Forensic and Dispute
New regulations and relationships across the health care landscape have introduced increased scrutiny from regulators and other stakeholders, increased demand for transparency, increased pressure from business partners, and newly expanded roles for health plans and providers. Deloitte’s team can help you navigate these changes.
Being proactive to avoid the costly reactive
Health plans need defense against conflict and compliance issues that can waste time, cost money, and drain energy from core performance. Any time different interests cross paths, there’s the potential for disagreement. That includes participants in the health care system—patients, plans, providers, and their business partners—and it certainly includes regulatory authorities. Taking a thoughtful approach to structuring programs and relationships with potential disputes in mind, may help you experience fewer of them. Deloitte’s team of health care veterans and former prosecutors, law enforcement agents and regulators draw upon our abilities in finance, consulting, audit, analytics, and other areas to help you anticipate issues before they occur as well as react when they do occur.
Using analytics solutions to understand data and generate insights, health plans can predict potential issues. Predicting these issues can help you to find, resolve, and proactively self-report compliance violations. Potential benefits include everything from providing concise solutions to regulators to protection of management integrity and avoiding reputational risk.
About the Deloitte Center for Health Solutions