During this webinar, SOC specialists provide an overview of a SOC readiness, the SOC 1 and SOC 2 frameworks and the assessment process.

SOC readiness: What it takes to prepare for a SOC examination

In this on-demand webinar, learn more about best practices and recommendations for health plans to improve your organizations Model Audit Rule program through a panel discussion.

In this on-demand webinar, learn more about best practices and recommendations for health plans to improve your organizations Model Audit Rule program in a panel discussion. 

Garrett is a partner in Baker Tilly’s risk advisory practice and has been with the firm since 2011. He provides client-focused services within the financial services industry with further specialization in insurance, including: financial and IT auditing, system and organization controls (SOC) reporting, internal auditing, enterprise risk management, business process improvement/redesign and control compliance as required under the Sarbanes Oxley (SOX) Act of 2002 and Model Audit Rule (MAR) 205.

Garrett is a partner in Baker Tilly’s risk advisory practice and has been with the firm since 2011.

Bachelor of Business Administration in accounting and finance

Oversees planning, execution and client management for a wide variety of complex accounting and IT consulting, audit, risk assessment and compliance projects

Leads and performs SOC 1 and 2 examinations and readiness assessments across financial services and technology industries. 

Serves as outsourced internal auditor driving internal audit initiatives including performing various operational audits and control assessments

Managed and executed multiple projects acting as an internal or external resource to assist in identifying, documenting and testing internal control in relation to Sarbanes-Oxley and MAR compliance from a both a financial and IT perspective

Leads and performs HIPAA risk assessments

American Institute of Certified Public Accountants (AICPA)

Wisconsin Institute of Certified Public Accountants (WICPA)

Insurance Accounting and Systems Associations (IASA)

Network management is larger and more complex than ever as the market observes an increasing number and variety of networks, large growth in value-based care arrangements, a significant population shift towards Medicare advantage, which has risen from 19% in 2007 to 51% in 2023, and new regulations. It is crucial for health plans to continue innovating their network management strategies to keep up with market demands and outpace competitors. Failing to meet expectations and effectively collaborate with contracted providers can lead health plans to cause friction with stakeholders, incursion of financial penalties, and potential exclusion from government programs, which can significantly impact their bottom line.  Join Baker Tilly for an informative webinar where we will discuss the evolution of network management in recent years and how successful health plans are adopting effective and compliant network strategies. Our professionals will provide insight into crucial considerations for planning effective network management plans, including the impact of recent regulations and the adoption of value-based care (VBC) models of reimbursement. Additionally, we’ll explore strategies to mitigate common challenges encountered by health plans when reviewing their provider networks and identify actionable steps health plans can take to mitigate risk and increase operational efficiencies that facilitate growth.    Who should attend C-suite professionals as well as network management, internal audit, compliance and value-based care professionals within health plan organizations  Learning objectives  Understand current trends in network management and how successful health plans are adopting effective and compliant strategies  Gain insight into key considerations for planning effective network management strategies, including recent regulations and the adoption of VBC reimbursement models  Recognize common pitfalls encountered by health plans when trying to review and improve the management of their provider networks  Identify actionable steps health plans can take to mitigate risk and increase operational efficiencies 

Garrett Gosh

Location

Milwaukee, WI

Education

Expertise

Garrett's latest insights

SOC readiness: What it takes to prepare for a SOC examination

Model Audit Rule panel: health plans

Garrett's upcoming events

Webinar

Effective strategies for health plan network management