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| Managed Care Our experts support the entire spectrum of the Managed Care industry. We assist health providers with meeting their financial obligations despite ever-increasing costs of medical care and accelerating demands for coverage. |
Actuarial services specific to the Managed Care sector include:
| • | Actuarial Training Programs | • | Benefit Plan Pricing and Premium Rate Filings |
| • | Financial Reporting and Projections |
• | HSAs and Consumer Driven Health Plans |
| • | IBNR / IBNP Analysis | • | Payor Drug Cost Reviews |
| • | Predictive Risk Modeling | • | Provider Network Evaluations |
| • | Small and Large Group Underwriting |
• | Valuation and Financial Reporting |
| • | Fee Schedule Review | • | Evaluation of capitation rate contracts |
| • | Pricing fee contracts | • | Analysis for ASO contracts |
Health providers using our services include:
| • | Blue Cross / Blue Shield Organizations | • | HMOs / PPOs |
| • | Insurance organizations | • | Hospitals |