Decision brief: Where D-SNP and Medicaid Appeals and Grievances deadline clocks diverge.

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GRC ROI Calculator

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The number of delegation oversight executives in a health plan can indeed vary based on the size of the firm:

Small Health Plans: Typically 1-2 delegation oversight executives, often wearing multiple hats.

Medium Health Plans: Usually around 3-5 executives in more specialized roles.

Large Health Plans: 5-10 or more executives, highly specialized across vendor management, compliance, and operations.

The exact number can vary based on the specific needs and structure of the health plan.

Do you want to… (Select at least one)
Conduct yearly security risk assessment
Conduct yearly data privacy assessment
Conduct vendor risk management
Conduct continuous compliance monitoring and reporting

One-time Implementation Cost Includes:

  • Initial setup and configuration
  • Data migration from existing systems
  • Customization to meet specific needs
  • Initial training for staff
  • Integration with existing tools and systems

Recurring Monthly Cost Includes:

  • Ongoing access to the SaaS platform
  • Regular updates and maintenance
  • Customer support and helpdesk services
  • Continuous training and onboarding for new features
  • Data storage and security measures
Assumptions

*This calculator is a guide, not a quote.

Your ROI Summary

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Assumptions

  • One-time Implementation Cost: A default solution cost is assumed which may vary from case to case.
  • Integration and Scalability: Integration into existing workflows and scalability is seamless, leading to minimal disruption and immediate benefits.
  • Membership/Enrollment: For up to 20,000 members, the one-time implementation and monthly recurring costs are fixed at $40,000 and $8,000, respectively. The implementation and recurring increases by $0.35 for each additional member. These numbers are indicative.
  • Efficiency Gains: Assumed efficiency gains are 60% due to a Unified GRC Platform, automation, continuous risk monitoring, vendor oversight, and reporting features.
  • Adoption Rate: The compliance team can fully adopt the solution within 2-4 weeks, ensuring quick ROI realization.
  • Training Costs: Training costs are considered part of the implementation and are factored into the assumed solution cost.
  • FTE Rate: The average FTE hourly rate encompasses all users who may interact with the system proportionately to how much time they would be spending managing risk — end users/non-risk professionals, risk managers, and executive-level users, and all in between.
  • Modules Included: Policy & Procedures, Regulatory Library, Contracts Management, Organizational Structure Management, Strategy Execution, Governance Management, Risk Management, Document Management, Conflict of Interest Management, Vendor Oversight, Audit Management, Corrective Action Plans (CAP), and Dashboards & Reporting.
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