Xlibris · 2024 · 318 pp.
Medical Plan Forensics
Examining the Evidence
Investigative tools for examining self-funded and fully insured medical plans: how to validate the evidence and present objective findings in written reports.
Randall Childers Consulting · Since 1984
The facts of your health plan, determined objectively.
Objective employee-benefit and forensic health-plan analysis for employers, attorneys and benefit professionals, from a consultant in employee benefits since 1984.
Published work
The method behind the practice, in two books.
Xlibris · 2011 · 217 pp.
Forensics of a Medical Plan
Dissecting Health Benefits on a Company Level
Employee-benefit health-plan architecture at the company level: cost and vendor-compensation transparency, the questions to ask agents, brokers and consultants, and how administration affects control of the plan.
Practice areas
What we do
01Plan design & complianceThe structure the rest of the program rests on.02Coverage linesCore health and income-protection benefits, reviewed as one architecture.03Eligibility & administrationAccurate records of who is covered, and since when.04Pharmacy oversightPharmacy benefit manager arrangements examined before and after the fact.05Communication & educationEmployees who understand the plan use it better.06Forensic servicesObjective review of plan documents, contracts, claims experience and compensation.
Forensic analytics
“We remain completely objective in making an accurate determination of the facts involved and the presentation of the facts.”
Fact gathering, validation, diagnosis and written findings, from a Certified Forensic Consultant who has previously served companies and attorneys as a consulting expert and expert witness.
Forensic services
Principal
F. Randall Childers, Jr.
A Certified Forensic Consultant and Diplomate of the American Board of Forensic Examiners specializing in self-funded health benefit plans, in employee benefits since 1984. He has seen plans as a business owner, agent/broker, consultant and third-party administrator.
- CFC
- Certified Forensic Consultant
- DABFE
- Diplomate, American Board of Forensic Examiners, specializing in self-funded health benefit plans
- Licensure
- Benefit consulting, third-party administration, and life and health insurance, as described in source materials
- Practice
- Employee benefits since 1984; private consulting since July 2009
Start with a conversation about your plan.
Speak directly with F. Randall Childers, Jr. No forms, no call center.