Rate Development & Cost Modeling

The contract titled Rate Development & Cost Modeling requires the development of actuarial models and detailed cost projections to support health plan pricing and financial sustainability. The work involves analyzing extensive claims data to identify trends, assess risk exposure, and inform accurate rate setting for insurance carriers. The successful contractor will play a critical role in supporting rate negotiation processes by providing data-driven insights and forecasts that align with regulatory requirements and financial goals. This subcontract is focused on enabling informed decision-making within the Massachusetts Group Insurance Commission’s health plan framework. Performance of all tasks under this contract must be conducted in Boston, Massachusetts, with a compliance deadline of September 30, 2026, at 5:00 PM local time. The North American Industry Classification System code 541618 indicates the work falls under other management consulting services, specifically emphasizing statistical and actuarial consulting. The contract is not subject to a specific set-aside designation, and while no point of contact is listed, all submissions must adhere to the requirements outlined in the combinedbuys platform. The scope demands a high level of analytical precision, experience in health insurance cost modeling, and the ability to translate complex data into actionable financial recommendations for state-level health plan management.