ACG Provides Critical Support and Expertise for Plans Operating In The ACA 3R Space and on Health Exchanges (HIX) as Qualified Health Plans
The ACG team successfully guided plans with government program start-up and operations Medicare Part D. Accustomed to working with CMS’ continually evolving regulatory guidance and building solid operations in the face of complexity, ACG provides critical support in plan operations, risk adjustment, business process controls and regulatory compliance in this evolving marketplace.
By focusing on the space between what’s supposed to happen on paper and what’s actually happening on the ground, our firm assists health organizations in identifying the difference.
ACG assists our clients in systematizing the operation of their ACA plans, through:
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Developing processes to migrate and systematize manual processes
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Developing operational processes around outsourced systems and Edge Servers
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Analyzing data flows, errors and discrepancies to support reengineering
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Supporting Risk Adjustment Program Management
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Performing Initial Validation Auditing
