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Troy’s areas of expertise include pharmacy, managed care, and Medicare Advantage. He supports clients with pricing, reserving, and other analysis for medical and pharmacy benefit plans, both in the Commercial and Medicare markets.
In the pharmacy space, Troy works extensively with pharmacy benefit managers, pharmaceutical companies, payers, retail pharmacies, and pharmacy trade groups / industry organizations with particular emphasis on Medicare Part D.
Specific to the Medicare market, Troy has vast experience with carriers and employers. Troy assists Medicare Advantage plans, Part D plans, and employers with strategic planning, Medicare bid preparation, benefit design evaluation, contract negotiations, and various other analyses. He has been a key contributor to Milliman’s Part D research efforts since the benefit was passed by Congress in 2003.
More generally, Troy has experience at all levels for managed care plans and other healthcare organizations. He reviewed underwriting and rating processes, assisted with regulatory filings, developed pricing and reserving models, analyzed historical experience, and provided expert witness testimony on insurance company premium rates and provider reimbursement levels. He has worked on merger and acquisition projects and provides strategic consulting on a host of other items.
Troy published numerous articles for the Society of Actuaries, Milliman, and other publications. He regularly presents on various health care subjects at industry conferences and actuarial meetings. He is also a coauthor of a chapter in several editions of 'Essentials of Managed Care' titled "Underwriting and Rating."
Troy has been a member of several American Academy of Actuaries and other professional society workgroups, most recently serving on the Academy’s Medicare Steering Committee. Troy also served on Milliman’s Health Steering Committee that sets priorities for the Health Practice and manages budgets across the firm.