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Services for:
HMO's and Insurers
Providers
The Medicaid Market
Compliance Programs
Litigation Support |
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:
Product development.
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.
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