Actuarial & Health Care Solutions, LLC

Services Offered

Health Care Insurers

  • Rate Filings in accord with PPACA

  • Strategy development and implementation
  • PPACA compliance
  • Target reimbursement amounts and methods
  • Competitive pricing models and methodologies
  • Reserve estimates and certification
  • Underwriting review
  • Small group certifications
  • Financial projections
  • Rate manual review and development
  • Product Development
  • Reinsurance analysis
  • Trend analysis
  • Analysis of HMO/Insurer reimbursement proposals
  • Actuarial assistance with managed care negotiations
    Capitation development
    Risk assessment and management


Health Care Providers

  • ​Analysis of HMO/Insurer reimbursement proposals
  • ​Actuarial assistance with managed care negotiations
  • Capitation development
  • Risk assessment and management


For Health Plan Sponsors

  • Review of plan performance
  • Development of cost saving solutions
  • Benefit plan design and pricing
  • IBNR estimates and certification
  • PPACA compliance
  • Stop-Loss analysis
  • Retiree health valuations (FAS 106 and GASB)
  • Development of premium equivalent rates for self-funded plans
  • Medicare Part D actuarial attestations


Employee Benefit Consultants and Brokers

  • Actuarial expertise to support client relationships


Insurance Regulatory Bodies

  • Review of insurer ACA rate filings
  • Review of insurer financial condition