Self-Insured Health Plans – How We Help

Our team of health plan advisors have worked with plan sponsors from medium to jumbo health plans for more than 3 decades to help them address these responsibilities through a comprehensive suite of services and technology designed to mitigate operational and compliance risk. This includes everything from Fiduciary Oversight of plan Sponsor’s health plan, claims audits, to cyber risk assessments.

Types of Plans We Evaluate

  • Medical
  • Mental Health
  • Prescription Drug
  • Dental
  • Vision
  • Disability
  • Health FSA
  • Other Ancillary Plans
self insured health plan service graphic

Advisory Services

We leverage technology, data analytics and digital solutions to provide actionable insights to our clients for better decision making.

  • Risk Assessments
  • Claims Audits
    • 100% Electronic Claims Review
    • Operational Reviews
    • Focused Claims Audits
    • Statistical Claims Audits
  • Manufacturer Rebate Audits
  • Compliance Audits
  • HIPAA Assessments
  • Litigation Services
  • General Healthcare Administration Consulting
  • Education and Training
  • Cybersecurity Risk Assessments
  • ASO Contract Reviews
  • Third-Party Vendor Assessments
  • Eligibility Process Reviews

+0K

From Plans with 2K to over 600K participants

Success Stories: How Our Services Helped Transform Businesses

Case Study: Elevating Healthcare Claim Payment Accuracy

Learn how Withum helped a prominent national multiemployer plan sponsor recover $2.1 million in rightfully owed funds.

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Case Study: Achieving Financial Stability Through Healthcare Claims Administration Review

Learn how Withum helped improve financial stability and uncovered issues in stop loss administration, leading to successful resolutions through strategic negotiation.

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Client Testimonials

Collaborating with Withum proved instrumental in addressing our health plan's challenges. We were experiencing unexplained cost increases that raised concerns among our stakeholders. Withum not only helped us uncover the underlying reasons for these increases but also identified significant errors in the processing of our stop-loss coverage. Their expertise, meticulous approach, and dedication to delivering concrete results have positioned Withum as an invaluable partner. We appreciate their insights and highly recommend their services to any plan sponsor seeking clarity in the administration of their health plan.

Large privately held company

Contact Us

For more information or to discuss your business needs, contact Withum’s Self-Insured Health Plan Advisory Services Team.

Leadership

Matthew Dubnansky

Partner

Baltimore, MD


Contact Us