Alison Pool, ASA, MAAA, has over 30 years of experience as a healthcare actuary. Her recent areas of focus have been on Medicare Advantage Organizations and self-funded employer health plans. Alison has been the lead actuary assisting clients in the management of MA-PD plans for more than 10 years and in multiple states. In addition, she works with self-funded employer plans to ensure successful management of their employee health benefits. Alison’s varied experience includes emphasis in the preparation and certification of Medicare Advantage bids, self-funded employer group support (funding, liability, filing requirements, RFP data analysis), certification and rate development for MEWAs and METs, and support for participants in the Retiree Drug Subsidy. In addition, she has expertise in estimation of IBNP, rate adequacy, and estimation of future risks. Other projects include support for the evaluation of the Medicare VBID programs; co-authored papers on the new Hospice VBID opportunities and Point-of-Sale (POS) rebates; and authored papers reviewing international health programs.
