Optimize your risk with our comprehensive edge services.
In an effort to stabilize new exchanges and ensure competition based on price and quality the ACA established the Reinsurance, Risk Corridor, and Risk Adjustment programs.
To prepare for these new provisions, all health plans must have an infrastructure in place by October 2013 that allows the Department of Health and Human Services to access data to develop new reimbursement and risk calculations, or face penalties.
We offer comprehensive edge services to unburden your staff and assist with everything from data and financial management and the transitional reinsurance, to risk optimization and enhanced member services.
Edge Services Process Schematics