Casey Hammer Email & Phone Number

Walnut Creek, Ca, Us

San Francisco, California, United States

I determine the financial value and risk of healthcare products and services. My experience includes: - Pricing commercial health plans and student health insurance plans - Evaluating capitated and shared savings payment arrangements - Determining the ROI of innovative new products - Fiscal analyses of proposed legislation - Perform strategic benchmarking and provider reimbursement analyses - Estimating incurred but not paid amounts - Financial projections for pilot programs and Knox Keene licenses - Design and pricing of student textbook programs.

San Francisco, Ca

I assist health care providers, health maintenance organizations, insurance companies and other health-related entities with the estimation and management of healthcare financial risk. My expertise includes: - Financial analysis of healthcare reform and benefit mandates - Commercial rate filings - Price and utilization benchmarking - Financial modeling and risk analysis of new health products - Bundled payment analyses - Mental health parity and compliance testing - Incurred but not reported claims estimates - Expert witness analytics determining the market value of medical services

San Francisco, Ca

Supported large group business on health care reform issues by hosting informational sessions, creating concise reference documents, and advising underwriters on group specific issues related to pay-or-play and minimum value requirements. Collaborated with product development by proposing and pricing benefit modifications to expand and rationalize the product portfolio.Trained and developed entry-level employees by creating training documents, establishing and documenting processes, and hosting informational sessions. Designed and built an enterprise wide plan factor calculator to be used for rating portfolio and custom plans, resulting in increased efficiency and pricing consistency.

Chattanooga, Tn

Assisted senior level management with the annual employee benefit review by preparing and presenting cost analyses associated with various plan design scenarios.Maintained and reviewed rates within self-funded rating formula to recover forecasted expenses and keep prices fair and competitive.Measured the financial impact of healthcare reforms that eliminate underwriting, exclusion riders, and rate-ups on existing individual and future exchange products.Forecasted monthly group insured claims expense, approximately $150 million, and assisted valuation in the reserve review.

Master'S Degree, Finance, General

Activities and Societies: Beta Gamma Sigma: International Honorary Society for Business

Bachelor'S Degree, Statistics

Activities and Societies: Mu Sigma Rho: National Honorary Society for Statistics