Sylvia Hagin

FSA, MAAA

Principal

Berwyn, PA, US

Sylvia is a consulting actuary with the Philadelphia office of Milliman. She joined the firm in 2001.

Loading component...

Experience

Sylvia’s expertise is in the health actuarial field. She works with HMOs, Blue Cross/Blue Shield plans, and commercial insurers, with emphasis in the Medicare market. Her client activities include:

Product development and pricing
Medicare bid development (Medicare Advantage and Part D)
Medicare Advantage risk score review and analysis
Prescription drug formulary analysis
Financial projections
Trend analysis
Claim reserve estimates

Sylvia has extensive experience with the Medicare Advantage program. She has assisted clients with Part C and Part D feasibility analyses and bid preparation. She has advised an array of plans including HMOs, PPOs, and dual-eligible and chronic SNPs. She has developed expertise in Medicare risk scores. She has provided clients a variety of risk score assistance including risk score projections and thorough review of RAPS, EDS, and chart review submissions.

Professional Designations

Fellow, Society of Actuaries
Member, American Academy of Actuaries

Education

BBA, Actuarial Science, Temple University

Loading component...

Publications

Read their latest work

Article

What court rulings say about Medicare Advantage diagnosis submissions

06 December 2021 - by Sylvia Hagin, John Miller

What is the responsibility of an insurer in returning payments received from miscoded diagnoses?

Article

Key considerations in product design for actuaries for the 2021 MA pricing season

07 April 2020 - by Luis Maldonado, Sylvia Hagin, Brian Regan

Newly available product design options will require actuaries to develop new tools and processes in order to assist Medicare Advantage organizations in bid development.

Sylvia Hagin

Loading component...

Experience

Loading component...

Read their latest work

What court rulings say about Medicare Advantage diagnosis submissions

Key considerations in product design for actuaries for the 2021 MA pricing season

CHOOSE A LOCATION AND LANGUAGE

Sylvia Hagin

Experience

CHOOSE A LOCATION AND LANGUAGE