HMO's and Insurers
The Medicaid Market
SERVICES FOR HMO'S AND INSURERS
In Response to Regulatory Requirements:
Claim reserve analysis and reserve certifications.
Rate filings and certifications for state insurance departments.
Risk-Based Capital calculations and strategy.
In Response to Opportunities:
Pricing of benefit options.
PPO, POS plan design and pricing.
Proposals and renewal rating/underwriting of large groups.
Provider contracting assistance.
Medicaid rating and product development.
Risk adjustment methodologies for rating and provider contracting.
In Response to Prudent Management Objectives:
Data analysis and data mining to extract full value from your data.
Risk modeling and reinsurance review.
Underwriting process review.
Premium management system development and implementation.