Ventegra Announces it is First to Earn CAA Certification from HPfid’s Compliance Program Designed to Meet the Fiduciary Compliance Requirements of the Consolidated Appropriations Act
2024年5月21日 - 7:00PM
ビジネスワイヤ(英語)
Ventegra is the first healthcare company in the
pharmacy benefits space to be awarded HPfid CAA certification –
Validates Ventegra’s level of compliance and due diligence to meet
CAA 2021 fiduciary requirements
Ventegra, Inc., a Medical Benefit Manager (MBM) that delivers
innovative, cost-efficient pharmaceutical and healthcare solutions
to payors, providers, and members, announces it is the first to
earn 2024 certification from HPfid’s newly launched program that
demonstrates that the awardees comply with the fiduciary
requirements of the Consolidated Appropriations Act, 2021
(CAA).
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The Consolidated Appropriations Act, 2021 (CAA) established
protections for consumers related to surprise billing and
transparency in health care.
This recognition by HPfid provides an important validation by an
independent third party of Ventegra’s unique business model and
Ventegra’s 20-year strong commitment to truth and integrity. HPfid
is a CAA Compliance SaaS platform that helps employers comply with
the Consolidated Appropriations Act, 2021 (CAA).
Robert T. Taketomo, Pharm.D., MBA, President/CEO, enthuses,
“Ventegra is honored to be the first healthcare company in the
pharmacy benefits space to be awarded this CAA certification. This
further solidifies what our clients have always known about the
transparency and integrity with which we conduct business.”
The HPfid CAA certification program was developed to help
purchasers of healthcare identify those entities who are compliant
with the applicable provisions of the Consolidated Appropriations
Act while also providing guidance to industry of what is required
for compliance with CAA.
Underscoring the significance of this distinction, Dr. Taketomo
says, “With all of the challenges coming to light about how
pharmacy benefits are administered under a traditional Pharmacy
Benefit Manager (PBM), this CAA certification validates our
Ventegra Medical Benefit Manager (MBM) business model and how we
manage prescription benefit programs with a high degree of
integrity.”
Dr. Taketomo further affirms, “This certification underscores
Ventegra’s unique societal perspective on healthcare as we continue
our transition into a nonprofit entity. Our stakeholders and the
community we serve can be assured that they will continue to
receive the right balance of access to medications, quality of care
and cost. It is a difficult balance to achieve that is a core
strength of the Ventegra MBM business model.”
Tony Sorrentino, JD, CPA, Chief Compliance Officer for HPfid,
says, “The HPfid CAA certification program incorporates all of the
experience of our team to distill the critical elements of CAA down
to a single designation.”
Sorrentino explains, “A C-suite or HR executive can be confident
that using an HPfid CAA certified entity for their healthcare
benefits is proof of transparency in agreements, fees, and
reporting in compliance with CAA in managing their ERISA health
plan.”
In addition, a key benefit of the CAA certification program is
its guidance to industry of the requirements necessary to be
compliant with the appropriate provisions of the CAA. Any entity
applying for certification would get a scorecard of their level of
CAA compliance, and obtain an understanding of any requirements
necessary to attain CAA certification from the HPfid program.
Ventegra remains one of the few independent entities in the
market that directly contracts with manufacturers and passes on
such discounts directly to clients. It is also the only B-Lab
Certified California Benefit Corporation administering pharmacy and
medical benefit programs under the MBM class-of-trade. To further
its mission to provide more cost-effective healthcare to the
communities served, Ventegra, Inc. is in the process of
transitioning its business to Ventegra Foundation, a California
Nonprofit Public Benefit Corporation.
About Ventegra, Inc.
Ventegra, Inc. is the legacy Ventegra that is dedicated to
servicing Ventegra Foundation. A complex transition process has
begun, and over time, Ventegra, Inc.’s mission will be fully
assumed by Ventegra Foundation. www.ventegra.org
About Ventegra Foundation
Ventegra Foundation is a California Nonprofit Public Benefit
Corporation. Its mission is to establish new channels for
delivering better efficiencies and more cost-effective healthcare
for the community that is served. Ventegra Foundation is expected
to be fully operational by June 30, 2024. www.ventegra.org
About Health Plan Fiduciary Guides
HPfid leverages its unique expertise in healthcare transparency
and fiduciary compliance supported by an ERISA attorney, professor,
and former advisor to help employers become proactive purchasers of
healthcare. HPfid helps employers and advisors navigate the hidden
fiduciary risks of buying health plans and build strategies to
protect assets and fiduciaries. For information contact Tony
Sorrentino at info@HPfid.com, www.HPfid.com.
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Peggy C. Frank, MBA Director, Marketing and Public Relations
peggy@ventegra.org 818-642-6804