Edward Jhu

Ed’s expertise is in group healthcare, with an emphasis on government-sponsored programs (including Medicare and VHA), and health care payer/provider relations. His experience covers a broad spectrum, including providers, payers, and purchasers. His consulting assignments have included:

• Evaluating and comparing provider contracts, including development of the Hospital Evaluation and Comparison System (HECS) and GlobalRVUs, which are Medicare-based contract comparison tools
• Developing and reviewing alternative provider payment arrangements, supporting both providers and payers
• Developing Reasonable and Customary Charge Models
• Comparing provider reimbursements for contract parity analyses
• Conducting Medicare Advantage bid support for both Part C and Part D
• Estimating financial impacts of regulatory and policy changes
• Projecting liabilities for claims incurred but not paid
• Preparing and certifying annual actuarial opinions
• Developing and implementing risk adjustment algorithms and relative morbidity analyses
• Projecting contribution rates for Multiple Employer Welfare Arrangements

In addition to his experience in healthcare, Ed also has extensive employee benefits experience with both Milliman and other consulting firms.