Underwriting/Actuarial Tools

Most benefit consulting firms do not have an underwriting department; traditionally they acquire the group experience report from the carrier, then haggle and threaten to move the group to get the rates down. ClearPoint's in-house underwriters can develop a statistical basis for our arguments and challenge a renewal rate increase from a strong negotiating position. In addition, ClearPoint has invested in a powerful new analytical tool — the Health Cost Sensitivity Model. The HCSM can predict the impact of plan design changes and identify plan inefficiencies that are missed by standard actuarial practices. The HCSM can:

• Identify reasons for cost variations and recommend meaningful changes in plan design and funding structures
• Predict future utilization patterns based on changes in demographics, plan design, and geographic data
• Benchmark performance of the healthcare plan to measure the success of quality improvement or cost management initiatives

The Health Cost Sensitivity Model shows us what is driving your costs and allows us to dig deeper and quantify the financial impact of plan design alternatives, for now and in the future. It is truly a unique and innovative actuarial tool.