Tim Wilder
ASA, FSA, MAAA
Principal & Consulting Actuary
San Diego, CA, US
Tim Wilder is a principal with the San Diego office of Milliman. He joined the firm in 2001.
Experience
Tim specializes in helping clients assess the risks and financial implications associated with their healthcare products, reimbursement systems, and risk-sharing arrangements. Tim has worked with insurance companies, TRICARE (USFHP), HMOs, PPOs, BCBS plans, and provider organizations for all populations— Commercial, Medicare, Medicaid, and TRICARE populations.
Tim has significant experience in:
- Assisting with healthcare benefit plan design, pricing, feasibility studies, and financial modeling
- Working with public and private organizations in the cost evaluation of their current and proposed benefit programs
- Developing expected utilization and cost benchmarks for commercial, Medicare, and Medicaid populations
- Providing regulatory filings for health carriers and projecting healthcare claim reserves
- Negotiating rates for USFHP (TRICARE) and Medicaid populations
- Negotiating provider contracts
- Preparing Medicare Advantage bids
Professional Designations
- Fellow, Society of Actuaries (2004)
- Member, American Academy of Actuaries
- Chairperson, ASOP #50
- Member, Health ASOP Committee (2017 to present)
- Member, Actuarial Advisory Board, University of California, Santa Barbara
Education
- BS, Mathematics and Statistics, Miami University, Oxford, Ohio
Publications
Read their latest work
Article
Impact of Next Generation ACO Model on Medicare spending in 2016
15 October 2018 - by Hugh Larson, Annie Man, Tim Wilder, Coleen Young
This paper combines the aggregate gross impact of each of the Next Generation Accountable Care Organizations (NGACOs) shown in the NORC report with the shared savings/(loss) results of each NGACO to calculate the net impact of each individual NGACO.
Article
Considerations regarding the Next Generation ACO stop-loss methodology
22 December 2017 - by Hugh Larson, Annie Man, Tim Wilder, Coleen Young
This report identifies several important considerations regarding the impact of the stop-loss provision on participating Next Generation accountable care organizations.
Article
Medicare Shared Savings Program 2016 Track 3 financial results
22 December 2017 - by Hugh Larson, Annie Man, Tim Wilder, Coleen Young
This paper discusses first year Medicare Shared Savings Program Track 3 performance and possible drivers of success.
Article
Individual stop-loss is now optional for Next Generation ACOs
08 November 2017 - by Hugh Larson, Annie Man, Tim Wilder, Coleen Young
For some Next Generation Accountable Care Organizations, the choice between an annual financial reconciliation based upon capped claims or uncapped claims could have a significant impact.
Article
Next Generation ACO Program financial results for 2016
08 November 2017 - by Hugh Larson, Annie Man, Tim Wilder, Coleen Young
This paper describes the financial results of the Next Generation Accountable Care Organizations program.