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Health Plans2024-05-15T16:50:29-07:00

Health Plans

Actuarial cost models are powerful tools to help influence health plan decisions. Whether you’re working on employer health plans and benefits or are a self-funded group, we can help you complete a risk assessment and develop risk adjustors. We can develop, assess, and implement health and wellness programs as well as service your claim reserves for self-funded benefit programs.

Market Assessment

Measure your plan performance and provider contracting levels

Rate Filings

Small group medical rate filings

Financial Model Development

Learn how to accept risk and start creating economical solutions

Data Intermediaries

Leverage claims data to explore solutions related to total cost of care

Some of the areas we address for health plans

  • Board Retreats
  • IBNR Review and Determination
  • Medicare Advantage (Parts C and D programs)
  • Operations Review
  • Provider Contracting
  • Organizational Assessments
  • Predictive Modeling
  • Rate Filing
  • Rate Manual Development
  • Reinsurance and Risk Management Analyses

  • Risk Adjustors

  • Strategic Planning
  • Tiered Networks Benefit Programs

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