
Flashback to several years ago in the heart of Wisconsin … a
young mathematics major strolls back to his dorm after completing an exam that demonstrates
his mastery of letters pretending to be numbers, the perfect square trinomial
and the standard form of equation of parabola.
Little did he know that his love of probability and
algorithms, along with a slight flair for the dramatic, would take him beyond
the regular fate of a math student. Rather than stand at a blackboard and teach
equations to junior high school students, Andy Brantner decided to become – cue
trumpets – an actuary. And since 2007, Andy has been using his sharp analytical
and risk management skills to ensure Hennepin Health remains stable and
profitable.
On the surface, Andy appears to share characteristics with a
Magic 8 Ball, as he’s asked to predict risk and future costs of health care.
His job, however, doesn’t allow him to give the standard answers of “reply is
hazy” or “concentrate and ask again.” Instead, Andy is asked to predict cost
margins within three-quarters to one percent. If his estimations are off more
than this, Hennepin Health couldn’t remain in business.
To do this, Andy analyzes multiple points of data and
decides what it means. One source of data he uses is claims data. This data represents
the member population, and comes from hospitals, physician groups and HMOs located
throughout Minnesota and the Midwest. Another source of data he uses is from
member appointments. Every time a member sees a provider, data is collected. For
example, if a member goes to see a doctor about a sinus infection, there’s a
record that includes demographic information, what diagnosis was made and what
services were provided. Over time, a massive stack of electronic bills are
generated that can be plugged into statistical models to help project what will
happen in the future.
In addition to analyzing claims data, Andy must review
health care inflation trends and determine the changes in care required by the population
served. Then, he takes all of this information and pushes it forward, offering
opinions and ideas to Hennepin Health’s leadership team, and helping them
negotiate a budget with the Minnesota Department of Human Services (DHS). DHS also
employs its own actuaries that offer opinions on expected health care costs. The
process then becomes like a business transaction; Andy explains his position
and the State’s actuary explains hers. Generally, their opinions are similar. “Applying
sound judgment, and being honest and accurate, should lead [two different
actuaries] to a similar range of values,” says Andy.
The complexity of actuarial work required that Andy complete
seven to 10 years of training from an actuarial organization once he completed
college. This training consists of a series of tests that are designed to have
a failure rate of up to 70 percent – Andy scored 0 out of 10 on his first test.
“It was hard to take,” says Andy. “I had gotten As on every math test I had ever
taken.” The difficulty of these tests ensures that those who become actuaries
meet high standards. The actuarial boards – The Society of Actuaries and The
American Academy of Actuaries – also instill a code of conduct. The profession
is very ethics driven, and requires high levels of honesty and integrity.
Andy loves being an actuary. “It allows me to see the large
picture that most people don’t get the opportunity to see. And it’s not just
the numbers; it’s the people that are important. I can see myself doing this
for another 30 years because it’s not normal. Every day is different.”
While it’s been a long time since Andy’s student days in
Wisconsin, he continues to spend time dreaming of numbers. Now, those numbers
include a wife and four children. He also enjoys woodworking, another hobby
that entails measurement and definition. He started with building a picnic
table, and then progressed to small tables, a dining room table and finally, an
entertainment center. Mum’s the word though on whether or not a Magic 8 Ball
sits on one of the shelves.
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