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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 a Health Plan's Finances

This chapter explores the dramatic turnaround of a struggling health plan, revealing how strategic analysis and contract negotiations transformed a $9 million deficit into a $112 million surplus. It emphasizes the importance of scrutinizing financial documents, engaging employees, and fostering collaboration with third-party administrators to mitigate wasteful spending while maintaining access to care. The discussion underlines the complexities of managing healthcare costs and the crucial communication required for effective change management.

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