Health Care Actuarial Services

We provides a comprehensive package of health care actuarial services to meet your needs.

We work with a wide variety of clients including hospitals, physician groups, employers, payers and regulators. Our experience with these clients helps us provide actuarial services in an understandable and timely manner without redundancy.

Our healthcare actuarial services include the following:

Plan Design and Rate Setting

o Plan rate filings
o Employee contribution strategy
o Underwriting guidelines

Experience Analysis

o Claim utilization analysis
o Evaluation of attribution methodologies
o Improvement of risk score accuracy

Regulatory Compliance Support

o Actuarial statements of opinion
o COBRA rate certification
o ACA compliance

Financial Analysis

o IBNR claim liability certification
o Excess claim risk analysis
o Proforma preparation

Case Studies
"Designing an accountable care organization’s reporting system that measures performance and identifies opportunities for improvement. !"
"Helping a hospital network evaluate their return on investment associated with accountable care organization arrangements."
"Facilitating a successful joint venture between two health insurance companies with the objective of launching a nationwide health insurance product."