, ,

ROSS HEALTH ACTUARIAL


MANAGED CARE • RISK MODELING • DECISION SUPPORT

 

 

 Home | Services | About | Publications | Notices | Links | Contact

Experience

 

 

 Timothy M. Ross, FSA, MAAA

 

 

Tim Ross is a consulting health actuary with 25 years of group insurance, managed care, and health actuarial experience.  Experience prior to forming Ross Health Actuarial includes:

1990-2000 - Deloitte & Touche

Senior Manager and health actuary.

1981-1990 - Prudential Insurance

Group Underwriter.  

Breadth and depth of experience applied to your decision.

 Professional Practice 

Professional and Education

The scope of practice includes the following areas:

· Premium rate development and certifications.

· Claim data analysis and data mining.

· Evaluation and certification of IBNR claim reserves.

· Capitation rate development and evaluation of risk-sharing arrangements between providers/health plans.

· Stop-loss insurance pricing and analysis of high claims.

· Monte Carlo simulation and risk modeling for decision support for aggregate/specific stop-loss purchasing.

· Cost projections, data analysis, and rate manual development for dental plans and DHMO's.

· Medicaid managed care waiver program development, rate setting, and related matters.

· Statistical sampling for health care organization compliance programs and litigation support.

More Detail

2008 - Fellow, Society of Actuaries

1990 - Member, American Academy of Actuaries

1990 - Associate, Society of Actuaries

1983 - Fellow, Life Mgmt Institute

1979 - BA, Carleton College, Biology

 Speaking

Society of Actuaries

Hospital Financial Mgmt Assn

Nat’l Academy for State Health Policy

Assoc. of American Medical Colleges

Care Providers of Minnesota

Ross Health Actuarial, 719 Crosby Drive, Hudson, WI  54016

(715) 381-1345  timross@rosshealthactuarial.com

 

 Home | Services | About | Of Interest | Notices | Links | Contact
Copyright © 2005 Ross Health Actuarial. All rights reserved.