Today, the healthcare industry is facing a variety of challenges. Perhaps, unlike any other industry in the US, the industry finds itself at a crossroads between investors, regulators, and the court of public opinion. All this is complicated by public, private and not-for-profit entities competing head-to-head for the same customers and revenue. This creates complex challenges for insurers, regulators, policy makers, providers and purchasers. In this current environment, it is more critical than ever to understand the unique characteristics and risks of the many and varied markets.
Our team of health actuaries are the leaders in innovative solutions in the ever changing healthcare environment. We are the trusted advisors to insurers, healthcare providers, government agencies, law firms and regulators. Our clients turn to us for our high-level strategic advice, and our ability to model proposed reforms and respond to changes in regulations on both the state and federal levels.
Services for Commercial Insurers, HMOs, and Blue Cross/Blue Shield Plans
The current environment requires commercial insurers, HMOs and Blue Cross Blue Shield plans to develop new strategies to prepare for and compete in the post-reform market. Oliver Wyman supports its clients in offering a wide array of services including: market and strategy assessments, product development and pricing, financial modeling and reporting, and enterprise risk management programs.
Services for Insurers of Managed Medicare and Medicaid Programs
Oliver Wyman has extensive experience working with managed Medicare and Medicaid plans. From feasibility studies to pricing and rate negotiations, we provide our clients the information they need to make informed decisions taking into account the special characteristics of these markets.
Services for Insurers with Long Term Care Products
We provide a full array of services including product and program design, financial forecasting, experience reviews and valuations for a wide variety of organizations, including commercial insurance carriers, employers, providers, group associations, self-insured plans, government agencies and other entities.
Services for Governments
Oliver Wyman has a long history of providing a wide range of services to governmental entities. These services include modeling the impact of pending legislation, e.g. health care reform and benefit mandates, to changes in regulatory authority, to high risk pool studies to expert witness testimony.
Services for Regulators
Oliver Wyman has extensive experience providing consulting services to regulators. The services include rate filing reviews, certificate of need analyses, financial review for newly formed insurance companies, financial examinations and expert witness services, and support in strengthening the regulatory function as a result of legislative changes.Insurer rate filing reviews including expert witness testimony
Services for Others
Our services range from working with captive insurance companies to supporting other professionals, as well healthcare providers, to litigation support to audit support.