent projects involved the integration of physical and behavioral healthcare, developing and evaluating population health strategies to better allocate resources to patient needs, outcomes measurement for healthcare improvement efforts and interventions, burden of illness studies, and Mental Health Parity compliance reviews. Stoddard also leads the Denver practice’s research efforts related to the opioid crisis and a number of other behavioral health issues.

Jason Taylor McEwen, FSA, MAAA
Associate Actuary
Milliman Inc.

Jason McEwen, FSA, MAAA, is a consulting actuary in the Denver office of Milliman. He assists provider organizations in navigating the ever-present world of value-based payments. McEwen specializes in modeling and quantifying the risk associated with reimbursement contracts that differ from traditional fee-for-service arrangements. He has assisted provider organizations in determining the optimal Medicare ACOs option to participate in and has evaluated the impact that different commercial ACO structures would have on the potential for shared savings. McEwen also has experience in commercial pricing. This includes pricing self-funded, large group, small group and individual products in multiple states. He has assisted various companies in developing strategic rates to best compete in the marketplace.

Colleen Audrey Norris, FSA, MAAA
Consulting Actuary
Milliman, Inc.

Colleen Norris, FSA, MAAA, is a consulting actuary with the health practice in the Denver office of Milliman. She specializes in providing analytical and strategic support to organizations engaging in new models of reimbursing providers. Norris has helped both providers and payers develop quantitative approaches of understanding and measuring the spectrum of potential risk under a variety of potential arrangements. Her experience includes analyzing changes to provider reimbursement contracts to ensure consistency with desired goals, modeling risk transfers in reimbursement contracts and developing strategic approaches to manage transferred risks. Norris has a special interest in CMS alternative payment models and has helped numerous organizations navigate and optimize their response to and operations under Medicare ACOs, bundled payments and MACRA.

Thom Walsh, Ph.D.
Founder and Chief Strategy Officer
Cardinal Point Healthcare Solutions

Thom Walsh, Ph.D., is the author of Navigating to Value in Healthcare and the forthcoming book,“Finding What Matters Most to Patients: Forming the Foundation for Building a Better Healthcare System,”due for release in early 2019. He is the founder and chief strategy officer of Cardinal Point Healthcare Solutions, an adjunct lecturer at the Dartmouth Institute for Health Policy and Clinical Practice, and a visiting associate professor of community medicine at the Oxley College of Health Sciences at the University of Tulsa. Dr. Walsh has a master’s degree in physical therapy, a master’s in clinical evaluative sciences and a Ph.D. in health policy. Known as an excellent teacher and mentor, he draws on extensive clinical, research, and consulting experience to help people and organizations navigating a rapidly changing healthcare environment. Dr. Walsh’s clinical career spanned private practice and academic settings, including the development and launch of a multidisciplinary spine center at the Dartmouth-Hitchcock Medical Center. His writings on patient-reported outcome measures, healthcare costs and utilization, shared decision making, motivational interviewing, and ethical leadership have appeared in numerous publications, including the BMJ, JAMA, Spine, The Journal of Healthcare Management, Forbes, The New America Foundation, and The Atlantic. Dr. Walsh also enjoys hiking, running, reading, and writing. He volunteers with a mountain search and rescue unit within the Los Angeles County Sheriff’s department as well as with Team Rubicon, a disaster relief and humanitarian aid organization.

Professionalism Lunch

Brian Pauley, FSA, MAAA
Vice President, Actuarial Services
Highmark Health

Brian Pauley, FSA, MAAA, is the chairperson of Initiative 18|11, a joint endeavor of the SOA and Kaiser Family Foundation with the goal of developing actionable projects intended to lower the cost of health care in the U.S. As an active volunteer, he is also chairperson of the SOA’s Group and Health Advanced Education and Examination Committee, a member of the Nominating Committee and a member of the Group and Health Curriculum Committee. In addition to serving as chairperson of the SOA’s Health Section Council, Pauley was chairperson of the 2016 SOA Health Meeting. He is managing director at Evolent Health. Pauley has 15 years of experience in life and health insurance functions, primarily with the financial analysis and pricing of Medicare Advantage plans. He received a bachelor’s degree in mathematics, chemistry and physics from the University of Southern Indiana and a master’s degree in mathematics from the University of Louisville.

Douglas T. Norris, FSA, MAAA
Principal and Consulting Actuary

Doug Norris, FSA, MAAA, is a principal and consulting actuary with the Denver office of Milliman. He focuses on commercial health care considerations, including health care reform strategy and tactics, risk adjustment and predictive modeling, plan pricing, medical underwriting, contract and network negotiations, financial reporting and reserving, and interactions with managed Medicaid plans. Norris is an active participant in multiple commercial health research initiatives, including the current Society of Actuaries “Commercial Health Care: What’s Next?” Task Force. He is a past chair of the Society of Actuaries’ Predictive Analytics and Futurism Section.

Joseph L. Wurzburger, FSA, MAAA
Staff Fellow, Health
Society of Actuaries

Joe Wurzburger, FSA, MAAA, has been the health staff fellow with the SOA since 2014. In this role, Wurzburger has a variety of responsibilities, including section development and support (specifically for the Health and LTC sections), actuarial practice advancement and thought leadership, exploration of growth opportunities for actuaries outside of traditional roles, internal SOA consulting, networking and leadership development, and actuarial knowledge development. In his most recent role prior to joining the SOA, Wurzburger managed the health valuation department in the Chicago office of Bankers Life, primarily focusing on long-term care insurance and Medicare Supplement. Prior to that, he filled a variety of actuarial roles in both consulting and insurance and has experience with pricing, valuation and projections.