
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.
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.

