PPACA Implementation Integrated Approach

“How will the Patient Protection and Affordable Care Act affect your business?”

Analysis of product development, marketing, exchange readiness and pricing Readiness assessment for transition from underwriting to actuarial modeling to process control Analysis of market segmentation strategy Benefit design strategy and offerings		Medical loss ratio analysis Cost reduction analysis Claims management effectiveness Medical intervention preparedness Alignment of business strategy and operating model to the impact of heath care reform Transference from sick care to health care Coverage for services delivered in low cost setting (quality)
IT infrastructure ICD-10 and HIPAA-5010 conversions IT development spending analysis IT data capability review related to new reporting requirements HIPAA and other Privacy and IT Security Conversion from fragmented systems to integrated systems		Compliance assessment for new regulatory requirements Organizational risk management and risk convergence Regulatory reporting system and operational process assessment Emphasis on accountability of delivered health care and not avoidance of services