Patrick Baiza

ASA

Associate Actuary

Seattle, WA, US

Patrick Baiza is an associate actuary specializing in medical and pharmacy (Rx) trend analysis, benchmarking analytics, and predictive modeling. He develops and implements comprehensive analytics frameworks for repricing, forecasting, and reporting by supporting health plans and organizations in making data-driven decisions. In addition to his broader actuarial work, Patrick works with CMS’s Virtual Research Data Center Medicare data to develop healthcare data solutions, delivering actionable insights into medical and pharmacy performance. His work enables clients to identify opportunities for improvement, monitor utilization patterns, and optimize healthcare cost management. Patrick’s expertise in advanced analytics and actuarial science drives impactful strategies that enhance performance across the medical and pharmacy landscape.

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Experience

Patrick’s primary areas of expertise as a healthcare consultant include:

Medical and pharmacy (Rx) trend analysis and benchmarking
Claims and membership analytics
Effectiveness study development
Claims repricing
Data processing, visualization, and automation

Professional Designations

Associate, Society of Actuaries Member, American Academy of Actuaries

Education

BBA, Actuarial Science, University of Texas at San Antonio

Publications

Read their latest work

Article

Pharmaceutical cost impact effectiveness study of Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc.

12 March 2026 - by Austin Barrington, Spencer Marshall, Patrick Baiza, Sam Yih

In Washington state, commercial group members in Kaiser HMO and PPO plans experience statistically significant Rx cost savings, our study shows.

Patrick Baiza

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Experience

Read their latest work

Pharmaceutical cost impact effectiveness study of Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc.

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Patrick Baiza

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