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Overview

Audits and Analysis of the ACO Model

Count on more than two decades of diligent oversight, nonpartisan collaboration and training — working behind the scenes to turn data into action.

The Government Consulting team at Bland & Associates, P.C. has written the guide on audit protocols for accountable care organizations to promote consistent compliance across hundreds of agencies and states. We were among the first CPA firms contracted to work with the US Department of Health and Human Services to audit accountable care organizations and comprehensive primary care practices, and we have adapted to administrative oversight and legislation that became the Affordable Care Act in 2010. The experienced team at Bland & Associates now acts mainly as an extension of the Centers for Medicare & Medicaid Services (CMS) to help monitor organizations that administer, manage or receive funding.

We offer CPAs, auditors experienced in compliance testing, technology designers and Certified Fraud Examiners (CFEs) to conduct a variety of contracted work. We serve our government clients as a prime contractor as well as a subcontractor.

We have provided guidance on communications for internal and external audiences, such as organization staff and their timely communications to the public. Our innovative models for payment and service delivery, analysis — even creation of tools like dashboards — have helped CMS improve processes and efficiency.

Our work is about building a more sustainable health care system in the United States. That means helping tax dollars stretch farther by identifying potential fraud, waste and abuse, as well as promoting best practices in care and benefits delivery.

 

Government Consulting Experience

  • Support the Shared Savings Program in conducting public reporting and marketing material reviews, as well as education and training
  • Assist with oversight activities of the Pioneer ACO Model, Advance Payment ACO Model, and AIM, including education and training
  • Serve as a primary compliance and monitoring contractor for CMMI’s Comprehensive Primary Care (CPC) Initiative
  • Has extensive experience in conducting “One-third financial audits” for Medicare Advantage Prescription Drug plans, and other audits
  • Unified Program Integrity Contractor for detecting, preventing, and deterring risks and vulnerabilities to the integrity of Medicare and Medicaid programs
  • Supporting Comprehensive Care for Joint Replacement new payment model and monitoring of ACO outcomes

“I would recommend them for similar requirements in the future.” – CMS contracting officer

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