Health Care

Actuarial consulting services to medical schemes

Beneficiary (insured individuals) and healthcare provider (hospital, doctor) modelling, using various modeling techniques and clinical data groupers.

Detailed claims monitoring across various clients and other functions (e.g. monthly reserve estimates).

Development of healthcare provider reimbursement models for General Practitioners (GP) and specialists.

Actuarial consulting services to medical schemes.

Design and pricing of the health insurance products.

Analytical, statistical and data reporting services to clients.