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PPACA Health Reform Services
- Accountable care organizations - take full advantage of the opportunity with our well researched and thoughtful approach
- Hospitals - create physician productivity incentives, enhance expected returns, and achieve attractive returns on investment from new physician practice ventures
- Physicians - develop your own or work in concert with an outside organizer to create an ACO structure which assures maximum opportunity for shared savings and retaining independence
- Pharmaceutical companies - enhance relationships with physicians to enable pursuit of therapeutic drug treatment protocols
- Other (food companies, venture capitalists, and fund managers) - discover new strategic, investment, and asset accumulation opportunities
- Actuarial Value (AV) & Minimum Value (MV) calculations
- Captive insurer creation
- Authorized Actuary for Delaware Captives
- CO-OP development assistance
- Health reform education programs
- Mergers, acquisitions, divestitures, and valuation services
- Organization assessments - core competencies and leverageable skills
Self-Insurance
Actuarial Reviews and Feasibility Analysis
- Claims experience analysis
and claims volatility assessments
- Organizational self-insurance
compatibility assessment
- Stop loss reinsurance
reviews
- Employee contribution
strategy reviews and recommendations
- Cash flow projections,
budget preparation, COBRA premium calculations, & reserving strategies
- Fully insured vs. self-insured
side-by-side assessments
Health Care
Valuations
- IBNR and reserve analysis
- Retiree health valuations
(SFAS 106, GAS 45)
Fully Insured
Actuarial Reviews
- Claims experience review
and renewal rate review for reasonability and accuracy
- Review carrier trend
and pooling charges versus benchmarks
- Review carrier actuarial
benefit adjustment factors against benchmarks
- Employee contribution
strategies
Other Actuarial
Services
- Section 105(h) Discrimination Testing for Fully-Insured Plans
- Peer reviews for pricing,
product development, and reserve estimates
- Interim
management support
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