Addressing the needs of evolving healthcare exchanges for commercial and government plans
Helping to address ACA-driven needs for intensified risk modeling, episodic payments, reporting and plan / contracts design.
Commercial Health Plans
All facets of commercial health plan consulting. Including reserving / rating and exchange strategies for product design and filing.
From Medicare / Medicaid bid support and rate evaluation to product design, network configuration and provider risk models.
Reserving and corporate actuarial functions.
Along with traditional reserving work — including IBNR, PDR and other major actuarial accruals — HMA Solutions performs budget forecasting and financial monitoring. We are also qualified to sign annual statements of actuarial opinion.
Modeling tools, systems and processes
Aligning populations, projections and profitability