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Chris Smith

FSA, MAAA
Consulting Actuary
Seattle, WA, US

Chris Smith is a consulting actuary with Milliman. He joined the firm in 2017.

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Experience

Chris’ experience is in provider risk-sharing and reimbursement, including:

  • Medicare alternative payment model
    • Medicare Shared Savings Program (MSSP)
    • ACO Realizing Equity, Access, and Community Health (ACO REACH)
    • Primary Care First (PCF)
  • Price transparency
  • Provider negotiation, contracting, and benchmarking
Publications

Read their latest work

Article

ACO REACH risk scores: Performance year development

29 May 2024 - by Chris Smith, Caroline Li, Anushka Desai
For accountable care organizations using the ACO REACH model of the Centers for Medicare and Medicaid Services, we shed light on normalized risk scores.
Article

The retrospective trend adjustment: Looking back, looking forward

15 April 2024 - by Scott Jones, Chris Smith, Tabish Shaikh
REACH ACOs need to incorporate into financial projections another likely retrospective trend adjustment from the Center for Medicare and Medicaid Innovation.
Article

CMS Making Care Primary Model: Should I participate?

06 February 2024 - by Anushka Desai, Daniel DiNinno, Dustin Grzeskowiak, Chris Smith
We examine whether plans should participate in Making Care Primary, the innovation model announced by the Centers for Medicare and Medicaid Services.
Article

MSSP minimum savings/(loss) rates: A double-edged sword

01 February 2024 - by Erin Birkeland, Tabish Shaikh, Chris Smith
The Medicare Shared Savings Program is a double-edged sword for accountable care organizations: It can protect against losses, but can also prevent ACOs from sharing in the savings.
Article

Price transparency opportunities for payers

17 October 2023 - by Chris Smith, Spencer Marshall, David C. Lewis
We discuss real-world examples and highlight key questions to show how Milliman Transparent contains the analytics that healthcare payers need to succeed in contracting.
Article

Price transparency in 2023

11 September 2023 - by Erica Reijula, Chris Smith, Ashley Ochsner, Ethan Hall
Price transparency data unlocks a new era of healthcare analytics.
Article

Early thoughts on proposed Medicare Physician Fee Schedule changes

27 July 2023 - by Chris Smith, Noah Champagne, Cory Gusland
We summarize notable proposed rule changes to MPFS related to risk scores, the financial benchmark calculation, and assignment methodology.
Article

A summary of the impactful MSSP rule changes in the 2023 Medicare Physician Fee Schedule update

02 December 2022 - by Noah Champagne, Cory Gusland, Chris Smith
We note impactful changes related to downside risk, financial benchmark methodology, and shared savings/losses included in the 2023 Medicare Physician Fee Schedule Final Rule.
Article

Hospital price transparency data: Case studies for how to use it

03 May 2022 - by Chris Smith, Adam Singleton, David C. Lewis, Brian Allen
Legislation requiring hospitals to publicly post data about negotiated prices for all hospital services unlocks significant potential opportunity for stakeholders working with healthcare strategy and analytics.
Article

Hospital price transparency: December 2021 update

10 December 2021 - by Chris Smith, Joseph Boschert, Mike Gaal, David C. Lewis
The hospital price transparency rule introduces new opportunities and competitive threats in the U.S. healthcare system.