The actuary has a natural interest in demand management because such risk management tool should be properly designed, administered and measured.

Health care plan demand management is a risk control technique that uses:

  1. Self-help and self-care techniques
  2. Wellness and preventive programs
  3. Behavior modification initiatives
  4. Utilization review programs dealing with both chronic diseases (diabetes, e.g.) as well as large claims such as AIDS
  5. Benefit design amendments (anti-duplication, high/low benefits, etc.)

Do you have a self-funded plan in need of
actuarial support services?