Actuarial and Underwriting
Solucia provides a full range of healthcare actuarial services which are useful in underwriting, pricing, trend analysis and population studies with the support of claims and enrollment data.
Our Actuarial and Underwriting Services
Solucia healthcare actuarial services address:
- Pricing and underwriting
- Financials and reserves
- Care and Disease Management
- Provider contracting
- GASB and FASB
- Operations support
Client Pain Points
- Database management
- Financial projections and pro-forma analysis
- Reserve, capital adequacy and surplus development calculations
- Analysis of cost and utilization trends
- Clinical modeling including understanding clinical drivers of utilization
- Feasibility and evaluation of Care/Disease management program
Our Value Proposition
- Data cleansing and validation
- Data mining and predictive modeling using custom and industry models
- Cost and utilization models
- Trend studies
- Care/disease management program studies, both feasibility and evaluation
- Clinical modeling including understanding clinical drivers of utilization
- Predictive modeling applications such as underwriting, forecasting, pricing, population studies, trend analysis, risk burden development
- Contract evaluation, reimbursement, pay for performance, outlier payments
- Rate filings
- Reserve capital adequacy and surplus development
- Small and midsize group underwriting
Additional Product and Services Information
- Actuarial Consulting Solution Summary (Click here to Download)
