ProspHire drove an end-to-end current state assessment to analyze organizational impacts, identify compliance gaps and mitigate risk. The process included identifying regulatory, legislative, ACA QHP and Centers for Medicare & Medicaid (CMS) requirements and developing processes to achieve compliance. The team also provided utilization management, change management and quality management support, analyzed the organization’s current state readiness, interviewed business functional leadership and provided strategic recommendations to close gaps and achieve accreditation and certification.
