Our knowledge of the health insurance and health care industries empowers insurance companies, reinsurers, regulators, provider groups and self-insured plan sponsors of all sizes to consistently make the best decisions. Whether it is exploiting new opportunities or resolving conflicts, we help you design a strategy that is both practical and cutting edge. And our work does not stop there – L&E is also total solution for your health care and health insurance needs.
L&E actuaries know that circumstances change every day, creating new possibilities for product development and new demands on product management. Our first priority is working closely with you to fully understand your operation before helping you develop products that carefully balance your resources and goals. Our expertise in both individual and group products include:
At L&E, health insurance product design is just the beginning. You can rest assured that we will keep your portfolio finely tuned to maximize impact and efficiency. Among our specialties:
Our database of health insurance information has allowed us to build a data set that reflects the "real" costs in an area. The Lewis & Ellis Health Care Cost Model is an interactive tool that allows us to sensitivity test changes in utilization, reimbursement and benefits. Whether you are pricing a new product, changing benefits or just want to know how to be more competitive, we can help you.
Our clients rely on us for:
Health Care reform has been in the news for some time. The Affordable Care Act has far reaching effects for the health insurance industry. It will significantly impact states, employers, health insurers, health care providers, and insurance consumers.
L&E’s actuarial and economic models offer a flexible approach that can be tuned to the needs of a state, municipality, health insurance issuer, or other entity impacted by healthcare reform. L&E has successfully assisted several states analyze the impact of Health Benefit Exchanges and other ACA reforms.
Additionally, L&E has developed rate review programs for state insurance departments so that they meet the requirements of an effective rate review program as defined by the Department of Health & Human Services.
More about health care reform
We are always charting new paths for our health care expertise. Our services reach beyond traditional insurance companies to include hospitals and other health care providers. L&E can provide superior strategic planning and negotiating including:
“Lewis & Ellis have assisted us many times over the past several years. Their attention to detail, thoughtful insight, and timeliness contribute a great deal to the success of our projects.”
-- Rex Critzer, FSA, MAAA, Vice President - US Health and Life Insurance Company