Health Plans
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Today’s healthcare market is changing rapidly, so you need a different kind of partner. One that understands your business, all of the challenges you face, and the interrelated nature of many of these challenges.
At a glance
Baker Tilly is focused on delivering high-value solutions in the areas of Medicare Advantage (MA) and Affordable Care Act (ACA) Risk Adjustment, Value based Payment Transformation and enablement of Payer/Provider Partnerships across all customer segments, and Consumer Engagement.
We can help you align the significant number of business and technical options facing your organization, and in collaboration – bring all the pieces together to architect, design and build the right solutions for you, creating a unique and sustainable competitive advantage for your plan.
We can help your organization stay competitive with specialists who have a deep understanding of and significant experience with health insurance organizations and the broader healthcare ecosystem. Baker Tilly’s specialized professionals understand the interconnected nature of the key challenges facing health plans in today’s market.
Baker Tilly can help you align the significant number of business and technical options facing your organization and – in collaboration with you – bring all the pieces together to architect, design and build the right solutions for you.
The pace of change in today’s healthcare market is accelerating. From the constant uncertainty in regulatory mandates, increasing demands to deliver sustainable reductions in medical expenses and higher expectations for consumer-centric services and solutions, to the growing threat of large-scale disruption from insurtech and inter-industry mergers and acquisitions, health insurance companies need accounting and consulting specialists with deep knowledge and experience in both healthcare and insurance.
Baker Tilly’s specialized professionals understand the interconnected nature of the key challenges facing our clients. We provide financial health services that establish a solid fiscal and regulatory base by enhancing an organization’s operations.
Our solutions
- Shifting your payment strategy (payment transformation)
- Acquiring and retaining engaged consumers (consumer engagement)
- Leveraging data and analytics to enhance ACA and MA business units (risk optimization)
- Enhancing operations and increases accuracy of data through automation of repetitive processes (RPA)
- Preparing for mergers, acquisitions and divestitures (transaction advisory)
- Harnessing the power of your workforce (core HR)
- Helping government contractors improve their understanding of compliance risks (government contract cost accounting)
- Connecting project teams more tightly to the strategic executive agenda (change management)
This continuous cycle of improvement enables our clients to drive profitable growth.
Case studies
Our clients
They are more than consultants. The Baker Tilly team raised the quality of our internal audit and risk management functions and helped us through the change management required to ensure success. We are extremely pleased with their work.Craig Campbell, Chief Administrative and Risk Officer, WPS Health Solutions, Wisconsin Physicians Service Insurance Corp.
The transition of our audit work to Baker Tilly was easy, with no disruptions to our business. Because they know our world, we don’t have to answer unnecessary questions. Their experienced professionals are able to bring practical tax and accounting solutions to our complex business.Jon Gangelhoff, Chief Operating Officer, GWG Holdings, Inc. and GWG Life
By the numbers
5
5th largest health insurance auditor (A.M. Best 2019)
7
7th largest insurance auditor (Aon Ward Benchmarking 2018)
11
11th largest P&C insurance auditor (A.M. Best 2019)
60%
Working or qualified to work in 60% of states using external specialists[
