Health Care
Managed Care Organizations
Moss Adams professionals have extensive experience working with managed care organizations of all types and sizes, such as:
- Health maintenance organizations (HMO), including Knox-Keene licensed health plans
- Delegated medical groups
- Independent physician associations (IPA)
- Management service organizations (MSO)
Our health care team assists these organizations in a variety of ways, from improving operations to boosting financial performance to substantiating cases in legal proceedings. The professionals who provide audit services to these entities have specific expertise auditing and analyzing IBNR, re-insurance, capitation, sub-capitation, and other managed care contracting arrangements.
Some of our consulting services to this market include:
- Diagnostic assessments of operations and financial performance
- Claims
- Utilization management
- Contracting
- Risk pool management
- Claims audit and quality control
- IBNR reporting
- Revenue recovery and enhancement
- Operational infrastructure development
- Litigation support services
- Contracting strategy and implementation
- Information systems assessments and procurement
Health Care Contacts
Arizona
Tony Maki
480-444-3424
New Mexico
Brandon Fryar
505-830-6200
Northern California
Marci Pierce
415-677-8205
Oregon/Southwest Washington
Tony Andrade
503-242-1447
Southern California
DeVon Wiens
949-221-4000
Washington
Don Hansen
425-259-7227
Service Spotlight