Health Plans2023-01-20T13:24:46-08:00

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

Underwriting Review

Small group medical underwriting process review and improvement

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

Related Inspire Articles

Request a Call to Discuss Your Unique Needs

    Request a Call to Discuss Your Unique Needs



      © Copyright | All Rights Reserved | Axene Health Partners, LLC | Privacy Policy
      Go to Top