Member Profile

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:

Developing 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

Providing value-based contracting support for providers and payers

Conducting ACO performance reviews and optimization and evaluating networks

Developing Medicare Advantage bids

Conducting benchmarking and reserving

Providing statements of actuarial opinion for actuarial liabilities