Dustin Grzeskowiak
FSA, MAAA
Principal, Consulting Actuary
Houston, TX, US
Dustin Grzeskowiak is a principal and consulting actuary with Milliman’s Health Practice. He is located in the Washington, D.C. area and joined the firm in 2013.
Experience
Dustin’s area of expertise is health insurance. He has led consulting engagements for health plans and HMOs, including start-up entities and providers. These engagements include health systems, ACOs, and specialty vendors, public and private employer groups, and other entities such as a large retailer. Currently, Dustin manages client engagements, including:
- Medicare Advantage and Part D product strategy and bid submissions
- Direct Primary Care strategy and pricing
- Medical economics and healthcare outcomes assessments
- Value-based contracting support for providers and payers
- Physician staffing and patient capacity / provider market penetration analyses
- Employer health benefit plan strategy and analytics
- Statements of actuarial opinion for actuarial liabilities including captives
Prior to joining Milliman, Dustin had actuarial experience in the health insurance industry, working in Medicare Advantage pricing, actuarial and financial reporting, and actuarial process improvement, among others.
Professional Designations
- Fellow, Society of Actuaries
Education
- B.S. (honors) Mathematics, Clarkson University
Affiliations
- Dustin is a member of the American Academy of Actuaries’ Medicare Subcommittee.
Publications
Read their latest work
Article
ACO Primary Care Flex: A guide for ACOs interested in the latest CMS Primary Care Innovation Model
16 May 2024 - by Cory Gusland, Dustin Grzeskowiak, Tabish Shaikh
Medicare accountable care organizations looking to expand advanced primary care services should consider the recently announced CMS ACO Primary Care Flex model.
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
Optimizing self-funded health benefits strategy with advanced analytics
23 June 2023 - by Dustin Grzeskowiak, Eleanor Hill, Les Kartchner, Shelley Moss
Milliman DEPTH is a data-driven and visually dynamic tool that transforms medical and prescription drug claims data into actionable insights accessible via a user-friendly dashboard.
Article
TRICARE For Life alternative: Employer Group Waiver Plan
16 August 2022 - by Andrew L. Naugle, Dustin Grzeskowiak, John Kasey, Jonathan Hendrickson
Alternatives to using Medicare and the wraparound plan Tricare-for-life could do more to manage and coordinate the healthcare experience.
Article
Subscription-based primary care: Key product design considerations
22 October 2021 - by Frederick (Fritz) Busch, Dustin Grzeskowiak
We outline key product considerations for those designing, developing, managing, or purchasing primary-care subscription-based products.
Article
Independent review of Everside Health’s client savings methodology
19 May 2021 - by Dustin Grzeskowiak, Frederick (Fritz) Busch
Everside Health, Inc. recently engaged Milliman to review two of its methodologies for analyzing client savings related to usage of its direct primary care health centers.
Article
Direct Primary Care: A unique healthcare solution for employers
05 April 2021 - by Frederick (Fritz) Busch, Dustin Grzeskowiak, Garry Simmons
Offering direct primary care gains traction for self-funded employers.
Article
Medicare Part D Senior Savings Model: Who’s in?
17 February 2021 - by Dustin Grzeskowiak, Chris Lewis, Nathan Smith
CMS launches Medicare Part D Senior Savings Model to reduce non-low-income (NLI) beneficiary cost sharing for insulin products distributed under the Medicare Part D benefit.
Article
Summary of changes to the CMS direct contracting program
09 December 2020 - by Dustin Grzeskowiak, Brent Jensen, Colleen Norris
This article provides an update of our previously published summary white paper on changes to the CMS Direct Contracting program.
Article
Direct Contracting: A program summary and comparison with MSSP and NGACO
12 March 2020 - by Colleen Norris, Brent Jensen, Dustin Grzeskowiak
This paper provides an in-depth technical evaluation of Direct Contracting, based on the Centers for Medicare and Medicaid Services request for applications, along with comparisons to its sister programs—Medicare Shared Savings Program Accountable Care Organization (ACO) and Next Generation ACO.