Steven P. Schramm
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As the founder of Optumas, Steve is responsible for the design, development, and implementation of health care reform projects across the country. Steve’s expertise is in developing innovative health care purchasing strategies for large health care purchasers that address not only who has access to health insurance (addressing the under-insured as well as the uninsured), but also how health care is provided to all individuals and groups in a given health care marketplace. Steve’s primary responsibility for his clients is strategy development, risk management and analysis, public and expert witness testimony, and communications and messaging.
Mita Lodh, FSA, MAAA, MBA, PhD
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Mita is the Chief Actuary at Optumas. She helps client states implement health care reform initiatives. Her work includes determining budgetary impacts of specific initiatives, estimating the risk profiles of the uninsured who will be covered by expansion programs, and setting CMS-compliant actuarially sound capitation rate ranges for health plan negotiations. Mita also consults to health plans and provider groups and stays involved via presentations or committees in her other areas of experience: health plan efficiencies, provider performance management, clinical guidelines, Medicaid managed care, risk adjustment, and disease management evaluation.
Kathy Botson
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Kathy is a Data Consultant/Project Manager for the Optumas team.
She has worked on numerous rate-setting projects with State
Medicaid programs as well as Health Plans contracting with Medicaid
Managed Care
focusing on large data-set manipulation, rate-setting, predictive
modeling, and risk-adjusted rate modeling. She specializes in data
collection, data validation and claims analyses using
her SAS skills to efficiently organize large datasets for detailed, claims-level analyses. Kathy project manages our capitation rate development projects, organizing data for the
adjustments necessary to lead to actuarially sound rate ranges, and
presents the results to our clients in both draft and final format.
Gabe Smith
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Gabe is an Actuarial Consultant at Optumas and is currently pursuing his ASA designation. He has several years of experience in capitation rate setting, analyzing trend, calculating savings estimates, projecting enrollment, and analyzing the impacts of health care system reform. Gabe’s particular area of expertise is model development, having recently completed Optumas' Statewide Health Reform Projection (SHRP) and Benefits Adverse Selection Enrollment (BASE) models. The SHRP model allows states to quickly and accurately estimate the impact of various health reform proposals based on their health care market’s unique structure, costs, and demographics. The BASE model is a real-time enrollment projection tool based on the proposed benefits, plan design, and demographics of the target population.
Kyle Edrington
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Kyle is an Actuarial Consultant for Optumas pursuing his ASA designation with an educational background in Mathematics and Business. He has worked on health care reform and rate-setting projects with multiple clients focusing on rate development strategy, rate methodology development, trend analysis, capitation rate-setting, and predictive modeling. He specializes in model development and complex rate-setting methodologies. As part of his responsibilities, Kyle leads capitation rate development projects and calculates all adjustments necessary to lead to actuarially sound rate ranges, presenting the results in public meetings on behalf of our clients.
Gabriela Ursu
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Gabi is an Actuarial/Data Consultant pursuing her ASA designation with Optumas.
She has worked on numerous rate-setting projects with with State
Medicaid programs as well as Health Plans contracting with Medicaid
Managed Care
focusing on large data-set manipulation, rate-setting, predictive
modeling, and risk-adjusted rate modeling. She specializes in data
collection, data validation and claims re-pricing while using
her SAS skills dealing with individual level claims experience. Gabi
provides support for our capitation rate development projects,
calculates all
adjustments necessary to lead to actuarially sound rate ranges, and
presents the results to our clients in both draft and final format.
Chris Dickerson 
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Chris is an Actuarial Consultant pursuing his ASA designation. He has worked worked for Optumas for two plus years, first starting with the team as an Intern. As a recent graduate with a degree in Mathematics, he has worked on numerous rate-setting projects with multiple clients
focusing on trend analysis, capitation rate-setting, and predictive
modeling. He specializes in data collection and management while using
his SAS skills dealing with individual level claims experience. Chris provides support for our capitation rate development projects, calculates all
adjustments necessary to lead to actuarially sound rate ranges, and presents the results to our clients in both draft and final format.
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