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Mike Gaal, FSA, MAAA

Actuary
Chicago, IL, US

Tel: +1 312 7260677

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Professional Designations

  • Fellow, Society of Actuaries
  • Member, American Academy of Actuaries

Education

  • B.S., Applied Mathematics, Carnegie Mellon University

Current Responsibility

Mike is an actuary with the Chicago office of Milliman. He joined the firm in 2014.

Experience

Mike's areas of expertise are healthcare, prescription drug, and other welfare programs. His primary responsibilities include modeling and analysis of medical and prescription drug plans in the commercial market and assisting large complex organizations with managing employer-sponsored healthcare coverage.

His experience includes pricing, state insurance department rate filings, experience analysis and financial modeling for individual, small group, and large group plans. He has worked extensively with Consumer Operated and Oriented Plans (COOPs) as well as other health plans and employer groups.

Mike has also provided objective, independent consulting services to organizations evaluating private exchange solutions.

Prior to joining Milliman, Mike worked for a firm that specialized in consulting to hospitals, health systems and medical groups, primarily consulting on the topics of compensation and benefits for employees, physicians, and executives.

In addition, Mike spent nearly 10 years as a health care benefits consultant to large employers in general industry, where he assisted employers on benefit design, flexible benefits pricing, vendor procurement, data analytics, and understanding the impact of health care reform on employee benefit programs.

Presentations

  • Health Care Reform: What's Been Accomplished? What Next? (BlueCross BlueShield of Western New York and Buffalo Niagara Partnership, October 2014)
  • Taxes and Fees Introduced by the ACA (Published in The ACA@5: An Actuarial Retrospective, August 2015)
  • 3R Implementation: A Year in Review (Wisconsin IASA Fall Meeting, September 2015)
  • Enhancing Risk Adjustment Transfers with Benefit Design, Formulary and Provider Contracting (Health Plan Alliance Risk Adjustment & Revenue Cycle Management Value Visit, Albuquerque, NM, January 2016)
  • The Elusive Nature of Private Exchanges (Bloomberg BNA, Pension and Benefits Daily, March 2016)
  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman