/Health Plans
Health Plans2019-08-01T13:06:57-07:00

Health Plans

Actuarial cost models can be 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 have consultants ready to develop, assess, and implement health and wellness programs as well as service your claim reserves (IBNR) for self-funded benefit programs.

Some of the areas we address for health plans

  • Board Retreats
  • IBNR Review and Determination
  • DoD/CHAMPUS rate development and bidding
  • 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