Stuart Rachlin - Economics, accounting, finance and insurance expert witness

Based inTampa, Florida

Main fieldEconomics, accounting, finance and insurance

Areas of expertise24 listed

About Stuart Rachlin

Milliman's Tampa office provides health insurance, health care and employee benefit consulting to law firms, insurance companies, hospitals, HMO’s, Blue Cross/Blue Shield plans, employers and government agencies. Our staff is experienced with medical, dental, long-term care, Medicare supplement and critical illness.

We assist clients nationwide with forensic actuarial work, rate filings, compliance support, reserve projections, valuations, employee benefit analysis and design, mergers and acquisitions, demutualizations, claim cost analysis, and utilization management programs.

Services

Milliman offers a unique series of proprietary healthcare services to assist plaintiff or defense attorneys compare the legal dispute in a given case to a larger set of national statistics. These services are identified below.

The Milliman Health Cost Guidelines are acknowledged to be an industry standard. More than 90 leading national insurers, as well as traditional health carriers and managed care organizations, use the Milliman guidelines to estimate expected health insurance claim costs. National average health care costs can be adjusted with these guidelines to specific geographic areas for pricing evaluation. Multiple sources of data are used to assist the health care industry determine the value of deductibles, establish coinsurance and catastrophic claims levels, or calculate claim costs for the senior and Medicare market.

Milliman Medical Underwriting Guidelines cover up to 1,200 conditions and are updated regularly to reflect changes in medical technology and healthcare underwriting practices. A prescription drug index accounts costs associated with various drug therapies. Drug conversion tables allow identification of potential drugs or conditions if only one or the other is listed on an application.

These health care services are typically used in litigation relating to:

- Pricing and management of individual health products
- Senior services, including Medicare supplements, long-term care and critical illness
- Contract development, rate filing and experience analysis
- New plan design
- Contract negotiations
- Pricing, underwriting and reserving
- Dental plans (prepaid and traditional)
- Regulatory compliance, including cost build-ups and rate filings

Litigation Support Services

Milliman is a widely used, trusted source for expert-witness testimony. Our broad knowledge and reputation for unbiased, independent advice lends credibility to our clients’ side of any legal dispute. Our actuaries and insurance industry experts provide sophisticated actuarial and statistical analysis and economics consulting. We prepare our clients for settlements, litigation, and rate regulatory hearings. Milliman’s credible perspective provides straightforward evaluations of the strengths and weaknesses of each case, enabling our clients to formulate the best possible strategy throughout the settlement or adjudication process.

Areas of Expertise

Accounting
Actuarial
Asset Locators
Claims
Damages
Financial
Financial Analysis
Health Actuary

Health Care
Hospital Records
Insurance
Insurance Health
Investments
Litigation
Loss Prevention
Mergers & Acquisitions

Mortgage
Pharmacy Plans
Products Liability
Regulatory Compliance
Research
Securitizations
Valuation
Workers Compensation

Profile

Stuart Rachlin is a Principal and Consulting Actuary with the Health Practice of the Tampa office of Milliman. While working at Milliman, he has served clients throughout the United States, including Puerto Rico, on matters relating to health care and health insurance. Clients have included insurance companies, Blue Cross and Blue Shield Plans, other health plans, employer groups, State insurance departments, other state and local agencies, law firms, hospitals, and physicians. Mr. Rachlin's experience covers a wide range of healthcare topics, with significant emphasis on managed care. He has assisted clients with operational reviews, developing and pricing new plan designs, and contract negotiations. He has extensive experience with pricing, underwriting, and reserving, working with commercial, Medicaid and Medicare Advantage products.