Nine disciplines, one promise: your problems become our problems, and we guide you through to successful solutions.
Accreditation is not a paperwork exercise. It is a full-body examination of how your organization actually operates, and surveyors can tell the difference between a program built for the binder and a program built into the culture.
Habi Green has guided organizations through successful reviews across many accreditations. We assist clients with AAAHC, Joint Commission International (JCI), NCQA, and URAC, from gap analysis through mock surveys and final submission. We prepare your people, not just your policies, so that when the surveyor arrives, your organization is not performing readiness. It is ready.
For a regulated health plan, a compliance failure is never just a finding. It is a threat to enrollment, revenue, and standing with the very agencies that permit you to operate.
Habi Green brings hands-on Chief Compliance Officer experience across state and federally regulated healthcare companies, pharmacy benefit managers, retiree plans, EGWPs, Federal Employee Health Benefit (FEHB) plans, and Part D delegated entities. We build compliance programs that satisfy CMS and state regulators while remaining practical enough for your teams to actually follow. Because a compliance program no one can execute is not a program. It is a liability.
Healthcare finance rewards operators, not observers. Habi Green's leadership has served as Chief Financial Officer for a startup health plan that grew from zero into the billions in revenue, with direct responsibility for plan design, actuarial approval, and ongoing financial management of health plans, benefit plans, and retiree plans.
Whether you need financial strategy, revenue optimization, budget discipline, or a clear-eyed assessment of where the money is going and why, we bring the perspective of someone who has owned the P&L, not just analyzed it.
Actuarial work is where healthcare strategy either survives contact with reality or does not. Habi Green has designed benefit plans, secured actuarial approvals, and guided organizations through actuarial audits and reviews at the state and federal level.
Our claims auditing goes beyond the numbers: trend analysis, benchmarking, and medical record review by clinical professionals and medical doctors, with identification of inaccurate billing and coding, overpayments and underpayments, and risk adjustment (RADV) reviews.
We help you structure plans and rates that are competitive in the market, defensible before regulators, and sustainable on your balance sheet. All three, because two out of three is how plans get into trouble.
We have sat across the table from every regulator that matters: CMS, OPM, OIG, DOJ, FDA, NCQA, AHCA, CDC, and state departments of insurance and health in various states. Habi Green's leadership has taken clients and employers through audits, reviews, and negotiations with each of them, successfully.
When a regulator calls, the worst response is improvisation. We prepare your organization, manage the engagement, and speak the regulator's language, because we have spent two decades learning it fluently.
Most consultants help clients follow the rules. Habi Green has helped shape them. We work with federal regulators on improving healthcare regulation, and to date that work has contributed to the revision of three CMS managed care federal regulations covering MAPD, Part D, and SNP programs, changes that produced millions of dollars in increased revenue for clients.
We have also drafted and outlined appropriations requests to Congress on behalf of our clients. If your organization's future depends on how a rule is written, interpreted, or revised, you want an advocate who has operated at that level before.
Financial distress. Operational breakdown. A compliance crisis with regulators watching. Turnarounds punish inexperience, and they reward operators who have stabilized organizations under pressure while keeping every regulatory obligation intact.
Habi Green has managed multiple corporate turnarounds for state and federal healthcare subcontractors, restoring financial, operational, and compliance health without sacrificing regulatory standing. We move fast, communicate honestly, and measure success the only way that matters: the organization is stronger when we leave than when we arrived.
Habi Green's nonprofit advisory services provide specialized consulting, financial, and operational guidance to help charitable organizations improve sustainability, compliance, and social impact.
In healthcare, risk hides in delegation agreements, in outdated policies, in the gap between what the contract says and what operations actually do. We see the exposure before it sees you.
Habi Green conducts risk assessments and reporting across operational, financial, and compliance dimensions, drawing on executive experience managing organizations responsible for over 500 physicians and more than 104,000 Medicare and employer group patient lives. We identify what could hurt you, rank it honestly, and build the mitigation plan that lets leadership sleep at night.
The earlier the conversation, the more options you have. Tell us where you stand and we will give you a candid assessment.
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