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Matthew Smith is a consulting actuary with the Phoenix Health Practice of Milliman. He joined the firm in 2006.
For the last several years, Matthew has worked with numerous Medicare Advantage (MA) plan sponsors on the plan design and pricing of their MA bids. He also works on CMS bid and financial audits and financial projections for both start-up and existing plans considering service area expansions and new lines of business.
Matthew has also worked with provider organizations on projects such as: risk settlement validation; contract negotiations; MSSP reporting; he has helped develop benchmarks around prevalence and cost of members with selected conditions or types of procedures.
Matthew also has experience with pricing, reserving, forecasting, claims analysis, risk score analysis, hospital readmissions analysis, drug adherence rate analysis, and applications for federal funding grants and state insurance licenses. Clients served include government agencies, health plans, drug companies, hospital and physician groups, and other organizations.