Nicholas Bauman

FSA, MAAA

Senior Consulting Actuary

Brookfield, WI, US

Main +1 262 784 2250 | Office +1 262 641 3505

Nick Bauman is a senior consulting actuary working from the Milwaukee office of Milliman. He joined the firm in 2010.

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Experience

Nick has served many types of clients in his time with Milliman, including state government agencies, Medicare Advantage organizations, and other healthcare clients. In particular, Nick has performed extensive work related to state Medicaid programs. In his time with Milliman, Nick has worked with five state Medicaid agencies as well as Medicaid MCOs in two additional states.

Nick has worked with state Medicaid agencies on the following:

Development and certification of actuarially sound Medicaid managed care capitation rates
Medicaid MCO procurement and capitation rate negotiation
Medicaid provider reimbursement rate setting
Medicaid MCO provider contracting analysis, including development and analysis of provider incentive programs
Medicaid program expenditure projections in support of budget development
Development, implementation, and analysis of §438.6(c) state-directed payment arrangements
Development and implementation of risk adjustment, high-cost risk pool, and performance-based withhold mechanisms for Medicaid managed care programs
Analysis of other Medicaid program changes
Analysis of in-depth encounter data
Communication with Medicaid MCOs, Medicaid providers, CMS, and other stakeholders

Additionally, Nick’s Medicare Advantage experience includes the following:

Development of cost and revenue projections
Strategic assessment of product and benefit offerings
Development of bids, supporting documentation, and responses to desk review and audit questions for submission to CMS

Publications and Presentations

Co-author, Healthy Adult Opportunity. Milliman White Paper, February 2020.
Co-presenter, Medicaid 101: A Brief History of Time. SOA Health Meeting Presentation, June 2018.

Professional Designations

Fellow, Society of Actuaries, 2014
Member, American Academy of Actuaries, 2013

Education

BBA, Actuarial Science; Risk Management and Insurance, University of Wisconsin, 2011

Affiliations

SOA Health Section, Medicaid Subgroup Member

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Publications

Read their latest work

Article

Healthy Adult Opportunity

08 February 2020 - by Christine Mytelka, Susan Pantely, Catherine E Lewis, Katherine Wentworth, Nicholas Bauman

State program directors face many complex considerations as they evaluate the Healthy Adult Opportunity 1115 waiver option.

Experience

Nick has worked with state Medicaid agencies on the following:

Development and certification of actuarially sound Medicaid managed care capitation rates
Medicaid MCO procurement and capitation rate negotiation
Medicaid provider reimbursement rate setting
Medicaid MCO provider contracting analysis, including development and analysis of provider incentive programs
Medicaid program expenditure projections in support of budget development
Development, implementation, and analysis of §438.6(c) state-directed payment arrangements
Development and implementation of risk adjustment, high-cost risk pool, and performance-based withhold mechanisms for Medicaid managed care programs
Analysis of other Medicaid program changes
Analysis of in-depth encounter data
Communication with Medicaid MCOs, Medicaid providers, CMS, and other stakeholders

Additionally, Nick’s Medicare Advantage experience includes the following:

Development of cost and revenue projections
Strategic assessment of product and benefit offerings
Development of bids, supporting documentation, and responses to desk review and audit questions for submission to CMS

Nicholas Bauman

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Experience

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Read their latest work

Healthy Adult Opportunity

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Nicholas Bauman

Experience

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