Solutions
Actuarial analyses of COVID-19 on health plans, including the cost due to testing and treatment and the change in demand in health care services due to physical distancing policies. The model also helps in understanding the population risks due to age, geography, and health status (see "Downloads" section below for a brochure entitled "COVID-19 Analyses for Health Plans as well as our article entitled "COVID-19: An Actuarial Perspective of the Health Care Cost Implications").
Marketing assistance and value proposition development for innovative healthcare providers positioning their solutions to employers and plan sponsors (see download below for Innovative Healthcare Providers).
Also, this link ( Transcarent ) provides access to an actual study performed by MorningStar.
Sound, proven approaches to validate the value propositions from innovative healthcare solution providers for plan sponsors before and after implementation (see "Downloads" section below for a brochure entitled "Health Care Intervention Program Analyses for Plan Sponsors" and the Benefits Quarterly article entitled "Evaluating the Value Propositions of Health Plan Disrupters", as well as the section including our most recent series of videos on this topic).
Health care claim data analysis to identify emerging issues, causes of cost increases, and opportunities to control cost and improve quality (for a free guide offering insights into conducting health care data analyses fill out the form below and include the phrase "Data Analytics" in the message box)
Actuarial litigation support services include research, reports of findings and opinions, development of key arguments, arbitration and settlement support, pre-trial preparation assistance, and expert witness testimony.
Actuarial and consulting support for Association Health Plans (see download below). For more general information on AHPs, please visit https://www.associationhealthplans.com/.
Strategic plan design consulting to manage cost and employee satisfaction
Solutions to manage Health Care Reform implications and identify opportunities under new legislation, regulations, and Executive Orders.
Actuarial modeling of current-state and future-state design considerations
Financial support of benefits plans including budgeting, pricing, reserve analyses, alternative funding arrangements, reinsurance, and accounting implications
Marketing of health plan coverage to identify the best plan vendor for your organization (Requests for Proposals, Requests for Information, etc.)
Evaluating Health Plan Disrupters for Plan Sponsors
Video #1
Video #1
Video #1
Innovative Healthcare Solution providers have created intrigue and fatigue with health plan sponsors. Watch the 1st in a series of 8 videos detailing how plan sponsors should assess the value propositions of solution providers to assure value before and after purchasing services to control cost and/or improve quality of care.
This video provides an overview of the innovative healthcare solution landscape and the issues experienced by plan sponsors.
Watch the video at https://www.youtube.com/watch?v=8svwtq4x9E4
Video #2
Video #1
Video #1
Innovative Healthcare Solution providers have created intrigue and fatigue with health plan sponsors. Watch the 2nd in a series of 8 videos detailing how plan sponsors should assess the value propositions of solution providers to assure value before and after purchasing services to control cost and/or improve quality of care.
This video offers a discussion on the best practices to deploy in establishing an evaluation process and the importance of each phase in the process.
Watch the video at https://www.youtube.com/watch?v=KX8ooiQ6da0
Video #3
Video #1
Video #3
Innovative Healthcare Solution providers have created intrigue and fatigue with health plan sponsors. Watch the 3rd in a series of 8 videos detailing how plan sponsors should assess the value propositions of solution providers to assure value before and after purchasing services to control cost and/or improve quality of care.
This video offers a discussion on approach to understanding the current state of your health plan through analyses of healthcare claim experience
Watch the video at https://youtu.be/6VFULj33aVM
Video #4
Video #4
Video #3
Innovative Healthcare Solution providers have created intrigue and fatigue with health plan sponsors. Watch the 4th in a series of 8 videos detailing how plan sponsors should assess the value propositions of solution providers to assure value before and after purchasing services to control cost and/or improve quality of care.
This video address the Guiding Principles development phase of the process and offers insight into how best to build consensus among key stakeholders.
Watch the video at https://youtu.be/fgjTwRG8J7s
Video #5
Video #4
Video #5
Metrics for success are critical in evaluating Innovative Healthcare Solution providers. Watch the 5th in a series of 8 videos detailing how health plan sponsors should assess the value propositions of solution providers.
This video discusses the importance of developing success metrics and offers examples that align with stated values from the Guiding Principles session and issues identified in the Current State phase of the process.
Watch the video at https://youtu.be/Cypxb-qs3LM
Video #6
Video #4
Video #5
Proven actuarial study methodologies are what plan sponsors should be looking for from solution providers as support for their value proposition and the analyses plan sponsors should deploy to validate actual savings.
Watch the 6th in a series of 8 videos detailing how to assess the value propositions of solution providers. This discussion reviews the study methodologies applicable to solutions that effect a broad range of healthcare services.
Watch the video at https://youtu.be/Uyi8S1dYaas
Videa #7
Videa #7
Videa #7
Proven actuarial study methodologies are what plan sponsors should be looking for from solution providers as support for their value proposition and the analyses plan sponsors should deploy to validate actual savings.
Watch the 7th in a series of 8 videos which focuses on study methodologies that are better suited to assess solutions that address specific health care services or conditions.
Watch the video at https://youtu.be/7vcPaiXNgmg
Video #8
Videa #7
Videa #7
In this last of 8 videos, we are going to wrap up the topic of evaluating Innovative Healthcare Solutions with a discussion of the Validation phase and some final thoughts.
The consistent message to plan sponsors throughout these videos is the need to take control over the process of assessing the value propositions and steer away from heavy reliance on the disrupter’s assertions.
Watch the video at https://youtu.be/lyv5kALNPao