Health plans and risk-bearing organizations (RBOs) face increasing pressure to effectively manage and administer complex, multifaceted risk pool agreements and respond to stakeholder requests for risk pool funding. We can help your organization perform independent risk pool settlement audits and assess risk pool administrative processes.
Our professionals will perform a comprehensive review of associated revenue and expenses associated with each risk pool and help determine if they’re administered correctly and result in accurate settlements.
A risk pool audit typically includes:
Our cost containment services have resulted in our clients realizing tens of millions of dollars in savings. We can help your organization:
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