Health Actuarial Advisory Services

Strategic. Independent. Transparent.

  • Multi-year forecasting
  • IBNR / reserve projections
  • Medical and Rx trend reviews
  • Vendor ROI analysis and retrospective review
  • Dashboard and analytical model analysis
  • Payer transparency file review
  • Renewal analysis
  • Captive strategy and rate setting
  • Expert witness testimony
  • Healthcare startups
  • Actuarial-grade data enhancements
  • Retiree medical valuations
  • Plan design modeling

About Persichetti & Associates

Persichetti & Associates is an independent actuarial advisory practice focused on helping organizations across the healthcare system make clear, well-supported strategic decisions. Led by Thomas Persichetti, the firm provides senior-level judgment, economic insight, and independent analysis to clients seeking clarity in complex or high-stakes environments.

Our role is to translate data, economics, and actuarial risk into decisions and trade-offs that executives, boards, and fiduciaries can defend with confidence.

How I work

I intentionally maintain a small, focused client list. That means:

  • You work directly with a senior actuarial partner, not a leveraged team.
  • Every engagement is independent and unconflicted—no networks, products, or vendor incentives.
  • Analyses are transparent, grounded in economics, and tailored to your environment.
  • Outputs are built for decision-makers: clear options, clear implications, and defensible rationale.

Contact

If you would like to explore a potential engagement, request an independent perspective, or discuss a challenging analytical or strategic question, you are welcome to reach out. A brief conversation is often the best place to start.

Email: tom.persichetti@persichettillc.com

LinkedIn: Connect on LinkedIn

I typically respond within one to two business days.