Trexin helped a large Healthcare Payer participating in public retail exchanges reduce its financial exposure and mitigate its audit risk.
Trexin helped a large Healthcare Payer participating in public retail exchanges reduce its financial exposure and mitigate its audit risk.
1 PagesTREXIN CASE STUDY © TREXIN CONSULTING, LLC CONTACT US Healthcare Practice hc@trexin.com www.trexin.com CLOSING A $160M FINANCIAL PREMIUM SUBSIDY GAP Trexin helped a large Healthcare Payer participating in public retail exchanges reduce its financial exposure and mitigate its audit risk. BUSINESS DRIVER When the federal government regulated healthcare reform through passage of the Patient Protection and Affordable Care Act (ACA), individual consumers not covered by health insurance were mandated to purchase healthcare insurance via the federal exchange or state- based exchanges. Health insurance issuers were encouraged to participate in this retail market by offering plans in these exchanges, but with it came immense complexities in operational management, data reco
