Health

Data analysis to support ICAHPA innovation funding and operational improvement

PFS joined very large anonymised patient data sets with a range of financial and practice information. This was used to analyse and inform the optimization of practice and forecast future outcomes to support an IHACPA innovation funding submission.

Data analysis to support growth and ICAHPA innovation funding

PFS Consulting conducted a comprehensive Performance, Impact, and Effectiveness Review of a hospital Emergency Department Musculoskeletal Diversion Pathway. Combining empirical data analysis with extensive stakeholder engagement, we evaluated the initiative’s cost-effectiveness, sustainability, and scalability. Through rigorous actuarial and quantitative analysis, we established control groups, developed patient throughput forecasts, and assessed system-wide benefits. Our evidence-based business case demonstrated the pathway’s effectiveness and provided recommendations for expanding the program as an innovative model of care under the National Health Reform Agreement.

Actuarial support for health insurer

PFS provided pricing and reserving support for an Australian Private Health Insurer (PHI) for a period of over 12 months.

Review of Risk Management Framework for a Private Health Insurer

PFS undertook a review of the risk appetite statement (RAS), risk management framework (RMF) and risk management strategy (RMS) for a large health insurer as required under APRA’s prudential risk requirements.