Health Plan Support
At Incline, we understand the diverse challenges health plans face across different lines of business. Whether serving Medicaid populations, offering Medicare Advantage, or managing commercial and specialty products, our team provides the actuarial insight and strategic support needed to stay competitive and compliant.
Medicaid & CHIP
This is where Incline's actuaries have the strongest domain expertise. Our actuaries have led capitation rate certification, risk corridor analysis, reserving and financial modeling, policy impact analysis, and state directed payment compliance for Medicaid programs spanning most states. We support health plans in interpreting state methodologies, conducting rate advocacy, supporting monthly financial close, managing annual budget, reconciling settlements, and preparing for contract negotiations, drawing on direct experience inside both state Medicaid agencies and national MCOs.
Commercial, Medicare, and Other Lines of Business
Beyond Medicaid, Incline actuaries bring deep, named expertise across the rest of the health plan landscape. This includes brings multiple Incline actuaries each with more than a decade of dedicated commercial and ACA experience, spanning exchange product pricing, group and small group markets, and competitive benchmarking. Incline also has experience with Medicare Advantage bid review, CMS-HCC risk adjustment, and financial forecasting, as well as specialty filings including long-term care, behavioral health, and dental.
Why It Matters
Health plans rarely operate in a single line of business, and their actuarial partner shouldn't either. Incline brings the depth to go deep where it counts most, Medicaid, and the breadth to support every other line a health plan carries, all from one team that understands how these lines interact. We bolster the cross-sector support even further with our existing subcontractor relationships and actuarial partnerships.
Why It Matters
Our breadth of experience across all major health plan lines of business allows us to see connections and anticipate challenges others may miss. Incline brings both technical actuarial rigor and practical industry knowledge to ensure plans can adapt, grow, and succeed in today’s evolving healthcare landscape.