Recent CMS Audits with Average Fines of $750k+
Health plan directors are typically concerned with wellness, spend and profitability. The three are inextricably tied together.
In recent interviews with health plan directors, several commonalities on the subject of spend recurred. One common notion was, a “do-it-yourself” mentality for member communications fulfillment would reduce spend. What plans might not know is that “doing-it-yourself” actually increases spend and risk consequently reducing profitability.