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.
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
