ROSS HEALTH ACTUARIAL


MANAGED CARE RISK MODELING DECISION SUPPORT


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HMO/Insurer
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Please describe your interests in health actuarial services:

Premium rate development and cost projections.
Health Status-Based Risk Adjustment.
Health Claim Data Mining and Data Warehousing.
Capitation rate development.
Claim reserve development.
Fee schedule development and evaluation of new provider reimbursement arrangments.
Provider risk-sharing programs.
Stop-loss and reinsurance.
Medicare/Medicaid Compliance.
Litigation Support.
Medicaid Managed Care and Health Care Reform.

 
 
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