Healthcare is one of the biggest expenses organizations face—yet for most internal audit functions, it remains largely unaudited. This session brings together a panel of experts to uncover the hidden risks, conflicts of interest, and governance gaps buried within self-funded health plans. Through real-world stories, case studies, and current litigation insights, you’ll learn how auditors can protect organizational funds, safeguard fiduciary responsibilities, and strengthen their own professional impact.
Key topics include:
- Conflicts of interest with trusted advisors and well-known vendors
- ERISA fiduciary and legal risks for plan sponsors and boards
- Behind-the-scenes examples from recent and past litigation
- Proven strategies that challenge industry benchmarks and deliver measurable results
Learning Objectives:
- Recognize red flags and hidden risks in self-funded healthcare contracts
- Identify governance gaps in healthcare procurement and oversight processes
- Apply employer rights under Federal CAA Transparency Laws to strengthen audit coverage and protect funds
Panelist:
Laura Bornyas: Healthcare Practice Leader for Synchronomics Fiduciary Services
Jamie Linkowski: Co-Founder Synchronomics Fiduciary Services
Mark Flores: Co-Founder AVYM Healthcare Claims Data Integrity & Legal Support
Jeff Gasser: Co-Founder of Multiple Healthcare Analytics Companies
Herman Hofman: Partner at Varnum LLP
Doug Aldeen: Nationally-Recognized ERISA Healthcare Attorney
Kathy Donneson: (Former Chief Health Plan Administrator for CALpers)
Kim Carleson: Founder of US Beacon, A Medical Claims Integrity Company
Amy Hollis: Founder of Employees First (Former Willis Towers Watson & Mercer/Marsh McClennan)