AI Carrier Negotiation Prep Agent

How Cassidy automates this using AI

Step 1: Trigger on renewal timeline

The Workflow activates when a renewal window opens typically 120 days out pulling in the census, incumbent plan docs, current rates, and 12–36 months of medical and Rx claims from your connected Knowledge Base sources.

Step 2: Build baseline underwriting model

Cassidy parses renewal exhibits and experience files to replicate carrier math: separating shock claims, applying trend, computing pooling charges, blending experience with manual via credibility, and adding retention. The output is a rate waterfall with target rates and flagged challenge points.

Step 3: Assemble and distribute RFP package

Cassidy auto-generates the RFP pack cover memo, census, experience files, plan designs, service requirements, and timelines then distributes it to selected carriers and manages underwriting Q&A through structured templates.

Step 4: Intake and normalize carrier quotes

As proposals arrive, Cassidy maps each to a standardized schema: PMPM/PEPM, retention %, pooling level, loss ratio, network tiers, and Rx formulary. It builds a comparison matrix and runs disruption, plan-equivalency, and contribution modeling.

Step 5: Generate negotiation arguments and track BAFO rounds

Cassidy drafts underwriting argumentation emails and talking points citing quantified deltas and coordinates BAFO rounds, capturing asks, counteroffers, and concessions in a versioned negotiation log.

Step 6: Produce recommendation deck and binding checklist

Cassidy creates finalist scorecards, a recommendation deck with total cost projections and sensitivity analysis, and a binding artifacts checklist covering rate guarantees, stop-loss terms (no-new-laser, ASD, mirroring), BORs, and implementation timelines.