Actuarial and strategic expertise across five core areas where health plans, providers, and public agencies most need clear, independent thinking.
Medicaid & Public Programs
Deep expertise supporting sustainable strategy and program performance for Medicaid managed care organizations, state agencies, and their partners.
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Rate development and review support
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Regulatory and policy impact analysis
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Supplemental payment and directed payment program design
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Program performance and quality incentive evaluation
Commercial Pricing & Reserving
Hands-on pricing experience across all ends of the commercial market.
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Pricing across individual, small group, and fully insured and self-funded large group markets
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Valuing the cost impact of different benefit designs
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Network pricing and provider contract impact analysis
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Trend development and monitoring
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IBNR development and reserving
Value-Based Care
Actuarial insight to design, evaluate, and optimize value-based arrangements.
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VBC contract structuring and risk-sharing modeling
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Risk adjustment methodology review
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Total cost of care and shared savings analysis
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Network and provider risk assessment
Healthcare Analytics
Turning complex data into clarity to inform decisions and drive results.
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Matched-control and impact studies for program ROI
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Trend and cost driver analysis
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Custom dashboards and reporting
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Data validation and taxonomy/classification support
Strategic Advisory
Trusted guidance for critical decisions and long-term organizational success.
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Board and executive-level strategic counsel
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New program and market entry evaluation
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M&A and partnership due diligence support
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Compliance and actuarial opinion support
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