Financial Advisory and Due Diligence Support Services
Axene Health Partners offers actuarial support services for investment banks, private equity and financial advisory firms to enhance critical areas of due diligence. Our experience working with Insurers, Providers and Networks gives us insight into benchmarks and best practices that can validate or discover value with an organization.
Insurers
Develop valuations, review operational performance and compliance
Providers
Measure performance, compare to benchmarks and evaluate risk-sharing agreements
Networks
Assess network efficiency and identify areas to optimize care alignment
Insurers
Actuarial Appraisal
Rate & Reserve Adequacy Testing
Reinsurance Review
Regulatory Compliance
Enterprise Risk Management Assessment
Operations Review
Providers
Contract Review
- Actuarial review of capitation rates, bundle payment and fee schedules
Performance Measurement
- Assess provider performance on a risk-normalized basis to remove skew caused by unhealthy or healthy patients
Compile claims data into reportable formats
Risk-Sharing Programs
- Validate that financial risk or reward is fair and unbiased
Utilization & Cost Comparison to Industry Benchmarks
- Identify areas of opportunity
Networks
Pricing Assessment
- Actuarial review of pricing, including reference-based pricing
Network Efficiency
- Review of referral lpatterns
Validation of Network Optimization & Care Alignment
- Identify areas of opportunity
Claims Review & Financial Statement Reconciliation
