Health exchange consulting tailored to your needs

Regardless of your state’s position on Medicaid expansion and program integration, states continue to establish new requirements that demand immediate compliance. Our team has broad experience and credibility advising on Exchange readiness, implementations, assessments, and remediation. Our experts can help you implement compliant and effective programs that will coordinate with your state’s health priorities and exchanges while also being audit-ready. We can help you implement a new health insurance exchange compliance program or improve on your existing program to better serve your organization. Our health exchange consulting includes:

  • Audit readiness preparation, gap assessments and remediation support
  • Ongoing monitoring of new requirements and compliance support
  • Compliance support for exchange formulary rules and requirements
  • Assistance with integration of specialty pharmacy programs into HIX offerings
  • Operational assistance with requirements for prior authorizations, exceptions and appeals