George’s area of expertise is healthcare, with an emphasis on managed care programs in the commercial, Medicare, and Medicaid markets. He assists clients with product pricing, rating structures, new product development, provider reimbursement analysis, trend analysis, claim reserving, capitation and risk-sharing arrangements, rate filings, and financial forecasting.
George works primarily on projects for Blue Cross and Blue Shield plans, HMOs, commercial insurers, and providers.
Examples of areas in which George has assisted clients include:
- Benefit design, financial projections, and bid development for Medicare Advantage plans, including MA-PD plans, PDPs, Dual SNPs, CSNPs, MSAs, and employer group plans
- Financial feasibility analysis for integrated dual eligible plans
- Development of rating structures and rate filings for both medical and dental lines of business
- Design of provider risk-sharing arrangements
- Development of claims cost benchmarks for commercial and Medicare Advantage business
