Employer Services

• Actuarial & Underwriting - HCSS has experience with detailed actuarial techniques for pricing managed care products and underwriting methodologies. This includes unit price analysis, frequency projections and resulting PMPM rates for Medicare, Commercial and Medicaid business (see Cost Management Model).
  
  
• Financial Projections, Cash Flow, IBNR determination & review - HCSS can create comprehensive multiple year financial projections for analysis of strategic opportunities.
  
  
• Benchmark Analysis & Norms - HCSS will review existing benchmarks and norms and access what is appropriate for your organization. HCSS will determine how your employees compare to normative quality and cost statistics.
  
  
• Healthcare Statistical Reporting Design  - HCSS will custom design Integrated Healthcare Solutions. 
  
  
• ROI of disease management programs.
  
  
• Health Benefits Consulting - including drill down into the root cause of health care inflation.
  
  
• Alternative Risk Financing for Self Insured Accounts - HSCC can access the saving by conversion from insured to a self insured arrangement and develop an integrated stop loss model.
  
  
• Design of healthcare savings opportunities - This will include detailed recommendation on benefits savings, projections, benchmark targets (e.g. utilization rates per 1000, HEDIS comparisons).
  
  
• Stop-Loss design and captive models for protection of specific and aggregate risk.