Healthcare Actuarial Services

Turn complex healthcare risk into clear direction

Healthcare organizations face growing pressure to manage financial risk, navigate changing regulations, and make informed decisions in an increasingly complex market. Whether you're setting rates, evaluating new programs, or responding to legislative requirements, clear actuarial insights can help you understand and manage risk.

BerryDunn combines deep healthcare actuarial expertise with a customized approach to help you solve complex challenges with confidence. Rather than relying on one-size-fits-all models, we work closely with your team to deliver practical, data-driven insights tailored to your unique goals and realities.

From pricing and risk modeling to regulatory guidance and healthcare transformation, we help organizations make informed decisions, manage uncertainty, and improve financial performance.

Health insurance pricing and underwriting

Developing sustainable rates and payment strategies

Financial risk modeling

Forecasting costs and evaluating financial risk

Legislative and regulatory consulting

Navigating regulatory changes with actuarial insight

Targeted market conduct examinations

Improving oversight through independent program reviews

Actuarial liability and asset estimation and certification

Strengthening confidence with certified financial estimates

Innovation and healthcare transformation

Transforming healthcare programs through data-driven innovation

Health insurance pricing and underwriting

Health insurance pricing is the foundation of sustainable healthcare programs. We help health plans, providers, healthcare organizations, and large employer groups evaluate premiums, negotiate value-based payment arrangements, project costs, and develop pricing strategies grounded in real-world data and market conditions.

Financial risk modeling

Our financial risk models help organizations assess the financial impact of new programs or changing market conditions and project future enrollment revenue and costs. The result is better planning, budgeting, and risk management.

Legislative and regulatory consulting

We provide actuarial expertise for legislative initiatives, mandated benefit reviews, Medicaid waiver support, and other decisions. By combining financial analysis with healthcare expertise, we help clients understand costs, impacts, and trade-offs before moving forward.

Targeted market conduct examinations

Our team delivers objective reviews and analytical assessments that help organizations evaluate program effectiveness, identify areas of concern, and support informed regulatory or operational decision-making.

Actuarial liability and asset estimation and certification

We help organizations estimate liabilities, develop reserves, calculate premium deficiency reserves, and provide actuarial opinions and certifications. Our work supports financial reporting, governance, and regulatory requirements.

Innovation and healthcare transformation

From value-based care arrangements to new Medicaid initiatives and healthcare delivery models, we help organizations understand potential impacts, quantify risk, and move forward with greater clarity and confidence.

Benefits of working with BerryDunn's healthcare actuaries and underwriters

Customized solutions, not canned models

Get advice tailored to your organization's goals, data, and challenges rather than generic approaches that may overlook your unique circumstances.

Deep healthcare specialization

Work with actuaries and underwriters whose experience is exclusively focused on healthcare, bringing relevant expertise to complex industry-specific challenges.

Support across complex healthcare decisions

Address a wide range of actuarial, financial, policy, and risk-management needs through a single trusted partner.

Objective and independent analysis

Gain unbiased insights that help stakeholders evaluate options, understand impacts, and make informed decisions with confidence.

Practical, actionable guidance

Receive analyses that connect complex actuarial findings to real-world business decisions, operational goals, and financial outcomes.

Flexible expertise for evolving needs

Whether you need ongoing actuarial support or guidance on a specific initiative, our team adapts to your organization's priorities and challenges.

Dedicated healthcare actuarial expertise and insight

BerryDunn's healthcare actuarial team includes credentialed actuaries, underwriters, and analysts with experience supporting health plans, Medicaid programs, provider organizations, government agencies, and emerging healthcare models. We combine rigorous actuarial analysis with a collaborative consulting approach, delivering customized solutions that help clients understand risk, evaluate opportunities, and make confident decisions in a rapidly evolving healthcare environment.