Wakely Consulting Group HomeContact Wakely Consulting GroupSite MapWakely Consulting Group Home

Wakely Consulting Group
Health Care Businesses Served

Wakely Consulting Actuarial Staff
Research

Wakely Consulting Group actuaries provide a comprehensive full-service array of expert actuarial services and consulting to the medical and health care sectors. Please contact us to help you with any of the following services:

Regulatory ServicesRegulatory Services
Product and Premium PricingProduct Pricing
Financial Statement SupportFinancial Statement Support
Strategy and Business ManagementStrategy and Business Management
Special ServicesSpecial Services

Regulatory Services
Risk-Based Capital (RBC) Requirements and Surplus Adequacy Risk-Based Capital (RBC) Requirements and Surplus Adequacy
State Insurance Department Filings State Insurance Department Filings
State Insurance Department Filings Medicare Advantage/Prescription Drug Plan Bid Submission/Certification
Actuarial Certifications and Annual Statutory Opinion Actuarial Certifications and Annual Statutory Opinion
State Insurance Department Filings Medicaid Rate Certification
Turnkey Filing of HMO Certificate of Authority (COA) Turnkey Filing of HMO Certificate of Authority (COA)

Back to top

Product Pricing
Rating Algorithm Review Rating Algorithm Review
Product Development, Impact of Benefit Design Changes and Pricing For: Product Development, Impact of Benefit Design Changes and Pricing For:
- Commercial Lines
(Medical, Dental, Vision, etc.)
- Medicaid
- Medicare
- SCHIP/Healthy Kids
- Self-Funded/ERISA Employer Group Plans
Experience Rating of Large Groups Experience Rating of Large Groups
Reinsurance Review Including Analysis of Specific and Aggregate Limits Reinsurance Review Including Analysis of Specific and Aggregate Limits
Develop Capitation Rating Models Including but not Limited to: Develop Capitation Rating Models Including but not Limited to:
- Provider Capitations
- Per Diems
- Percentage (%) of Premium Contracts
- Global Capitations
Develop Capitation Rating Models Including but not Limited to: Medicare Prescription Drug Plan Reconciliation:  
  - Risk Corridor
- Reinsurance
- LICS
Develop Capitation Rating Models Including but not Limited to: Risk Adjustment Systems:  
  - HCC
- ACG
- DCG
- CDPS, etc.

Back to top

Financial Statement Support
Claim Liability and Reserve Determinations (IBNR) Claim Liability and Reserve Determinations (IBNR)
Financial Projections, Profitability Studies and Valuations Financial Projections, Profitability Studies and Valuations

Back to top

Strategy and Business Management
Competitor Studies Competitor Studies
Mergers and Acquisitions Mergers and Acquisitions
Review of Managed Care Networks, Contracts and Risk Review of Managed Care Networks, Contracts and Risk
spacer.gif (92 bytes)Sharing Agreements
Underwriting Review Underwriting Review

Back to top

Special Services
Speaking Engagements on Current Health Care Topics Speaking Engagements on Current Health Care Topics
Expert Witness Reports and Testimony Expert Witness Reports and Testimony
Custom Consulting Services Custom Consulting Services


About Wakely Consulting | Businesses Served
Services Offered | Actuarial Staff | Research
Site Map | Contact Us | Client Login | Home