John Culkin
FSA, MAAA
Consulting Actuary
Brookfield, WI, US
John Culkin is a consulting actuary with the Milwaukee office of Milliman. He joined the firm in 2020.
Experience
Prior to joining Milliman, John had over 10 years of experience as a healthcare actuary. He has extensive Medicaid experience, both through his prior experience at a Medicaid managed care organization and through assisting a state Medicaid agency since joining Milliman. His experience has allowed him to gain insight into the perspectives of different Medicaid stakeholders. John’s experience includes performing the following actuarial work:
- Developing Medicaid managed care capitation rates
- Analyzing managed care encounter data for completeness and accuracy, including ongoing communication with health plans to uncover and solve submission issues
- Analyzing the impact of changes in payment arrangements on Medicaid managed care programs, including the introduction of physician incentive programs
- Analyzing Medicaid MCO administrative costs and developing administrative allowances to include in Medicaid managed care capitation rates
- Developing, implementing, and analyzing §438.6(c) state-directed payment arrangements
- Analyzing other Medicaid program changes
- Preparing analyses to respond to Medicaid MCO and CMS questions regarding capitation rates
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BS, Actuarial Science, Penn State University, 2008
Publications
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