Sylvia’s expertise is in the health actuarial field. She works with HMOs, Blue Cross/Blue Shield plans, and commercial insurers, with emphasis in the Medicare market. Her client activities include:
- Product development and pricing
- Medicare bid development (Medicare Advantage and Part D)
- Medicare Advantage risk score review and analysis
- Prescription drug formulary analysis
- Financial projections
- Trend analysis
- Claim reserve estimates
Sylvia has extensive experience with the Medicare Advantage program. She has assisted clients with Part C and Part D feasibility analyses and bid preparation. She has advised an array of plans including HMOs, PPOs, and dual-eligible and chronic SNPs. She has developed expertise in Medicare risk scores. She has provided clients a variety of risk score assistance including risk score projections and thorough review of RAPS, EDS, and chart review submissions.
