Extensive Experience in Diverse Healthcare Sectors

Wakely Consulting offers you a realistic, practical approach to actuarial and compliance solutions. We recognize the divergent and, at times, conflicting objectives of HMOs and insurance companies wanting to pay low yet reasonable reimbursements to providers; doctors and hospitals wanting fair fee levels; employers and employees wanting low premiums; and all wanting quality health care.

With the passage of the landmark Patient Protection and Affordable Care Act (PPACA, or ACA for short), health care reform has significant short- and long-term provisions that will affect patients, health care providers, health plans, regulators, employers, taxpayers and other participants in the health care industry.

As a result, Wakely Consulting can craft customized solutions that competitively integrate your organization’s particular needs within this “minefield” of different health care players and competing objectives.

Below are some of the many businesses we serve:


Carriers

  • Life and Health Insurance Companies
  • Health Maintenance Organizations (HMOs)
  • Reinsurers

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Providers

  • Hospital Systems
  • Physician Groups (IPAs, Multi-Specialty Groups, Clinics, etc.)
  • Physician Hospital Organizations (PHOs)
  • Preferred Provider Organizations (PPOs)
  • Prepaid Limited Health Services Organizations (PLHSOs) — Dental, Vision, “Clinic Only” Plans
  • Dental Practices
  • Pharmacy Benefit Managers

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Self-Funded Plans

  • Third-Party Administrators (TPAs)
  • Employers (Private, Government, Municipal)

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Consultants

  • Managing General Underwriters (MGUs)
  • Employee Benefits Consultants

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Government Agencies

  • State Insurance Departments State Insurance Departments
  • Counties and Municipalities Counties and Municipalities

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Get in Touch for Actuarial and Healthcare Reform Services