Bill Alto
Healthcare Analyst
Seattle, WA, US
Bill Alto is a product manager and health care analyst. He first joined the firm in 2011. After a five-year period running his own company, he rejoined Milliman in 2020.
Experience
Bill has played a key role in the development of a number of Milliman products, including Milliman’s key network analysis, Medicare pricing, and Part D experience analysis tools:
- The Payer Analysis and Comparison Tool (PACT), Milliman’s UDS-based network analysis tool for census-based or detailed claims repricing analyses
- The Medicare Repricer, software that adjudicates claims to Medicare-allowed amounts
- The Medicare Reference Pricer, for real-time claim pricing and auditing
- PEST, Milliman’s Part D Experience Summary Tool used for MAPD and PDP experience analysis, bid development, and Part D settlement projections
Bill has significant experience and proficiency in the following areas:
- UDS-based network analysis and claims repricing
- Software development
- Enterprise analytics
- Medicare fee schedules and provider reimbursement benchmarking
- Commercial ACA risk adjustment
- Medicare Advantage bid preparation
Education
- Bowdoin College, BA
- University of California - San Diego, MA
Publications
Read their latest work
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