Blaine has extensive experience in many facets of the health insurance industry, assisting both health plans and provider systems with performance evaluation and business strategy. Currently, Blaine manages client engagements including:
- Development of risk-based pricing tools for underwritten employer medical and reinsurance offerings
- Evaluating employer stop-loss and reinsurance portfolios, including results monitoring, pricing analysis, reserving, and underwriting reviews
- Value-based contracting support for providers and payers
- ACO performance review and optimization and network evaluation
- Medicare Advantage bid development
- Benchmarking and reserving
- Statement of actuarial opinion for actuarial liabilities
