Adrian’s expertise is in group healthcare, with an emphasis on health plan pricing and predictive modeling. Types of clients he has supported include:

• Hospitals and physician groups
• BCBS and traditional insurance companies
• Managed care organizations (HMO, PPO)
• Large and small employer groups
• Medicare Advantage plan sponsors
• Medicaid, low-income, and uninsured
• Other government programs (e.g., veterans)

His consulting assignments have included:

• Assisting providers in negotiating capitation rates
• Analyzing provider contracts
• Conducting QHP pricing, rate filing, and review
• Pricing individual, small, and large group health plans
• Conducting feasibility studies for entering new markets, such as heath exchanges, Medicare, and Medicaid.
• Reviewing, implementing, and customizing risk adjustment algorithms
• Calibrating risk adjusters for commercial populations
• Providing Medicare Part C and Part D bid support
• Performing commercial payer utilization benchmarking

Product development

• Lead Researcher on loosely managed benchmarks for Milliman’s Commercial Health Cost Guidelines (HCG)
• Lead Developer for Milliman’s Part D Experience Summary Tool (PEST)
• Lead Developer for Milliman’s Risk Adjustment Tool (RAT)