HEALTH BENEFIT CONSULTING

Fifth Quadrant's range of activities in this area includes the following:

• Benefit design for medical schemes
• Pricing of benefit options
• Financial management to ensure that solvency requirements are met
• Contracting with managed care providers
• Regular monitoring of claims experience with a view to identifying adverse trends
• Calculation of IBNR provisions
• Advice on the impact of new legislation as it affects medical schemes
• Selection of medical scheme administrators
• Development of investment strategies for medical schemes
• Advice on mergers of medical schemes
• General advice to Trustees on the application of their fiduciary responsibilities
• Advice to the Trustees on developing a "business plan" for their scheme
• Advice to employers on health policy including workplace wellness
• Advice to employers on the selection of a medical scheme
• Calculation of actuarial liability for post-retirement healthcare subsidies
• Specialist actuarial advice to managed care organisations and network providers
• Specialist reporting tools that enable drill-down to claims line level
• Industry benchmarking