We work across the healthcare economy: health plans, providers, and the investors behind them. Below, what we do organized by who you are, plus the full set of consulting engagements and products underneath.
From established plans to new MA and MCO entrants, we supply the senior actuarial capacity that keeps a plan priced right, adequately reserved, and competitive.
Chief-actuary-level oversight of pricing, reserving, and actuarial governance while you build or backfill the role.
Rate development, reserve adequacy, and risk analysis that stand up to regulators and auditors.
Model the economics of benefit designs and network decisions before they hit the market.
We help providers understand and improve the economics of what they deliver, then make sure the reimbursement actually reflects it.
Find where revenue leaks and cost hides, quantified with actuarial rigor, then prioritized by impact.
Negotiate and structure contracts so rates reflect the true cost and value of care delivered.
Recover out-of-network revenue through the federal IDR process under the No Surprises Act, managed end to end.
We give investors an independent actuarial read on healthcare assets, so the diligence, and the thesis, rest on defensible numbers.
Independent validation of the assumptions underpinning a target’s financials and projections.
Test reserve adequacy and quantify the risk exposures that move enterprise value.
Model the post-close levers (pricing, contracting, mix) that turn a thesis into realized margin.
Chief-actuary-level leadership on an interim basis, guiding the best practices, controls, and analytics of your actuarial department while you hire, restructure, or scale.
Engagements built to increase revenue and reduce cost for healthcare organizations, grounded in actuarial analysis rather than guesswork, and ending in decisions you can act on.
Recover out-of-network revenue through the federal IDR process under the No Surprises Act. We position offers, build the evidence, and run eligible disputes to payment.
Negotiate and structure payor–provider contracts so reimbursement reflects the true economics of the care being delivered, not last year’s baseline.
Tell us the problem. We’ll point you to the right service, or tell you honestly if it isn’t one we’re best placed to solve.
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