While the original mission of the Affordable Care Act (ACA) was to provide health insurance to millions of previously uninsured, most of its addendums have been focused on tying health insurance reimbursements to better patient outcomes. There is also continued downward pressure on premium rate increases. The Center for Medicare and Medicaid Services (CMS) introduced star ratings for Medicare Advantage and prescription plans, gradually becoming more stringent in that only four or five stars are now eligible for bonuses. 

KPMG can help in the areas of:

• Internal Audit/Risk Compliance
  Services
• Enterprise Risk Management &
  Governance, Risk & Compliance Services
• Regulatory Compliance (ORSA and
  MLR)
• Tax Compliance