Coleen Young
FSA, MAAA
Actuary
San Diego, CA, US
Coleen is a consulting actuary in the San Diego office of Milliman. She joined the firm in 2017 after more than 20 years as an independent actuarial consultant.
Experience
Coleen provides a breadth of health care consulting services ranging from high-level strategic consulting to detailed actuarial analyses. She has worked with a variety of clients including hospital systems, physician groups, private and public self-insured employers, managed care plans and insurers. Her representative consulting assignments have included:
- Performing strategic and actuarial analyses for Medicare Shared Savings Plans and Next Generation Accountable Care Organizations
- Designing provider reimbursement, risk-sharing, and financial models for start-up and existing delivery systems and health plans
- Modeling health care market evolution and resulting financial and staffing implications for developing health plans
- Creating detailed models to estimate and monitor claim reserves for employers, provider groups, and health plans
- Performing retiree healthcare valuations
- Developing and analyzing pricing and utilization assumptions, including assessing plan design impact and contribution strategy
- Designing and performing comparative financial analyses of healthcare benefit RFPs and bidders
- Negotiating financial and related contract terms between health plans and self-insured employers
Coleen is also interested in behavioral economics and data presentation and how these tools can be used to improve financial and actuarial analyses.
Education
- BA (honors), Economics and History, Rice University
- MA, Economics, University of California San Diego
Publications
Read their latest work
Article
Direct Contracting and the impact of COVID-19 on physicians
08 January 2021 - by Coleen Young, Hugh Larson, Annie Man
Recent Direct Contracting adjustments have created an opportunity for organizations considering becoming Direct Contracting Entities to attract physicians who might not have been interested previously.
Article
New Geographic Direct Contracting Model is a game changer
21 December 2020 - by Coleen Young, Hugh Larson, Emma Kramer, Noah Champagne, Raheel Sohail
While the Geographic Direct Contracting Model shares some general characteristics with the other Direct Contracting Model Options, it is a fundamentally different approach in many key respects.
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.