Jill’s areas of expertise include managed healthcare programs, including Medicaid and Medicare Advantage (Parts A/B and D) and Long Term Care (LTC) insurance.
Examples of recent projects include:
- Modeling and evaluating various reform strategies to provide coverage for future LTC needs in the United States
- Evaluating the adequacy of active life reserves and claim reserves for LTC insurance companies
- Assisting LTC insurance companies to file rate increases, including conducting morbidity and persistency experience analyses, projecting future experience, calculating needed rate increase amounts, and completing filing materials
- Assisting LTC insurance companies with their annual Statement of Actuarial Opinion regarding their statutory liabilities
- Calculating actuarially sound capitation rates for the managed Medicaid LTC population in Florida
- Calculating actuarially sound capitation rates for SSI, Pregnant Women, TANF, Newborn, and other high-cost populations for managed Medicaid populations in Mississippi
- Developing and implementing risk adjustment processes for managed Medicaid populations in Mississippi, Florida, and Wisconsin
- Assisting the Mississippi Division of Medicaid with Medicaid cost projections for purposes of creating fiscal year budgets
- Working with insurance companies to file Part C (medical) and Part D (prescription drug) Medicare Advantage bids with CMS
