David M. Tuomala FCA MAAA FSA

Vice President, Actuarial Consulting, Optum

Contact Information

Optum
MN102-0500
11000 Optum Circle
Eden Prairie, MN 55344
US
Phone
952-205-0338
Email
david.tuomala@optum.com
David Tuomala is a Vice President in the Risk Management and Growth practice of Optum Advisory Services. He joined the organization in 2007 and he works on pricing new and existing individual and group benefit plans, analysis of new state and federal laws and regulations, and Medicare Advantage plan pricing and analysis. David has previously assisted clients in assessing the impact of the federal Mental Health Parity Act. Since 2009, he has led our practice in responding to client needs around the changes resulting from the Affordable Care Act. Since 2013, he has been involved with Optum’s support for the Health Care Cost Institute (HCCI) program and currently leads the actuarial team responsible for data quality and validation. He was also involved in the development of the methodology and data quality aspects for the Guroo price transparency tool developed by HCCI. David has more than 20 years of experience with plan design and pricing, individual and group pricing and experience analysis, rate filings, and state and federal health care regulation and legislative initiatives. David currently serves on the Board of Directors of the Conference of Consulting Actuaries, the Individual and Small Group Committee of the American Academy of Actuaries, and has previously served more than 13 years in various roles on the group health examination committee of the Society of Actuaries. He has been a frequent speaker on health topics for meetings of the Society of Actuaries, the American Academy of Actuaries, the Conference of Consulting Actuaries and other industry groups. David has a BS in Mathematics from the University of Minnesota’s Institute of Technology, is a Fellow of the Conference of Consulting Actuaries, a Fellow of the Society of Actuaries, and a Member of the American Academy of Actuaries.

CCA Member Since 2008

HMOs Insurers

Annual Meeting Program Committee
Healthcare Community Steering Committee
Strategic Planning Committee

Health Insurance Financial Reporting Hot Topics Health Insurance Financial Reporting Hot Topics Webinar (October 02, 2019)

Advanced Analytics: Applications of New Modeling Techniques Advanced Analytics: Applications of New Modeling Techniques Webinar (September 18, 2019)

Blockchain in Healthcare: It's Not Just for Bitcoin Anymore Blockchain in Healthcare: It is not just for Bitcoin Anymore Webinar (August 07, 2019)

09 - Electronic Health Records: Sources and Uses 2019 CCA Healthcare Meeting (April 11, 2019)

08 - Blockchain: Applications in Healthcare 2019 CCA Healthcare Meeting (April 11, 2019)

03 - Professionalism for the Healthcare Actuary / Actuaries as Expert Witness 2019 CCA Healthcare Meeting (April 10, 2019)

Risky Business: The Transition from Volume to Value Risky Business: The Transition from Volume to Value Webinar (February 27, 2019)

Interactive Medicare Advantage and Part D Workshop 2018 CCA Annual Meeting (October 22, 2018)

ACA Primer - What's Working and What Isn't? ACA Primer - What's Working and What Isn't? Audio/Webcast (September 12, 2018)

Professionalism/Ethics in Action 2018 CCA Healthcare Meeting (April 11, 2018)

Medicare Advantage and Part D Workshop 2017 CCA Annual Meeting (October 23, 2017)

A Study in Professionalism and Ethics for the Healthcare Actuary 2017 CCA Healthcare Meeting (April 06, 2017)

Show Me…Your Data 2017 CCA Healthcare Meeting (April 05, 2017)

Health Plan 2.0: How New Market Entrants Are Re-Shaping the Healthcare Landscape 2016 CCA Annual Meeting (October 25, 2016)

Medicare Advantage and Part D Workshop 2016 CCA Annual Meeting (October 24, 2016)

3Rs: Risks and Rewards 2016 CCA Health Reform Meeting (April 14, 2016)

Medicare Advantage and Part D Workshop 2015 CCA Annual Meeting (October 26, 2015)

State of the ACA 2015 CCA Annual Meeting (October 26, 2015)

Medicare Advantage and Part D Workshop 2014 CCA Annual Meeting (October 20, 2014)

Dealing With the 3 Rs of the ACA 2014 CCA Annual Meeting (October 19, 2014)

The 3Rs - Today and Tomorrow 2014 Health Reform Meeting (March 24, 2014)

Co-op Marketplace 2013 CCA Annual Meeting (October 21, 2013)

Medicare Advantage and Part D Workshop 2013 CCA Annual Meeting (October 21, 2013)

Private Exchanges and Defined Contribution 2012 CCA Annual Meeting (October 23, 2012)

Medicare Advantage and PDPs 2012 CCA Annual Meeting (October 22, 2012)

Healthcare for Pension Actuaries Healthcare for Pension Actuaries (October 26, 2011)

Medicare Advantage and PDPs 2011 CCA Annual Meeting (October 24, 2011)

Consumerism – Die or Flourish Under Healthcare Reform 2011 CCA Annual Meeting (October 24, 2011)

Healthcare Reform Workshop: What We Got Right 2010 CCA Annual Meeting (October 27, 2010)

Healthcare Reform - What's Next? 2010 CCA Annual Meeting (October 27, 2010)

Consumerism: Elements of Plan Design That Work 2010 CCA Annual Meeting (October 26, 2010)

How is Consumerism Impacting the Future of Healthcare? Cost / Quality Transparency & Other Issues 2008 CCA Annual Meeting (October 28, 2008)

Disclaimer

The Conference of Consulting Actuaries (CCA) serves only as a clearinghouse for providing a list of its members and their specific areas of practice. The information appearing with each members name regarding their practice areas was furnished by the member and has not been independently verified in any way by the CCA. Neither the CCA nor its officers, members, or staff make any warranties or representations as to the professional competency of these individuals. Each person who is considering the use of the services of an actuary listed is advised to make an independent judgment regarding their choice of persons whose services they wish to utilize.