Eliminating Exposure to Penalties and Interest - AArete

Skip to content

MENUMENU

Who We Work With
Our Solutions
Insights
About Us
- Press ReleasesRead the latest company announcements, publications, media features, and commentary on industry trends.
- LeadershipLearn more about the leaders who help drive AArete forward.
Join Our Team

Who We Work With
Our Solutions
About Us
- Press Releases
- Leadership
Insights
Join Our Team

Eliminating Exposure to Penalties and Interest

By

AArete

Published On

June 9, 2020

Category

Healthcare Payer,
Profitability Improvement

Share This Article

Share on Facebook Share on Linkedin Share on Twitter

penalties-and-interest

Artificial Intelligence(AI) Azure Case Studies Contract Configuration Cybersecurity Data & Analytics Digital Applications ESG In The News Member Experience Solutions Network Solutions Payment Intelligence® Pharmacy Solutions Power BI Procurement Provider Data Management (PDM) Quality Services rithmiqai Wealth Management

Recommended articles

How Tail Spend Undermines Your Strategic Sourcing Goals – And What to Do About It

How the Right Contract Lifecycle Management System Can Help Payers with Network Building & Growth

Change Management Essentials for Healthcare Payers

Smarter Accumulator Management, Stronger Healthcare Operations

Inside the PBM Contract Renewal Conundrum: Breaking the Endless Loop

Operational Resiliency: Mitigating Risks from a Cyber Attack on Third-Party Vendors

How Small Vendors Can Drive Big Savings: Unlocking Value in Procurement’s Blind Spots

Considering PBM Unbundling? Here’s How to Take the First Step

A prescription container pictured in front of someone's hand swiping a credit card

Dispelling PBM Myths: Tips for Creating Pharmacy Benefit Programs That Put Members First

Medicaid Changes Are Inevitable – How You Prepare Matters

Lessons from COVID-19: How Supply Chains Can Withstand the Next Trade Shock

unknown person using laptop

Bracing for the Unknown: How Scenario Planning Keeps You Ready

ai generated, cargo, port, containers, cargo port, shipping, container shipping, nature, shipping industry, transport, freight, logistics, aerial view, industry, freight transport, sunset

Tackling Tariffs in 2025 and Beyond

First-of-its-Kind Healthcare Payer Solution Doczy.ai™ from AArete Combines Provider Contract Expertise with AI to Improve Operations

How Medicare Advantage Plans Can Begin Planning Now for Long-Term Success

Redefining the Role of Procurement Professionals As Value Creators

Maria Turner and Elizabeth Levy Named 2024 Women Leaders in Consulting by Consulting Magazine

Preventing Layoffs: How Board Members Can Support Executives in Prioritizing Other Cost-Management Strategies

The CMS Interoperability and Prior Authorization Final Rule: Strategic Considerations for Healthcare Payers

a shopping cart filled with pills and money

MRF & Provider Pricing Transparency: AArete’s Innovative Approach to CMS Regulatory Compliance

person holding purple and white card

How Program Management Best Practices Can Ensure the Success of Enterprise Projects

The Hidden Costs: How Fragmented Payment Solutions Undermine Efficiency and Long-Term Success

woman in black blazer sitting at the table

Data Disruption and the Future of Data-Driven Procurement – A Guide to Attainable Procurement Innovation

5 Salesforce Health Cloud Use Cases to Deliver Behavioral Health Integrated Care

a group of people sitting around a table with a cloud above them

How Salesforce Health Cloud Implementations Can Improve Payer Efficiency and Enhance Member Experiences

How AI-Driven Tail Spend Management Is Revolutionizing Procurement for Retail, Higher Education, and More

The Path To Net Zero: Decarbonization Strategies for Higher Education

Transforming the Payer-Provider Relationship in the Era of Medicare Advantage Growth

4 Strategies Medicare Advantage Plans Can Implement to Mitigate Financial Pressures

worm's eye-view photography of ceiling

Acquisitions, and More Acquisitions: Navigating VMware Negotiations Amid Organizational Changes

Overcoming PBM Dominance: How Health Plans Can Take Control of Their Pharmacy Benefits

Revolutionizing Patient Care: Leveraging Machine Learning and AI to Predict Surgery Outcomes

AArete launches SaaS Solution for GPRA SOR Compliance and Regulatory Reporting

AArete Unveils AI-Powered Payment Intelligence® Solution for Health Plans

6 Reasons Why Medicare Headwinds Are Here to Stay and 7 Strategies to Survive Them

selective focus photography of books on bookcases near people sits in chairs

Future-Proofing Higher Ed: How Universities Can Adapt Auxiliary Revenue Streams to Regulatory Changes

4 Strategies Health Plans Should Implement to Ensure Compliance with the Medicare Prescription Payment Plan

How to Measure Your Company’s Carbon Footprint

woman sitting at table

Beyond Cost: How a Vendor Portfolio Management Mindset Can Maximize Value

What Is the Difference Between Scope 1, 2, and 3 Emissions?

cybersecurity, digital, security

Fortifying Healthcare Against Cyber Threats: 4 Must-Implement Strategies

people doing office works

Optimizing Contingent Talent Management: Strategies for Risk Mitigation, Cost Efficiency, and Technology Integration

AArete’s Response Center for Change Healthcare Cyber-Attack

person wearing watch near laptop

Best Practices to Enhance ESG Reporting Processes and Outcomes

AI in Health Insurance: How is it Being Used & Why?

Embracing Sustainable Procurement: A Path to Resilient and Responsible Business Practices

Top 3 AArete SnoCast™ Applications for Healthcare Data Acceleration & Management

AArete Acquires Technology Consulting Firm Legerity

Celebrating Our Newest AArete Healthcare Practice Promotions

trail photography of running vehicles on street between grass field

Strategies for Efficient Supply Chains: Cost Reduction and Partnerships

4 Proven Strategies Medicaid Leaders Can Implement to Enhance Member Care, Lower Costs in 2024

Unlocking Operational Excellence: 3 Proven Strategies to Enhance Supply Chain Efficiency

The Future of Higher Ed: 4 Critical Areas of Focus in ’24

Practical Strategies Payers Can Implement to Reduce G&A Expenses

a sunset over a road

Measuring Scope 3 Emissions Categories: A Guide to GHG Scope 3 Reporting & Reduction

Empowering Digital Transformation: AArete Joins Forces with Snowflake Partner Network

Payers Utilize ‘People, Process, Technology’ Framework to Enhance Revenue Capture and Encounters

a bus parked on the side of the road

Smart Fleet Management: Optimizing Campus Services for Cost Savings, Environmental Impact and Student Value

Medicare Advantage Star Ratings Have Fallen Again. How Can Health Plans Reverse the Trend?

AI Higher Education

6 Ways Higher Education Can Use AI to Improve Operational and Financial Performance

a close up of a window with a building in the background

Unlocking the Power of Synthetic Data

How a Flagship State University Achieved $900K Savings and Reduced Overall Campus Energy Consumption Through Media Spend Optimizations

How a Baseline Assessment Can Help Health Plans Speed Up Prior Authorization

Optimizing Tech Spend: A Roadmap for Businesses to Reduce Costs and Boost Efficiency in the Digital Era

AAchieve.ESG

AArete Launches AAchieve.ESG to Help Businesses Reduce Their Environmental Impact

person writing on white paper

AArete Fraud, Waste and Abuse (FWA): Identification of Missing Rate Codes

AArete Earns Prestigious Recognition on Forbes’ List of World’s Best Management Consulting Firms 2023

AArete Solidifies Prestigious Spot in Top 50 Consulting Firms 2023

Duane Harrington, AArete EVP & Senior Managing Director, Honored by Consulting Magazine for Excellence in Leadership

PHE & Healthcare: Why Health Plan Executives Need to Update Reimbursement Policies Post PHE

Case Study: Charting the Course to Net Zero – A Goal Within Reach

3 Cost of Care Strategies for Health Plans to Mitigate Revenue Losses From Medicaid Redetermination

Unlocking the Potential of PBM Partnerships: A Guide for Payers

Operationalizing Systems for Bad Debt Management

Addressing the Crisis: The Cause and Effect of Healthcare Provider Staff Shortages

Large Payer’s Operational Review Conducted, $10M in Savings Identified

More Than Just Labor: Cost Reduction Strategies in the Banking Sector

Health Plan’s Cost-of-Care Portfolio Created, 4.5% Savings Identified

Health Plan’s Prior Authorization Strategy Created, $28M in Savings Identified

people sitting on chair in front of table while holding pens during daytime

The Rediscovery of Keiretsu – Vertically Integrated Partnerships with Your Supply Base

Organizations Need to Rethink Their Supplier Diversity Strategic Plan

Outdated Policies Are Tainting Profitability and Operating Efficiencies

person using MacBook Pro

Leveraging Chatbots to Support Your Procurement Team

University’s Knowledge Management Strategy & Infrastructure Created and Implemented

Ray Baum’s Act & Kari’s Law compliance addressed with IT process for enhanced emergency 911 services

Prepared for Redetermination?

Opting Out: Why Healthcare Needs to Embrace the Digital Age

$0 Premium Medicare Advantage Plans Continue to Grow. Is this a Winning Strategy?

Medicaid Redetermination

The Looming End of A Long Redetermination Pause Calls For A Cleareyed Strategy

Medical Billing Needs To Catch Up With Modern Medicine

Large policy book with blue tab

Provisions to MAPD Program Proposed Rule Impacting Star Ratings (CMS-4201-P)

data auditing and transferring

Multi-State Health Plan’s Legacy Data Records, Audited and Migrated

Bringing Electric Vehicle (EV) Charging to Multi-Residential Housing

person wearing grey dress shirt beside table

Health Plan’s System Migration Plan Created, Over 8,000 Business Requirements Identified

black stethoscope

Comprehensive Oncology Management: Connecting the Dots for Member Benefit and Health Plan Value

brown and white concrete building

University’s Vendor Relationships Analyzed, Resulting in 20% Savings

Health Plan’s Medicare Star Rating Increased by 0.5 in a Year Through Targeted Strategy

person typing on MacBook Pro on brown wooden table during daytime photo

Organizational Restructure and Advanced Analytics Increases Health Plan’s 4-Star Medicare Membership Enrollment by 40%

person wearing lavatory gown with green stethoscope on neck using phone while standing

Actionable Remediation Plan for CPS Optimization Created for Managed Care Organization

woman signing on white printer paper beside woman about to touch the documents

Health System’s IT Operating Costs Analyzed, 18.6% Reduction of Spend Uncovered

person sitting while using laptop computer and green stethoscope near

Ambulatory Surgery Center’s IT Contracts Reviewed; $7.8M in Annual Savings Identified

white packs with scissors and medicine on gray tray

Large Provider’s MedSurg Distribution Contracts Renegotiated; $2.1M in Annual Savings and 8% Savings in Total Spend Identified

person holding pencil near laptop computer

End-to-End Configuration Review Conducted for a Multi-State Health Plan; 157 Provider Groups Analyzed, Performance Tool Implemented

woman in black shirt holding white printer paper

Large Health Organization Cost Optimization Program Established, Resulting in $14M Annual Savings, 16% Reduction of Spend

woman on phone looking at paperwork

The Post-PHE Medicaid Redetermination Playbook

white university during daytime

Higher Ed IT Hardware Optimization Leads to Improved Staff Experience and Security Standards, Yielding $1.4M in Annual, Reoccurring Savings

person sitting while using laptop computer and green stethoscope near

Provider Network’s Vendor Costs and Contracts Reviewed, $14.7M Savings Identified

AArete Managing Director, Elizabeth Levy, Named a Top 50 Leader in Healthcare Consulting

Three Person Looking at X-ray Result

Large Health Plan’s Oncology Program Reviewed; 4:1 ROI Validated with Strategic Selection of Partner

Forbes Recognizes AArete as one of World’s Best Management Consulting Firms 2022

Photo Of Gynecologist Sitting Near Medical Equipment

Trusted Networks Key to Moving Forward

aerial photography green and white concrete building

AArete Improves Sustainability Protocols for Higher-Ed Client’s Managed Print Operations, Yielding $1.1M+ in Annual Reoccurring Cost Savings

white and red labeled bottles

Pharma Moves Toward Value-Based Contracting

white and red helicopter flying near mountain terrain during daytime

$2M+ Savings Achieved for Healthcare Payer with Air Transportation Contract

AArete Implements Improved Campus Security Program Yielding $1.1M in Annual, Recurring Cost Savings

Four Procurement Areas Critical To M&A Synergy

Maintenance, Repair and Operations (MRO) Consult Leads to Labor Efficiency and Annual Recurring Savings

city with high rise buildings during night time

Procurement’s Integral Role in Sustainability

Behavioral Health Care Management Program Optimized by Targeting Members with High Impact and Engagement

low angle photography of gray concrete building at day time

Clinical Review of Denied Eligibility Cases

Optimized Prior Authorization Policies to Improve Provision of Durable Medical Equipment

Battling Inflation: Strategies for Cost Containment

Post-M&A Integration Activities Unlock Financial and Operational Value

low angle photography of gray concrete building

Financial Institution Realizes 8% Cost Savings Across Select Vendor Spend

AArete Partners with University to Eliminate Single Use Plastics While Improving Revenue

Repetitive Work: Focusing on What Matters

Improving Productivity Through Category Metrics

focus photography of car shift gear

Field Services: Shift Left

black smartphone

Identifying & Reducing Bottlenecks in App Dev

person holding pencil near laptop computer

Pharmacy Benefit Manager (PBM) Data Load Re-Engineering

people sitting on chair in front of computer

Claims Processor Increases Efficiency Through Targeted Retraining

black and brown headset near laptop computer

Telecom uses Data Intelligence to Address Incident Resolution Bottleneck

Predictive Modeling Used to Recognize Vulnerable Populations; $2-3M YOY Savings Identified

laptop computer on glass-top table

Personalized, Data-Driven Approach Improves Member Experience and Health Outcomes

How to Solve Procurement and Spend Analysis Gaps

Manage Your Packaging Costs: Reduce, Reuse & Recycle

AArete Managing Director Maulik Bhagat Named in The Consulting Report’s Top 50 Healthcare Consultants of 2021

Procurement in an Inflationary World

6% Annual Costs Saved on Drug Spend

Post-Pandemic Independent Contractors/Temp Labor: Things Your Organization Should Consider

Post-Pandemic Procurement: 4 Things Your Organization Should Consider

E-Book: The Bottom Line

AArete Reduced 35% of ERP & Other Key Tech Vendors Spend, Realizing $24M in Savings

Healthcare Payer Client Sustained PBM Contract Relationship While Yielding $110M in Recurring Cost Savings Through Contract Improvement

Advance Fraud, Waste & Abuse Detection and Reduce Improper Payments

Medicaid Conversations: Pharmacy Carve-outs and 340B

The Current State of Hospital Temporary Labor

Fraud, Waste and Abuse in Healthcare Claims: A Bad Situation Worsened by the Pandemic

2021 Healthcare Supply Chain Outlook: Uncertainty Remains, Continued Disruption Expected

E-Book: Profit From Disruption

Amazon’s New Pharmacy may Steal Market Share from CVS, Walgreens Amid Pandemic

Challenge to Traditional Chain Drug Retailers is Evident

4 Tactics to Address Uptick in CARES-Related Billing and Other Claims Denials

7 Considerations for Health System CFOs

Telehealth Raises Questions About Cybersecurity

Post-Pandemic, Payers May Be Reining In Telemedicine

Improving Operational Efficiency With Automation

Provider Data Management Needs an Update

Right Processes Lead to Great Procurement

Medicaid Managed Care Organization Reduces Inaccurate Payments by $2.20 PMPM by Engaging AArete

Higher Education Category Outsourcing Led to Over $96M in Cost Reduction

AArete Helps Health Plan Achieve up to 13% in Recoupment and Prospective Savings through Contract Configuration

AArete Develops Customized Cost/Quality Matrix to Help Regional Health Plan Optimize its Primary Care Network

AArete Brings 30-50% Annual Savings to Health Plan through Pediatric Asthma Evaluations

AArete Reduces Potentially Preventable Readmissions at 5 Hospitals by 4%

AArete Helps Medicaid MCO Reduce Suboptimal Radiation Therapy

AArete’s Strategic Profitability Improvement Solutions

E-Book: Driving Better Health Outcomes Through Data Analytics

AArete Helps Medicaid MCO Reduce Average Length of Stay by 17%

Using Data to Improve Patient Health Through Decreasing Negative Drug Interactions

Five Key Components of Strategic Sourcing

Drugstore Chain Membership Program Poised to Rival Amazon: Experts React

Three Reasons Managed Care Organizations Should Use Advanced Analytics

The Fight to Lower Drug Prices

Provider Data Management Needs an Update

Humanizing Data for Purposeful Change

©2008-2025 AArete

Who We Work With
Our Solutions
About Us
Join Our Team

Sitemap
Privacy Policy
Terms of Use
Cookie Notice
GDPR
General Data Protection Regulation (GDPR)