Kevin M. Frodsham

Kevin works primarily with group healthcare programs, including commercial and Veteran populations.

Kevin’s experience as a healthcare consultant includes:

• Medicare reimbursement, provider contracting support, and benchmarking to market average reimbursement
• Milliman GlobalRVUs and Medicare Repricer research and development, with an emphasis on outpatient and pharmacy
• Mental Health Parity and Addiction Equity Act (MHPAEA) quantitative treatment limits compliance review
• ACA pricing and rate filings for individual and small group lines of business
• ACA Risk Adjustment Transfer Payment estimates and monitoring
• Large group underwriting model development
• Risk weight and morbidity model development for large groups
• Estimation of Incurred But Not Reported (IBNR) claim liabilities
• Usual & Customary fee schedule development based on Medicare fee schedules
• Medicare Advantage bid preparation and support, with an emphasis on Part D