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Private health insurers

Our large proprietary claims database and Health Cost Guidelines™ creates meaningful utilisation and cost benchmarks, which support pricing and benefit design for our private medical insurance clients. Working closely with our international offices means we can bring local expertise and knowledge to projects on a global scale. We help health insurers understand the various financial risks inherent in alternative provider reimbursement arrangements and administering tailored claims management programmes. This includes well managed benchmarking and financial return on investment from well-being and disease management programmes. We can also review the effectiveness of medical underwriting, advise on the implementation and calibration of medical underwriting systems and provide clients unique regulatory advice on Solvency II and ORSA requirements, particularly how they apply to health insurers.