Mercer - Talent. Health. Retirement. Investments
Talent. Health. Retirement. Investments
  • null

    Angie WasDyke ASA, MAAA

Senior Partner & Office Business Leader

 


As a Senior Partner, Angie leads the Minneapolis GHSC state service teams in actuarial and Medicaid projects. Clients appreciate her ability to communicate actuarial issues clearly and manage high quality and responsive teams.

Experience


Before joining Mercer in January 2000, Angela worked for another health care consulting firm – evaluating provider contracts, developing capitation rates, estimating claim liabilities and establishing rating methods. She has been in this field since 1991, working in both insurance and consulting environments with experience in Medicaid, commercial and Medicare populations. Angela’s experience includes:

  • Consulting on the pros and cons of different managed care programs (e.g., mandatory vs. voluntary programs, PCCM vs. full risk HMO programs), and strategizing with agencies on where to implement managed care, which populations to cover, and which benefits to capitate
  • Assisting with strategy, design, and implementation of enhanced PCCM and disease management programs, including request for proposal development, proposal evaluations, capitation rate development, and vendor financial accountability such as guaranteed savings calculations and risk sharing arrangements
  • Providing strategy on the design, implementation, and evaluation of Medicaid reform initiatives for CHIP programs and pharmacy management and purchasing
  • Designing and implementing state programs for the uninsured populations, including pricing of benefits and capitation rate setting
  • Developing rate-setting methods based on multiple sources of data, including FFS data, health plan financial data and encounter data
  • Presenting rate-setting methods at technical assistance sessions for potential contractors and other interested parties
  • Assisting with rate negotiation strategies for states and negotiating with health plans
  • Assisting with the CMS waiver approval process, certifying that capitation rates paid to health plans are actuarially sound and the program is cost effective
  • Determining actuarial equivalence of benefit plan designs under the requirements of the DRA
  • Evaluating policy changes on capitation rates and state expenditures, including changes to pharmacy policy and reimbursement
  • Estimating and reviewing program budgets, including analysis of pharmacy expenses such as trend components and differences between states’ and MCOs’ utilization and pricing controls
  • Conducting actuarial audits of Medicare+Choice bids on behalf of CMS
  • Conducting actuarial reviews of Medicare Advantage and Prescription Drug Plan bids on behalf of CMS
  • Developing tools for monitoring financial performance of health plans, auditing results, and identifying areas for follow-up action

Education


Bachelor in Actuarial Science, Maryville College in St. Louis, Missouri

Affiliations and Designations


Associate, Society of Actuaries (1994)

Member, American Academy of Actuaries (1995)

 

contact

Email us

Email