Adam Singleton

FSA, MAAA

Principal & Consulting Actuary

Seattle, WA, US

Adam Singleton has over 25 years of experience working with healthcare providers and insurers. Since joining the firm in 2020, his work has focused on provider network development, reimbursement benchmarking, transparency, care management programs, payer-provider topics (including value-based contracting), medical demand models, and the analytical tools needed to support them.

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Experience

Adam's work spans actuarial, underwriting, health benefits, reinsurance, medical economics, and provider-payer reimbursement topics. Building and leading specialized, analytical teams for a large, national health insurance carrier gives him substantial and unique experience with trend analysis, provider network cost and pricing, and commercial/ACA market competitive analysis. For the last 11 years he has consulted for insurance and reinsurance companies, brokers/consultants, MGUs, provider-owned health plans, state governments, and many types of health service providers and their organizations. Adam has performed actuarial services for all lines of commercial health business.

He has also worked on many other types of coverages, such as dental, vision, hearing, supplemental health, and life insurance/reinsurance. His government program experience has included special studies, peer and program reviews on behalf of carriers, and providers who participate in Medicare Advantage and Medicaid. He has also conducted special studies for large state employee/retiree benefit plans on topics such as provider risk, risk adjustment, managed competition, high performance networks, area factors, FQHC utilization, and provider payment benchmarks. Adam is well versed in carrier and provider payment arrangements, negotiation strategies and how they interact with each other, and how they compete in different situations.

For the last 20+ years, he has studied the competitive landscape of carriers and providers in more than 175 cities. He has evaluated payment benchmarks and other key metrics for the major commercial health insurers' networks, many other provider networks, ACOs, and provider-owned health plans, as well as other medical financing schemes, such as healthcare co-ops, health sharing programs and reference-based pricing vendors.

Professional Designations

Fellow, Society of Actuaries
Member, American Academy of Actuaries

Education

B.S., Mathematics with Actuarial Applications, University of Louisville

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Publications

Read their latest work

Article

Milliman analysis of total cost of care benchmarks

19 March 2025 - by Adam Singleton, Chris Tilley, Stuart D. Rachlin

We present a comparison of Blue Cross Blue Shield experience for commercial large group PPO networks to medical experience benchmarks.

Article

A different approach to collect patient deductibles and coinsurance—can it increase provider revenues and improve patient/member satisfaction?

21 January 2025 - by Adam Singleton, David C. Lewis, Chris Tilley

We explore how the healthcare industry can improve the complicated process for paying a commercial medical claim, a source of conflict between providers and patients.

Article

Hospital price transparency data: Case studies for how to use it

03 May 2022 - by Chris Smith, Adam Singleton, David C. Lewis, Brian Allen

Legislation requiring hospitals to publicly post data about negotiated prices for all hospital services unlocks significant potential opportunity for stakeholders working with healthcare strategy and analytics.

Article

Hospital price transparency: Data or information?

15 September 2021 - by Erica Reijula, Adam Singleton, Joseph Boschert, Mike Gaal, David C. Lewis

Learn about challenges surrounding hospital price transparency data and if meaningful information exists.

Experience

Adam Singleton

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Experience

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Read their latest work

Milliman analysis of total cost of care benchmarks

A different approach to collect patient deductibles and coinsurance—can it increase provider revenues and improve patient/member satisfaction?

Hospital price transparency data: Case studies for how to use it

Hospital price transparency: Data or information?

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Adam Singleton

Experience

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