Ainsley Ramsey is an actuarial consultant with experience in healthcare reform consulting and project management.

In her role with Edrington Health Consulting, an HMA Company, Ainsley creates clear and dynamic analyses, models, and dashboards that support the improvement of publicly funded healthcare programs and provides valuable recommendations for the improvement of clients’ programs and initiatives.

Prior to joining HMA, Ainsley was a senior consultant with Optumas. In this role, she provided actuarial consulting to government healthcare programs and health plans, including Medicaid managed care rate setting, risk adjustment, repricing, and brick modeling. She also provided policy and strategy consulting, which included health plan care management (CM) and utilization management (UM) policy writing, home and community-based services (HCBS) waiver program implementation support, and technical assistance related to Americans with Disabilities Act (ADA) compliance.

Ainsley has a Master of Science and Bachelor of Science in actuarial science from Arizona State University and is currently pursuing accreditation from the Society of Actuaries.

Andrew Rudebusch is a seasoned actuarial consultant with more than eight years of experience in Medicaid capitation rate setting and managed care project leadership.

He is experienced in the creation of data visualization tools and performance metrics, data analysis, risk adjustment, and risk mitigation design and monitoring. He is a deft project manager with experience training and developing internal actuarial and analytics teams. A skilled communicator, Andrew fosters strong client relationships and has successfully led numerous stakeholder presentations.

Prior to joining HMA, Andrew served as a principal and project leader at Mercer. There, he developed managed care capitation rates for California’s Medicaid program, managed projects to create and maintain actuarial models, and worked closely with clients to identify and build solutions to actuarial problems.

Andrew has introduced and reviewed metrics to monitor encounter data completeness and quality, monitored claim cost and utilization trends by service and population, and has experience reviewing and performing efficiency adjustment analyses for pharmacy, professional, and emergency services.

He earned his Bachelor of Science degree in mathematics from Northern Arizona University.

A seasoned and experienced actuary and manager, Xingyi Qin has worked in the healthcare insurance industry providing services to consulting, insurance and provider entities.

He joins HMA after serving as actuary director with Banner Health where he built a team dedicated to Medicare Advantage developing and executing a strategic plan, creating the actuarial and medical economic teams, and overseeing pricing and filing processes for all Medicare Advantage work and projects. In addition, this role included oversight of IBNR reporting and budgeting for all lines of business, developing and utilizing a specialized scorecard and provider incentive models and leading teams to efficiently handle regular and unexpected workloads and requests.

A longtime actuarial services leader, Xingyi has worked to incorporate actuarial expertise and services into strategic plans, provide competitor analysis, improve teams, and streamline workflows. He’s also developed and monitored medical cost trend data, supported financial planning and developed data-driven analytics. In addition to extensive Medicare Advantage experience, he also performed rate reviews in multiple states, managed cost-sharing reduction projects and developed and maintained the claim re-adjudication model all within the commercial exchange space.

He earned a bachelor’s degree in actuarial science and applied statistics from Purdue University.

A knowledgeable actuary, skilled at breaking down complex results and processes into client-ready materials, Michelle Torbit has experience working with state Medicaid managed care, legislative reporting and improving quality of care.

Before joining Edrington Health Consulting, an HMA company, she served as senior actuarial analyst, working on state Medicaid managed care capitation rate development, including projects spanning traditional actuarial pricing analyses, and data monitoring and validation.

In addition, she has prepared state legislative reports focused on improving both access to healthcare services and quality of care for medical assistance beneficiaries. Michelle also served as analyst and task coordinator for a state published legislative report monitoring managed care organization (MCO) and hospital inpatient acute healthcare outcomes.

She earned bachelor’s degrees in mathematics and chemical engineering from Arizona State University as well as a Master of Science in actuarial services. She has additional experience as an actuarial intern and has served in business resource groups and committees.

A seasoned actuary and presenter, Daniel Nemet is skilled in various programming and coding systems and regulations surrounding healthcare actuarial work.

He joins Edrington Health Partners after serving with UnitedHealth Group where he had oversight of filing quarterly reports for healthcare clients as well as reporting for sales and underwriting departments.

Daniel spent more than seven years with Blue Cross Blue Shield of Arizona working in pricing and rate filing as well as forecasting and reserving. He developed, presented, and filed all Patient Protection and Affordable Care Act (PPACA) and pre-ACA individual products as well as wrote SAS code, maintained, and updated pricing models and prepared corporate incurred but not reported (IBNR) triangles and assisted decisions on completion factors for Medicare clients.

He earned a Bachelor of Science degree in mathematics from Arizona State University and has passed several actuarial exams. He is involved in professional service organizations and volunteers with youth programs.