New advisory firm assesses health vendors for fiduciary integrity

Judi Health, the company behind Capital Rx, has launched Judi Group, an advisory firm dedicated to conducting forensic-level reviews of an employer’s health vendors. The aim is to find hidden cost drivers, contractual conflicts, and compliance gaps that impact plan performance.

“The market is desperate for an advocate that truly understands the issues plan sponsors face and can offer truly objective, unbiased counsel,” AJ Loiacono, co-founder and CEO of Judi Health, said in a news release.

The Judi Group’s services include:

• A forensic review of every employer health plan contract to assess hidden clauses, pricing inefficiencies, and leverage points for renegotiation.
• Regulatory and compliance evaluation, and a detailed audit of the compliance posture across federal, state, and contractual obligations.
• Evaluation of fiduciary exposure to propose fiduciary governance structures and systems for maximum protection.
• Actuarial-grade retrospective data analytics to discover tactical priorities, find contract anomalies and conflicts, and recapture funds that a plan (including plan members) may be owed.
• Scenario-based modeling of high-cost claim exposure and stop-loss adequacy.
• An integrated approach to plan oversight that simultaneously contemplates the ideal structure for managing medical, pharmacy, and ancillary benefits.

“The goal is to improve the procurement process, vendor evaluation, and related workflows to address power imbalances and hold vendors accountable,” said Jeffrey Hogan, managing director and co-founder of Judi Group. Previously, he was president of Upside Health Advisors, and before that, managing director of fiduciary services.

Other team members include Chris Deacon, director of growth and strategy, who has public- and private-sector experience, including in New Jersey, where she saved the state hundreds of millions of dollars; Julie Selesnick, director of legal and compliance, who has decades of employee benefits, fiduciary compliance, and ERISA law experience; and Jason Aulakh, director of product and innovation, former vice president of BPO and product development at Independence Blue Cross.