Enterprise Risk Management

SHMS Optimizes Operations for Medicare Advantage Plan Operators in the Healthcare Payer Enterprise

Enrollment in Medicare Advantage plans is projected to reach about 35.7 million, according to a 2025 Senate Finance Committee report. Yet, many startup and midsize organizations face steep technical and regulatory hurdles when launching or scaling operations. As part of the broader healthcare payer enterprise landscape, these plans must manage compliance, claims adjudication, risk adjustment,…

Navigating Cyber Risk Management in Healthcare Means Handling the Small Alerts and Big Alarms

Healthcare leaders must balance attention between routine security signals and catastrophic threats to prevent minor vulnerabilities from becoming major breache