Eric’s areas of expertise are health insurance and managed healthcare programs, including being a firm-wide leader in Medicare Advantage and Part D consulting. His client work has been in the areas of feasibility and strategic analyses, premium and capitation rate development, experience analysis, liability estimation, and other actuarial projections. He has advised managed care organizations, state government agencies, insurance companies, employers, and other organizations.
Examples of projects Eric has led include:
Medicare Advantage and Medicare Part D feasibility analysis and bid development / support for hundreds of bids across many states, including feasibility analysis and bid development for numerous special needs plans for the dual-eligible, chronic disease, and institutionalized populations. Eric has been working with managed Medicare organizations since 1995.
Internal Service Fund analysis, state capitation revenue allocation, and risk factor development for over 15 Michigan Medicaid Community Mental Health organizations. He has been the lead actuary for these clients since 2004.
Professional Designations
Fellow, Society of Actuaries
Member, American Academy of Actuaries
Education
BS, Mathematics, Marquette University, 1993
MS, Actuarial Science, University of Wisconsin, Madison, 1994
This fifth and final session in a five part Milliman webinar series on the 10 critical success factors (CSFs) for successful ICD 10 implementation focuses on CSFs # 9 Planning for the financial impact and #10 Leveraging for strategic opportunities..
01 June 2008 - by Eric P. Goetsch, Lisa Mattie, Pat Zenner
Most healthcare players agree that ICD-10 implementation will be expensive and resource-intensive. That said, there are still opportunities that afford proactive organizations the chance to become industry leaders under the new system. Implementation will reverberate beyond the core payer and provider community
Although most analysts would be hard pressed to equate the World Health Organization's latest version of the International Classification of Diseases and Related Health Problems (ICD) with a 1966 Clint Eastwood movie, there will indeed be "the good, the bad,
