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EP450: When Your Health Plan Is $9 Million in the Hole, Who Are You Going to Call? A CPA. And Tell Them to Bring Their Spreadsheets, With Marilyn Bartlett, CPA, CGMA, CMA, CFM

Relentless Health Value

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Transforming Health Plan Finances

This chapter explores the strategic improvements that led a health plan from $9 million in debt to a $112 million surplus through initiatives such as reference-based contracts and a transparent pharmacy benefits manager. It discusses the financial turnaround, the importance of controlling healthcare spending, and the challenges in transparent communication with members during significant administrative changes.

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