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Payers

Managed care entities, particularly those with Medicare and Medicaid contracts, are undergoing unprecedented scrutiny from an operational and compliance perspective. The increased intensity of oversight and audit activity is expected to continue. Successful managed care companies will be marked by their ability to identify, manage, mitigate and resolve business and compliance risks as proactively as possible. The proven ability of FTI Consulting to assist clients in managing their emerging risks has made us an industry leader and a respected partner of our managed care clients.


Our Industry Sectors

Government Contract Compliance

Government health care programs, including Affordable Care Act reform and expansion… More


Payer/Provider Collaboration

The seismic shift from traditional fee-for-service payment methods to a continuum of value… More


Operational Process Improvement

Striking the delicate balance between compliant operations and proficient business… More


Data Analytics

We provide data systems and reporting capabilities that are properly aligned with compliance… More


Pharmacy Benefit Manager Services

Pharmacy Benefit Managers (PBMs) will continue to play an important role in bundled… More


Self-Insured Plans

FTI works with self-insured employers who are looking to develop partnerships with hospitals… More


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