Actuarial Consulting Firm
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- Benefit Plan Design and Strategies
- Funding and Contribution Strategies
- Retiree Medical Strategies and Valuations
- Medicare RDS Attestation of Actuarial Equivalence
- Creditable Coverage Evaluation
- Non-Discrimination Testing
- Health Plan/Insurer/TPA Rate Negotiation & Strategy
Health Plans/Health Insurers
- Benefit Design/Network Development
- Provider Reimbursement Strategy
- Capital Management Strategy
- Product Pricing and Valuations
- Health Plan Contract Negotiation & Strategy
- Provider Reimbursement Strategy
Each strategy is formed based on a clear understanding of the risks assumed by a client. These risks result from:
Each of these components is evaluated for its impact on the financial viability of the health care program.
- Characteristics of the insured population
- Structure of the delivery system