Tyler Engel is a consulting actuary with the New York/Atlanta practice of Milliman. For over 10 years, Tyler has helped clients across the healthcare spectrum, including health plans, hospital systems, and pharmaceutical companies. He has consulted on topics related to health economics, market access, patient affordability, health care reform, Medicare Advantage and Part D, and value-based contracts. Shyam Kolli is a Principal and Consulting Actuary with Milliman.