Strength in numbers: Healthcare Actuarial Services
The accurate analysis of healthcare data can help improve healthcare services and lower costs, from program design to delivery to reimbursement. Accurate data and analytics are also instrumental in the decision-making process for clients entering new markets. That’s why quality healthcare actuarial services are so important.
HMA has built an impressive healthcare actuarial team that includes multiple companies and dozens of experts. Bolstered by the expertise of colleagues who joined HMA from Edrington Health Consulting and HMA companies Cirdan Health Systems and Consulting, and Wakely Consulting Group, we offer a comprehensive suite of services. Our actuarial team members have practical, in-depth experience in all facets of the healthcare industry, from governmental and nonprofit organizations to commercial health plans. Learn how our healthcare actuarial services can make your organization stronger.
HMA’s team of actuarial experts.
Our actuarial experts can provide thoughtful analysis of your data to set strategy, provide practical insights, and help you succeed in both the managed care and provider markets. Combined, our team members offer hundreds of years of experience in the actuarial field.
What our actuarial team can do for you.
Our actuarial team can assist your organization with:
- Medicare bid preparation
- Medicaid rate setting and review
- Medicaid program design and reform
- ACA Marketplace rate filings and 1332 Waiver projects
- Forecasting and budgeting, including risk-based capital modeling
- Appointed actuary services including financial reporting and evaluation of actuarial assets and liabilities (monthly, quarterly, and/or yearly)
- Value-based payment strategy and evaluation of results
- Quality measurement (HEDIS, Star ratings, etc.)
- Encounter data submissions and error reporting
- ACO/MCO/HMO start-up and new market entry support
- Analytical tools and databases for competitive analysis, risk adjustment, and risk assessment
- Provider contract review and negotiation support
- Expert witness services
- Actuarial support for private equity firms working in the healthcare space
Services can be customized to your needs on a project, retainer, or hourly basis.
Related services to support you.
HMA offers other similar services that may be helpful for your organization:
- Medical record coding review – Our comprehensive approach to improving documentation helps organizations capture lost revenue.
- Revenue cycle management – We’ll help you assess gaps in the cycle and close them to improve cash flow.
- NCQA/HEDIS/STARS Support – Our experts’ in-depth knowledge of quality and accreditation processes leads to better ratings and more business.
Ready to talk to a Healthcare Actuarial Services expert about your project?
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