Healthcare analysis grounded in evidence, economics, and actuarial discipline

Healthcare analysis grounded in evidence, economics, and actuarial discipline

Persichetti & Associates provides senior-level actuarial advisory and independent healthcare analysis for organizations facing complex financial, risk, contracting, and strategic decisions. It is also the home of Evidentiary Ceiling, a public review initiative focused on consequential healthcare claims.

Persichetti & Associates provides senior-level actuarial advisory and independent healthcare analysis for organizations facing complex financial, risk, contracting, and strategic decisions. It is also the home of Evidentiary Ceiling, a public review initiative focused on consequential healthcare claims.

Laudger & Laurel's office

About Persichetti & Associates

About Persichetti & Associates

Persichetti & Associates works at the intersection of healthcare finance, actuarial analysis, and consequential decision-making. The focus is not simply on producing models or calculations, but on understanding what the available information establishes, how a proposed financial or clinical mechanism would have to work, and which assumptions materially affect the decision.

The firm supports healthcare organizations, employers, plan sponsors, and leadership teams evaluating cost, utilization, risk, contracting, financial performance, and strategic alternatives. Work may involve focused actuarial analysis, review of an existing model or claim, development of scenarios and sensitivities, or independent challenge of the assumptions supporting a proposed course of action.

Evidentiary Ceiling extends that analytical discipline into public review. Its purpose is to examine consequential healthcare claims and make clear what the evidence supports, where the conclusion travels beyond that support, and what would be required before greater reliance is warranted.

The common thread is analytical discipline: define the question, make the assumptions visible, and keep the conclusion within what the evidence and reasoning support.

Clarity

Define the question, scope, assumptions, and decision use before drawing conclusions.

Clarity

Define the question, scope, assumptions, and decision use before drawing conclusions.

Discipline

Separate evidence from mechanism and purchaser financial effect.

Discipline

Separate evidence from mechanism and purchaser financial effect.

Perspective

Test material assumptions, uncertainty, and alternative explanations.

Perspective

Test material assumptions, uncertainty, and alternative explanations.

How We Work

A structured approach to consequential healthcare questions: define the decision, analyze what the evidence supports, test the material assumptions, and make the limits of the conclusion visible.

step 1

step 1

Define the decision

Define the decision

Clarify the question, scope, relevant evidence, assumptions, and intended use.

Clarify the question, scope, relevant evidence, assumptions, and intended use.

A person discussing financial documents

step 2

step 2

Analyze what is supported

Analyze what is supported

Evaluate the financial, actuarial, contractual, and economic evidence relevant to the decision.

Evaluate the financial, actuarial, contractual, and economic evidence relevant to the decision.

A lap top and a notebook

step 3

step 3

Bound the conclusion

Bound the conclusion

Identify material uncertainty, test the assumptions, and state what the analysis can and cannot support.

Identify material uncertainty, test the assumptions, and state what the analysis can and cannot support.

Financial documents