Mitchell Johnson

About Mitchell Johnson

I’m a consulting actuary with more than a decade of experience helping health care organizations navigate the complexities of value-based care. I help my clients achieve more efficient care delivery and improve their financial success under VBC models. What sets me apart is my collaborative mindset and deep curiosity about health care systems and innovation. I’m passionate about leveraging advanced analytics with MedInsight products and aligning financial strategies with better health outcomes. I believe that data-driven decision-making is the key to improving U.S. health care, and I’m committed to helping organizations lead that change.I help health systems and primary and specialty care providers with commercial and Medicare Advantage VBP contracts and managed service providers and managed care organizations with Medicaid VBP contracts. My work centers on transforming data into actionable insights, whether it’s analyzing value-based payment contracts, estimating IBNP liabilities and forecasting settlements, or uncovering performance improvement opportunities through analytics. I’ve led the development of robust modeling of shared risk contracts that identify key risks during contract negotiations, supported audits that unlocked millions in settlements, and built dashboards that drive smarter care delivery for achieving higher quality and shared savings.

Experience

1. Consulting Actuary

   Milliman

   Jan 2024 — Present

   Consulting ActuaryI partner with hospitals, provider organizations, and managed care organizations to help them succeed in value-based care. My focus is on turning complex data into clear strategies that improve financial performance, care quality, and operational efficiency.I support clients by:• Designing and modeling value-based contracts tailored to commercial and Medicaid populations• Estimating IBNP liabilities and developing Statements of Actuarial Opinion for statutory reporting• Forecasting settlements, validating results, and supporting audits that drive financial clarity• Conducting ROI analyses on initiatives like care management and utilization programs• Benchmarking performance using proprietary and public data, including VRDC, T-MSIS, and price transparency datasetsClient outcomes include:• Millions in improved settlements through audit support and dispute resolution• Scalable analytics processes for ongoing performance monitoring• Actionable dashboards that highlight opportunities to enhance care delivery• Greater accuracy and transparency in reserve valuations for clients with significant liabilitiesI also lead initiatives to integrate AI into data processing and validation, helping clients stay ahead in a rapidly evolving health care landscape.

Education

• The New School

  Master of Music

  2000

• The New School

  Bachelor of Science

  1997