Health Plans, intermediaries and sponsors continue to face monumental inflationary and fiduciary concerns that drive margin creep, including:
- Double Digit Healthcare Cost Inflation
- Fluctuations in Plan Designs and Payment Systems
- Significant Pressure on Administrator Fees and Margins
- Changes at the Federal Government Level
- Lack of Focus on Process Variation and Controls
- Intense Marketing Pressure
- Lack of Accountability from Servicing Providers
- Adherence to Compliance Regulations
DiMaggio Consulting Group, LLC is a nationally recognized group of experts who specialize in identifying compliance-driven overpayments and the maximization of transactional process efficiencies. The solutions we create and deliver vary widely from mitigating financial and legal risk by assessing compliance with state and federal regulations and provider contracts to identifying payments made that are the responsibility of other liable parties . The outcomes ultimately help Claim Payor Organizations free up financial resources to direct to other management priorities.
Our business objective is to translate knowledge into solutions for organizations who serve Medicare and Medicaid populations. DiMaggio Consulting Group, LLC has an extensive resume and strong track record of combining analytical and policy expertise with project delivery proficiency.
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