Consultant Assessment in the Headlines

Consultants were in the news this week; that doesn’t happen often. In this scenario which I will not deeply dive into, a private consulting team was brought on to independently assess the status of a certain federal health insurance enrollment system. Their assessment, after reviewing hundreds of documents and conducting scores of interviews, includes a number of risks with some detailed root cause drivers.

A risk assessment conducted well in advance of any initiative helps leadership and stakeholders understand what potential failures or gaps exist within a system or process. Most readers who have compliance responsibilities are aware of the requirement to conduct a formal baseline assessment, and then to periodically re-evaluate the accuracy of that baseline assessment. The reality is that with all the day-to-day responsibilities that compliance needs to handle, the baseline assessment or the re-evaluation often takes a back-burner.

It is recommended that an organization seek an external resource to conduct these evaluations. With our experience working with plan sponsors nationwide, our Senior Consultants and Clinical teams can take care of that assessment for you, leaving you with a report of gaps, risks, and recommendations on how to correct. Don’t have the time? We can help you correct the deficiencies. Ask yourself when the last time a comprehensive risk assessment was performed; determine if you have time to conduct it on your own, and then contact us to discuss how we can help.

 

 

Resources

The annual risk assessment is an essential part of the ongoing risk management process that assigns priorities for mitigation plans. Learn more about how Gorman Health Group can help you identify and remediate inefficiencies >>

Join us December 11 from 2:00 — 3:30 pm ET for a lively session with Gorman Health Group strategy and data analysis experts who will discuss actual case studies that show how plans can mine data for precious insight that can help improve performance. Click here to register >>

Regan Pennypacker
Regan Pennypacker

Regan is Senior Vice President of Compliance Solutions at Gorman Health Group (GHG). She leads the Compliance Solutions practice, responsible for multidisciplinary projects such as Part C and Part D audits, new applications, marketing material reviews, risk assessments, and training engagements. As a member of this team, she has provided compliance direction and insight on industry best practices to many GHG clients. Regan brings GHG clients 19 years of experience in the healthcare industry. Read more

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