Payers operate in a complex and ever-changing regulatory environment and an increasingly litigious marketplace. Dealing constructively with disputes and the possibility of investigations by regulators requires an understanding of complicated legal structures and regulatory and accountability requirements. Payers who face investigation can experience business disruption, damaged reputation, diminution of shareholder value, strained relationships with regulators, significant fines, and civil and criminal liability, among many other risks.
How we can help you
PricewaterhouseCoopers provides comprehensive financial, economic and strategic advice to companies with complex business problems. We provide a broad range of consulting and forensic accounting services to attorneys and other parties involved in litigation, arbitration or mediation, and other alternative dispute resolution forums. Specialty practice areas include breach of contract claims, business interruption, investigation services, intellectual property disputes, construction disputes, securities fraud, economic and financial analysis, and insurance claims services.
Our litigation support team works with the nation's largest healthcare organizations, including providers, payers, suppliers, pharmaceutical and medical device manufacturers, and IT vendors. Our global healthcare network includes forensic accountants, economists, statisticians, investigators, forensic technologists, insurance claims specialists and government contracting experts.
Case study
Payer develops plan to improve compliance and litigation response through efficient records management*
