Actuarial services
Financial reporting
Recurring MA and Medicaid financial reporting for providers and MSOs
The engagement
Payment is complex by design. Your reporting should not be.
Medicare Advantage payment involves risk adjustment, sweeps, reconciliations, and settlement timelines that most provider organizations track in spreadsheets built by whoever came before. Medicaid adds a different rate methodology, reporting requirement, and timeline in every state. Getting a clean answer to “are we being paid correctly” takes weeks.
Organizations that span programs and states end up with a patchwork of one-off models and manual reports, each current the day it was built and stale the day after.
How Ariv approaches it
A clear, current view of contract economics.
Ariv runs the reporting cycle for you: reconciled revenue, risk score movement, and financial performance for every Medicare Advantage contract, and one consistent financial framework across every Medicaid state program you operate in. Everything traces to source data, and everything arrives current rather than retrospective.
How we work
- 01
Connect
Connect the feeds
Membership, payment, and risk-adjustment data for each contract and each state program.
- 02
Close
Close the month
Reconciliation, risk-score movement, and variance against plan, on a recurring cadence.
- 03
Brief
Brief the leadership
Contract-level economics your board can read, with every figure traceable to its source.
Who we work with
Organizations that carry the risk.
- A provider organization holding MA contracts
- An MSO reporting across several payers
- An organization operating in multiple Medicaid states