Phil has over 15 years of experience working with plans and plan sponsors in a variety of capacities. By combining a unique blend of claims knowledge and analytics skills, he leverages claims data to provide actionable insights for clients across the healthcare spectrum.
Prior to joining Milliman, he worked as an appeals specialist for an independent fiduciary reviewing claims appeals for medical, pharmacy, dental, and disability. Prior to that, he worked as a paralegal for a boutique ERISA litigation firm.
Examples of his specific client work include the following:
- Comparing alternative networks based on differences in reimbursement
- Creating cost and utilization benchmarks by service and area
- Developing interactive dashboards to monitor and evaluate plan performance
- Evaluating effectiveness and return on investment of care and utilization management programs
- Designing customized total cost of care and specialized risk adjustment methodologies
- Analyzing provider reimbursement arrangements and provider contracts including fee schedules
