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Health Actuarial Consultancy

Advantage of Health Actuarial

  • Service Images Health Service

    Today, the healthcare industry is facing a variety of challenges. The Business finds itself at a crossroads between investors, regulators, and therefore court of public opinion. All this is sophisticated by public, private and not-for-profit entities competing head-to-head for the unchanged customers and revenue. This creates complicated challenges for insurers, policy makers, regulators, Suppliers and purchasers. In this current environment, it is additional crucial than ever to understand the distinct characteristics and risks of the many and varied markets.

    Our team of health actuaries is the leaders in advanced solutions in the ever changing healthcare environment. We are the reliable advisors to insurers, healthcare providers, government agencies, law organizations and regulators. Our clients communicate to us for our high-level strategic opinion, and our ability to model planned reforms and reaction to changes in regulations on both the state and federal levels.

    UNIWIDE Actuarial Services can facilitate providers:

    • Optimize medical risk, underwriting and pricing
    • Examine reimbursement, network contracting, and payments
    • Point out cost drivers and key performance indicators

    Health care data analysis can assist with creation of sickness and condition registries and identification of evidence-based medicine gaps in care and knowledge.

  • Service Images Actuarial Advisory Services for Insurers and Health Organizations

    • Development and design of insurance and health products. Development of pricing models.
    • Support to the management control. Follow-up to the profitability of insurance and reinsurance contracts.
    • Analysis of accident rate and premium adequacy. Support for accounting under international standards. Projection and evaluation of businesses and products.
    • Analysis of reserve adequacy for known losses. Estimate of IBNR losses.
    • Actuarial advisory services in transactions of insurance companies and portfolios.
    • Review and reserve attestation.

  • Service Images ObamaCare Facts: ACA, Health Insurance Marketplace

    ObamaCare's many provisions provide new patient protections in handling insurance companies and reciprocally mandate that everyone who will afford to must acquire health insurance by 2014, get an exemption, or pay a penalty.
    It makes insurers whole for losses they were certain to incur by virtue of giving “affordable” plans. Such losses were inevitable, as a result of ObamaCare rules make it impossible for an insurance company to give “affordable” plans and still cover costs. The premiums have to cover an extended list of mandatory benefits, as well as $100 billion in taxes that the law imposes on insurers over the last decade. Most significantly, the premiums have to cover the cost of caring for seriously ill people for the same price as healthy people.

    Few aspects of the Affordable Care Act (ACA) are more vital to its success than affordability, however in recent weeks experts have expected costs for some health plans may soar next year.
    Now health law supporters are pushing back, observing close ties between the actuaries creating the forecasts and an insurance industry that has been complaining about taxes and different factors it says will result in rate shock for consumers.

  • Service Images Actuarial Value of ObamaCare Health Plans

    Under the Affordable Care Act aka “ObamaCare”, new qualified health plans come into operation in 2014. These health plans sometimes known as metal plans are primarily distinguished from each another by their actuarial value but not their benefits.
    • Bronze health plans will typically include 60% of covered medical expenses
    • Silver health plans will typically include 70% of covered medical costs
    • Gold health plans will typically include 80% of covered medical expenses
    • Platinum health plans will typically include 90% of covered medical costs

    Actuarial values can be a useful tool to tell consumers within their health insurance plan evaluations. However, consumers should keep in mind to additionally contemplate health plan quality ratings, acceptance of their health plan by their doctors and hospitals, likewise as premium once when deciding which plan in which to enroll.

  • Service Images Uniwides Health Actuarial Advisory Services for Obamacare

    New Health Insurance Marketplaces (AKA Exchanges) permit shoppers to compare Health Plans that include all new benefits, rights and protections.
    • We offer Cost assistance to people, families and small businesses through the marketplace.
    • Medicaid eligibility is dilated in 26 states to 138% of the federal poverty level giving millions of Americans access to healthcare.
    • No annual or time period on healthcare.
    • Whole medical insurance is guaranteed issue that means you can't be denied coverage for any reason.
    • Insurance corporations can't drop you when you are sick or for making a mistake on your application.
    • You have got the right to quickly appeal any health insurance company decision.
    • We assist you easy-to-understand summary about a health plan’s benefits and coverage.
    • Young Adults will stay on their parent's plan until 26.
    • We help you reforms to the healthcare industry to cut wasteful spending.
    • We will take better care and protections for seniors.
    • Essential and important health benefits like hospitalization, emergency care, prescribed drugs, and maternity and newborn care should be enclosed on all non-grandfathered plans at no out-of-pocket limit.
    • You can't be charged a lot of supported on health standing or gender.