Craig M. Arnold, Managed Care Actuary
Services for Regulators
Small Group Reform: I can assist with all aspects of Market Conduct Exams (actuarial and non-actuarial). As a company coordinator for two Market Conduct Exams (spanning a year and a half), in addition to being an experienced auditor, I bring a wealth of experience to your team.
Annual Statements, Reserving, and Financial Exams: I can determine whether all appropriate items have been reserved for, especially regarding the many new types of provider arrangements. Also, whether changes in business composition have been appropriately reviewed.
Rate Filings: I can work with you to determine if rate filings are complete, and if rates are adequate, and not excessive or discriminatory.
Medical Provider Issues: If you have a need to review a provider contract, or determine a provider organization's fitness for taking on risk, l can assist in this analysis.
Reinsurance: I can work with you to determine the appropriateness of an insurer's (or medical provider's) reinsurance and stop-loss arrangements.
General data analysis and data mining: I can review your systems, and leave you with effective tools to accomplish your goals.
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