Bill Alto

Bill has played a key role in the development of a number of Milliman products, including Milliman’s key network analysis, Medicare pricing, and Part D experience analysis tools:

• Payer Network Check, Milliman’s UDS-based network analysis tool
• Medicare Repricer and GlobalRVUs software that adjudicates claims to Medicare-allowed amounts
• The Medicare Reference Pricer, for real-time claim pricing and auditing
• PEST, Milliman’s Part D Experience Summary Tool used for MAPD and PDP experience analysis, bid development, and Part D settlement projections

Bill has significant experience and proficiency in the following areas:

• UDS-based network analysis and claims repricing
• Software development
• Enterprise analytics
• Medicare fee schedules and provider reimbursement benchmarking
• Commercial ACA risk adjustment
• Medicare Advantage bid preparation