Employers and Brokers
We believe that Actuarial services should be both affordable and tailored to your needs. We understand that every employer faces distinct challenges, and our customized, flexible approach ensures that we address your unique needs. With our comprehensive set of tools, you can improve plan performance by having independent analysis on your side.
Services for Broker and Employers
- Renewal Analysis: Are you paying too much for medical, pharmacy, or stop loss coverage?
- Cost Saving Strategies: Analyzing your specific health plan needs and solutions
- Financial Planning: Budgeting, Forecasting, and Claims Analysis
- Reserving for future claims: IBNR and Claim Fluctuation Reserves
- Premium Rate Setting: Coverage Tier Strategies and COBRA Rates
- Part D Creditability Coverage Testing: Ensure compliance with CMS requirements
- Plan Design and Coverage Changes: Cost benefit analysis before implementation
- Employee Satisfaction: Can employees easily access affordable, high quality healthcare?
Healthcare Providers
Healthcare providers are the most important aspect of the healthcare ecosystem, yet are systemically disadvantaged against the tactics employed by the largest healthcare entities. You don't have to be pushed around by companies just because they are larger than you! With forward looking financial models and knowledge of what strategies work in this intimidating environment, you can focus on your patients, while receiving fair payment for your hard work.
- Insurance Contracts - Contract review and financial modeling of contract changes
- Reimbursement Rates - Negotiation strategies to increase insurance payments
- Financial Forecasting - Planning for future expenses and investments
Vendors and Point Solutions
Standing out in today's sea of healthcare vendors has become increasingly challenging. Purchasers have become skeptical of traditional sales pitch approaches and cost savings claims. We specialize in providing healthcare vendors and point solutions with independent validation and data-driven insights that highlight the true value of your offerings. By partnering with us, you’ll gain the credibility and confidence needed to attract and retain clients, ensuring your innovations focus on your most meaningful impacts and operational efficiency. Let us help you showcase the undeniable benefits of your healthcare solutions today!
- Independent ROI Verification
- Value Proposition Development
- Pricing Analysis
Non-Profit Patient Advocacy Groups
At Empath Actuarial, we love supporting those who are making a positive patient impact, no matter how big or how small. We believe that the combination of clinical expertise, analytic insights, and heartfelt determination truly can move mountains. If you have a dream, we'd love to help you build it. If you have a solution that is already helping those in need, we'd love to help you expand your reach and improve your operations.
We aim to serve one non-profit per year, on a pro bono basis. Please reach out so we can learn more about your mission to improve healthcare!
- Claims analysis and data-driven insights
- Financial modeling and forecasting
- Operational efficiencies and process automation
- Verification of health outcomes