Howard Kahn
FSA, MAAA
Principal and Consulting Actuary
New York, NY, US
Howard Kahn is a principal and consulting actuary with the New York Health office of Milliman. He joined the firm in 2009.
Experience
Howard has worked in actuarial consulting since 2005 and has extensive experience with the following:
- Developing and evaluating risk contract frameworks and parameters between payers and providers for all lines of business: commercial, Medicare, and Medicaid programs.
- Constructing financial performance projections for health systems. Includes combining fee-for-service and risk revenue to evaluate the necessary assumptions to meet revenue/market targets. Considers quantifying any reimbursement discounts to provide higher profit margin/enrollment for the ACO/health plan.
- Health plan start up assistance, including developing insurance department required financial documents as well as developing required reserve calculations and estimates for administrative costs.
- Actuarial and financial data analytics and support for payers, provider groups and ACOs.
- Assessing and quantifying care management opportunities.
- Developing ACO reporting to provide ongoing monitoring of performance and year-end settlement validations.
- Creating and supporting health data warehouses.
- Developing and accessing performance of risk adjustment methodologies.
Prior to joining Milliman, Howard worked at a large employee benefits consulting firm and started a health claims data warehouse company. Howard was responsible for creating, building, and maintaining the warehouse and providing expert actuarial and IT advice to clients.
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BA, Mathematics and Computer Science, Columbia University
Publications
Read their latest work
Article
How healthcare providers and insurers can better optimize investments while minimizing risk
22 January 2021 - by Matthew Emery, Howard Kahn, Devin McCall, Bill Sayre, Stuart Silverman
This paper introduces life insurance investment strategies and how many of these same concepts can be applied to healthcare insurers and providers to better manage their overall risk profiles and potentially increase future returns on investment.
Article
Provider coding accuracy in commercial value-based contracts
02 October 2017 - by Jared Hirsch, Howard Kahn, Rong Yi
This paper explores various aspects of risk sharing as it pertains to value-based contracting for commercial lines of business.
Article
Analysis of cancer care under the ACA risk adjustment methodology
22 January 2016 - by Howard Kahn, Catherine M. Murphy-Barron, Rong Yi
An analysis on actual claims data using stochastic simulations to model if the Patient Protection and Affordable Care Act of 2010 (ACA) risk adjustment is able to fully compensate carriers for adverse selection on cancer claims.
Article
New “insurance” regulations on providers participating in alternative payment arrangements
02 September 2015 - by Rebecca L. Johnson, Howard Kahn, Catherine M. Murphy-Barron, Robert Parke
A recent growing trend has been to shift insurance (utilization) risk from payers to providers through alternate payment contracts (APCs) in an effort to align financial compensation with performance and financially penalize providers if certain financial and quality thresholds are not met.
Article
Payer and provider "checklist" for alternative payment arrangements
17 February 2015 - by Howard Kahn, Robert Parke
With the adoption of nationwide healthcare reform, there are now many risk-sharing arrangements between providers and payers across all states and lines of business.
Article
Risk adjustment for pediatric populations
12 November 2013 - by Howard Kahn, Robert Parke, Rong Yi
Do existing risk management methodologies capture the characteristics of pediatric-only populations?
Article
An actuarial analysis shows that offering lung cancer screening as an insurance benefit would save lives at relatively low cost
11 April 2012 - by Howard Kahn, Bruce S. Pyenson
The results of a recent large randomized controlled trial showed that screening with low-dose spiral computed tomography reduces lung cancer mortality.
Article
Using Medicare RBRVS for reimbursing out-of-network claims in commercial insurance
15 February 2012 - by Howard Kahn, Robert Parke
The differences in reimbursement levels between fee schedules based on Medicare’s RBRVS and benchmark data based on prevailing charges have led to unexpected results.
Article
ACOs beyond Medicare
22 April 2011 - by Victoria Boyarsky, Howard Kahn, David Mirkin, Robert Parke
Individual providers are likely to join larger systems, many of which will find partnering with a health plan most advantageous.