Our Services

HEALTHCARE CONSULTING

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UNITED Actuaries is experienced and provides actuarial advice and general consulting services to healthcare institutions, corporate clients and medical schemes.  Drawing from a strong actuarial understanding of the funding principles behind medical schemes, UNITED Actuaries has assisted medical schemes and corporates alike, to create affordable and workable health care solutions. UNITED Actuaries multi-faceted approach to health care ensures that it is able to provide advice based on a thorough understanding of the fundamentals of health management. Our healthcare consulting services includes:

  • Product Pricing and Reserving

  • Annual Benefits and Rates Reviews

  • Distribution, Operational and Financial Strategic Consulting

  • Product Development and Competitor Analysis

  • Financial and Clinical Risk Management

  • Compilation of Statutory Reports

  • Ongoing Monitoring Of Solvency Margins And Reserving Strategy;

  • Industry and legislative updates;

  • Assistance with service provider management and service level agreements and facilitation of administration tenders;

  • Actuarial assessment of a potential merge opportunity between schemes

  • Market Entry Analysis

    • Analysis of market opportunities and start ups

    • Mergers and Acquisitions

    • Assistance in Due Diligence

    • Post transaction implementation and conversion activities

  • Business Plan/Strategy Consulting

  • HealthCare Services License Applications & Variations

  • Actuarial Audit/Independent Peer Review

  • Experience Studies & Reports

    • Claims & Expense Analysis

    • Assumption Studies

    • In-force Analysis

  • Benefit design for medical schemes

  • Pricing of benefit options

  • Financial management to ensure that solvency requirements are met

  • Contracting with managed care providers

  • Regular monitoring of claims experience with a view to identifying adverse trends

  • Calculation of IBNR provisions

  • Advice on the impact of new legislation as it affects medical schemes

  • Selection of medical scheme administrators

  • Development of investment strategies for medical schemes

  • Advice on mergers of medical schemes

  • General advice to Trustees on the application of their fiduciary responsibilities

  • Advice to the Trustees on developing a "business plan" for their scheme

  • Advice to employers on health policy including workplace wellness

  • Advice to employers on the selection of a medical scheme

  • Calculation of actuarial liability for post-retirement healthcare subsidies

  • Specialist actuarial advice to managed care organizations and network providers

  • Specialist reporting tools that enable drill-down to claims line level

  • Industry benchmarking

  • Enterprise Risk Management


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Contact Us

UNITED Actuarial & Risk Management Services Limited
11 Ring Close, South Cantonments, Off Labone Road
P. O. Box CT 8690
Cantonments, Accra - Ghana
Tel: +233-302-786-456
info@unitedgroupafrica.com

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