Corey Berger
FSA, MAAA
Principal and Consulting Actuary
Atlanta, GA, US
Corey is a principal and consulting actuary with the Atlanta office of Milliman. He joined the firm in 2009.
Experience
Corey has more than 20 years of actuarial experience in the healthcare industry. Prior to joining Milliman, he worked for WellCare as a senior director in charge of Medicare products. His prior experience includes consulting to employers and payers on a variety of issues.
Corey works with HMOs, Blue Cross/Blue Shield plans, health insurance carriers, and provider organizations. He assists clients in developing and evaluating strategies in the commercial and Medicare markets. His client activities include:
- Medicare bid development (Medicare Advantage and Part D)
- Medicare expansion feasibility analysis
- Medicare Advantage risk score review and analysis
- Commercial risk score review and analysis
- Prescription drug formulary analysis
- Benefit design analysis
- Analysis of actuarial liabilities
- Financial reporting, forecasting, and projections
- Healthcare cost analysis and actuarial cost model development
- Trend analysis
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BA, Mathematics and Economics, Washington University, St. Louis
Publications
Read their latest work
Article
Part D redesign under the Inflation Reduction Act
30 August 2023 - by Corey Berger, Tyler Engel, Todd Wanta
We examine potential ramifications of the Inflation Reduction Act, which may drive the biggest changes in prescription drug coverage since Medicare Part D.
Article
Using prescription drug data for identifying missing diagnoses and for medical management in the Medicare Advantage market
12 September 2017 - by Corey Berger
Even though the Centers for Medicare and Medicaid Services does not use prescription data in assigning risk scores, Rx data can still be a valuable resource for Medicare Advantage plans.
Article
Coding improvement for commercial exchange plans: Is it worth the cost?
17 December 2015 - by Corey Berger
This paper focuses on the change in the risk transfer payment for an individual carrier based on its coding efforts, providing several scenarios and illustrating the return on investment under each scenario.
Article
Commercial risk adjustment and transfer payments: Are you ready?
07 February 2013 - by Corey Berger
What are the operational challenges of submitting diagnoses and how will transfer payments work under healthcare reform law?
Article
Medicare Advantage hierarchical condition categories: Targeting chart reviews
31 January 2011 - by Corey Berger, Eric P. Goetsch
Accurate diagnostic coding can mean all the difference to a Medicare Advantage plan.