Complex models and tools for actuarial analysis — with a robust and voluminous set of features — are often overkill for a smaller or mid-size healthcare insurer. At HMA Solutions, our focus is to develop applications that are tailored to the lines of business and populations you serve. While fine-tuning them to integrate effortlessly with processes and workflows that are already working for you.

The what-if power of our HMA Plan Pricing Model:

Reserving and corporate actuarial functions.

Case in point, the HMA Plan Pricing Model provides a flexible and intuitive way to develop pricing that is both competitive and profitable — while accommodating your need to benchmark key cost and utilization factors. Its ability to augment and fine-tune data output for macro and micro analysis includes:

  • Combine your plan’s internal data with outside data sources
  • Select specific populations, subpopulations, and service category groupings
  • Enter what-if variables to help project the effect that modifications in plan parameters and population composition could have
Whiteboard presentation

Custom solutions to address any business requirement.

We’re adept at codifying our expertise into a set of incisive actuarial models and tools, including rating engines and applications for reserving/ forecasting. Solutions based on the same models and tools we use in our consulting work.

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