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Health Care & AIDS

The Health Care market in particular requires extensive actuarial involvement, and we have developed significant actuarial expertise in this area. We advise a large number of health care players, and we are recognised as one of the leading health care actuarial consultancy firms in South Africa.

Our approach is based on the following principles:

  • Detailed data analysis
  • Rigorous mathematical and statistical methods and analysis
  • Interpretation taking heed of industry developments
  • Interpretation in the international context
  • Independence
  • High professional standards

Our services include:

  • Experience investigations: demographic experience and claims experience
  • Generalised Linear Modelling
  • Product design, pricing and benefit limit revisions
  • Incurred But Not Reported (IBNR) reserving and modelling
  • Financial projections
  • HIV/AIDS assessments and financial impact analyses
  • Risk management strategies within the medical scheme environment
  • Analyses of disease profiles
  • Advice on amendments to regulations and legislation
  • Redesigning and costing of service provider tariffs or reimbursement models
  • Developing dynamic activity based costing and demand models
  • Advising on risk sharing arrangements
  • Advising on appropriate alternative reimbursement arrangements
  • Assessing managed care and other interventions
  • Post retirement medical assistance liability assessments under IAS19

By advising on multiple facets of the healthcare industry we are able to bring superior skills to the provision of services to our clients.

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