About Persichetti & Associates, LLC
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.
With more than 25 years of experience spanning employers, providers, health plans, advisory firms, and healthcare startups, I work closely with leaders who want to understand the financial and strategic implications of their choices. My role is to translate data, economics, and regulatory context 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.
Core Services
Persichetti & Associates provides senior-level actuarial insight for organizations making important strategic, financial, and analytical decisions in healthcare. Engagements are tailored and unconflicted.
Strategic Actuarial Advisory
- Support for strategic planning and major initiative evaluation.
- Economics of care delivery and pricing structures.
- Provider-sponsored plan strategy and integration questions.
- Advisory for health services startups and new entrants.
Independent Financial & Analytical Insight
- Cost modeling, forecasting, and scenario testing.
- Network and provider pricing evaluation.
- Site-of-care and utilization dynamics.
- Actuarial due diligence and independent reviews.
Clear, Defensible Decision Support
- Documentation for boards, committees, and fiduciary bodies.
- Independent evaluation of vendor or consultant recommendations.
- Support for transparency-driven decisions and market comparisons.
- Expert witness and litigation-support analytics when needed.
Who I work with
Clients engage Persichetti & Associates when decisions are complex, stakes are high, or they need an independent actuarial perspective that integrates financial, strategic, and economic insights.
- Provider-sponsored health plans and integrated delivery systems
- Health services startups and innovative market entrants
- Benefits advisory firms and consulting organizations
- Employer plan sponsors
- Philanthropic and policy organizations
- Law firms seeking expert actuarial analysis or expert witness support
The common thread: organizations that value clear, senior-level judgment and an independent view.
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.