Identifying and Mitigating Risk

For nearly two decades, we have been creating value for group health plans by unraveling the administrative complexities of national insurance companies and PBMs using advanced technology and a team of experts with hands-on experience and unprecedented knowledge of the healthcare system. Founded by forward thinking leaders who knew there was a better way to manage and oversee the administration of plan benefits, TMDG brings scalable and flexible solutions to Fortune 500 companies, unions, state and local government agencies, captives, and large private companies across North America.

Our Commitment

We live by our mission to provide:

  • Clarity that simplifies an otherwise complex healthcare system
  • Focus to concentrate resources on what matters most
  • Actionable insights to optimize health plan administration

View our list of services.

Questions? We’re here to help you.

By working together, we can identify areas of loss and risk in your system and create a more accurate claim payment process.

Diversity, Equity, and Inclusion

We are dedicated to building a better workforce for tomorrow by focusing on diversity, equity, and inclusion today.

Strategic Business Partnerships

We incorporate the advantages and resources of a major national firm with its healthcare expertise to deliver personal and responsive service to its clients.

We are committed to maintaining the highest quality standards of our profession. To that end, the firm is a member of the American Institute of Certified Public Accountants’ (AICPA) Private Companies Practice Section, as well as its Center for Audit Quality (CAQ) and Employee Benefit Plan Audit Quality Center (EBPAQC).

Centers such as the CAQ and the EBPAQC are firm-based, voluntary membership organizations designed to help CPAs meet the challenges of performing quality audits. By meeting the stringent membership requirements of the CAQ and the EBPAQC, we demonstrate our dedication to achieving audit quality in the practice of employee benefit plan audits by establishing and maintaining high levels of quality control. In addition to fostering a culture of high audit quality, our membership provides us with an additional resource for research and staff development.

We adhere to the AICPA’s Professional Standards, Code of Professional Conduct, and Bylaws. These standards and related interpretations are the basis for our system of quality control, which is designed to ensure that we:

  • Have the skills and knowledge at the level required to ensure competent professional service
  • Exercise due professional care in the performance of professional services
  • Adequately plan and supervise the performance of an engagement
  • Obtain sufficient relevant data to afford a reasonable basis for conclusions or recommendations in relations to the professional services performed.

Peer Review

Peer reviews are intensive reviews of a firm’s quality control system applicable to its accounting and auditing practice. Performed by CPAs from other AICPA division member firms, the review evaluates our policies and procedures and examines a sample of our engagements to determine compliance. Click here for our latest report.

Delivering Solutions

Learn more about the services we offer, from consulting and compliance to assurance and litigation support.

PBMares is an integral part of RSM US Alliance, a premier affiliation of independent accounting and consulting firms in the United States, with more than 75 members in over 38 states, the Cayman Islands and Puerto Rico. RSM US Alliance provides member firms access to the resources, tools and expertise of RSM US LLP, the leading U.S. provider of audit, tax and consulting services focused on the middle market, with more than 9,000 professionals in 86 offices nationwide. In addition, RSM US Alliance members have access to resources through RSM International, the sixth largest worldwide network of independent audit, tax and consulting firms, with more than 38,000 professionals in over 120 countries.

RSM US Alliance provides its members with access to resources of RSM US LLP. RSM US Alliance member firms are separate and independent businesses and legal entities that are responsible for their own acts and omissions, and each are separate and independent from RSM US LLP. RSM US LLP is the U.S. member firm of RSM International, a global network of independent audit, tax, and consulting firms. Members of RSM US Alliance have access to RSM International resources through RSM US LLP, but are not member firms of RSM International. Visit for more information regarding RSM US LLP and RSM International. The RSM™ logo is used under license by RSM US LLP. RSM US Alliance products and services are proprietary to RSM US LLP.