Daniel DiNinno

FSA, MAAA

Senior Consulting Actuary

Brookfield, WI, US

Main +1 262 784 2250 | Office +1 262 201 0665

Daniel DiNinno is a senior consulting actuary with the Milwaukee office of Milliman. He joined the firm in 2023.

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Experience

Daniel’s areas of expertise include provider performance benchmarking, episode analytics, and alternative payment models. He has vast expertise in these areas related to specialty care. Daniel has experience working across commercial, traditional Medicare, and Medicare Advantage populations.

His current responsibilities include developing Milliman’s specialist performance benchmarking tool and assisting organizations engaging in total cost of care or specialty-specific value-based payment arrangements.

Prior to joining Milliman, Daniel served as an actuarial director for a large, blended payer and provider organization. While in that role, Daniel led the organization’s strategy and design of specialist performance benchmarking. He integrated this work into many initiatives, including provider network design, direct engagement with the provider community, opportunity identification, value-based payment design and enablement, and member steerage. Daniel also led the design of the organization’s specialty care value-based payment arrangements, including bundle payments, hospital-based programs, and condition-based models. Additionally, he led the evaluation and performance tracking of several specialty-based risk contracts with external vendors. Daniel also built various analytic tools that identified drivers of trend and performance by condition, provider, procedure, and service category. Prior to this role, Daniel led the pricing of the organization’s Small Group ACA and Commercial books of business.

Publications and Presentations

Co-Author, CMS Making Care Primary Model: Should I participate? White Paper, February 2024.
Co-Author, Shadow bundles: A big opportunity for MSSP and REACH ACOs. White Paper, February 2024.

Professional Designations

Fellow, Society of Actuaries
Member, American Academy of Actuaries

Education

BS, Mathematics, Grove City College

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Publications

Read their latest work

Article

Shadow bundles: A big opportunity for MSSP and REACH ACOs

13 February 2024 - by Maggie Alston, Noah Champagne, Daniel DiNinno, Emma Kramer, Christopher Murphy

New data for the Medicare Shared Savings Program and ACO REACH models provide opportunities for managing referrals, but ACOs should know the data’s limitations.

Article

CMS Making Care Primary Model: Should I participate?

06 February 2024 - by Anushka Desai, Daniel DiNinno, Dustin Grzeskowiak, Chris Smith

We examine whether plans should participate in Making Care Primary, the innovation model announced by the Centers for Medicare and Medicaid Services.

Daniel DiNinno

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Experience

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Read their latest work

Shadow bundles: A big opportunity for MSSP and REACH ACOs

CMS Making Care Primary Model: Should I participate?

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Daniel DiNinno

Experience

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