Health Plans: Membership and Premium Cycle Audits

There are a variety of provider-owned health insurance entities. More healthcare providers have begun to operate self-insured plans that provide coverage to their employees. Many providers have entered the Medicaid insurance market as well as establishing Medicare Advantage insurance plans. Health plans present a variety of business challenges and regulatory requirements that are unique concepts and necessitate more specialized knowledge than you will typically encounter within the provider sector of the healthcare industry.

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