Adam R. Singleton
Credentials: FSA, MAAA
Adam is a Consulting Actuary with United Health Actuarial Services, Inc. (UHAS). Adam leads UHAS’ Provider Reimbursement Practice for hospital systems, provider network organizations, insurance companies, and provider-owned health plans where he assesses their networks’ cost structures relative to other competing carrier networks or provider health systems.
Adam has over 20 years of diverse actuarial, medical economics, and provider reimbursement experience. He is an expert in developing processes and approaches for analyzing medical cost and utilization trends, managing and organizing diverse sets of claims utilization and cost data, analyzing provider reimbursement arrangements, and calculating medical cost savings for different provider network structures.
Prior to joining UHAS, Adam was the Director of a specialized provider network analytics department for Humana’s Provider Network Development division. Adam was the lead actuary for Humana’s network strategy, development, negotiation support, and pricing. Adam worked directly for the Vice President of Provider Network Development and was involved in all aspects of network development nationally for Commercial, ASO, and Individual provider networks pre- and post-ACA. He also served in a supporting role for Medicare Advantage network development—serving as an advisor and peer reviewer.
During the ACA debate and post-ACA passage, Adam was an important team member for Humana’s ACA provider network strategic planning and implementation. He developed analytics and served as an advisor for the leadership teams for Humana’s Individual, Small Group, and Large Group business segments. He assisted in the assessment of narrow network opportunities in more than 100 U.S. cities, and he was the analytics leader for the design, development, and negotiations of more than 40 narrow networks, from which more than 30 networks were used for exchange and off-exchange post-ACA business. He developed a narrow network pricing model and process that relied on both private and public data—this model was the foundation for establishing “broad” to “narrow” network savings, which was used for strategic planning and for premium rate pricing.
Adam is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries. He earned his bachelor’s degree in Mathematics from the University of Louisville.