Author: LBodnarchuk

Why It’s Important to Address Social Determinants of Health (SDOH)

Imagine a world in which every person, from infant to senior, can achieve and maintain their highest level of health. This goal is health equity and while it should be a societal norm, many obstacles make it difficult to reach.

These barriers lead to health disparities, which are differences in the health statuses of varying groups of people. Health disparities are avoidable distinctions in the burden of illness, injury, disease, violence or chances to attain good health that socially disadvantaged groups face.

Health inequities link closely to the disproportionate allocation of social, economic and environmental resources. However, health professionals can work to address these disparities by understanding the importance of social determinants of health.

What Are the Social Determinants of Health?

Social determinants of health are the nonmedical circumstances in our environment that impact our well-being. Factors present in the places where we are born, live, play, learn, work, and age can profoundly influence our overall quality of life.  

Social determinants of health also cover a broader set of systems and forces that shape daily life. These comprise economic policies, development agendas, social and cultural norms, racism, climate change and politics.

To understand social determinants of health, consider the following examples:

  • Safe housing, transportation and neighborhoods
  • Discrimination, racism and violence
  • Education, job opportunities and income
  • Access to nutritious foods and opportunities for physical exercise
  • Clean air and water
  • Language and literacy skills

Professionals group the social determinants of health into five domains, which we’ll explore below.

1. Economic Stability

Economic stability means having enough secure, reliable income to meet your fundamental needs. Being economically stable can help you achieve a better quality of life by allowing you to access essential resources for your health and well-being.

Factors that influence economic stability include:

  • Affordable housing
  • Employment that provides a living wage
  • Employment benefits, like worker protections, paid sick leave and child care
  • Reliable transportation

It’s crucial to address economic instability as a social determinant of health because daily challenges surrounding unemployment, poverty, housing and food insecurity can elevate the risk of poor health outcomes for vulnerable populations.

2. Education Access and Quality

Education equips people with the tools they need to live fulfilling lives, thrive personally and contribute to their communities. Moreover, an educated person is more likely to access elements that contribute to their well-being, like quality healthcare, jobs that pay a living wage and safe living environments.

People with access to a good education tend to stay healthier throughout their lives than those without. Education gives people the opportunity for upward mobility, placing them in the financial circumstances necessary to access quality healthcare.

People with low education levels contend with unemployment and low income, which associates with poorer health. Data indicate that people of lower socioeconomic status experience more health problems like obesity, asthma, diabetes and heart disease than people of higher socioeconomic status.

And finally, having a college education helps job seekers obtain higher-paying work that poses fewer safety risks.

Ultimately, people with higher levels of education have more means to afford things that promote their health, like quality housing in toxin-free environments and expert physicians trained in the most successful techniques.

3. Healthcare Access and Quality

Access to quality healthcare means services like the prevention, diagnosis, treatment and management of diseases, illnesses, disorders and other health-impacting conditions are readily available to you. These services must also be affordable and convenient.

Unfortunately, many people encounter obstacles that make it challenging to obtain health care services, which may increase the risk of poor health outcomes and disparities. Such barriers include a lack of health insurance, inadequate healthcare resources and limited access to transportation.

Little or no health insurance coverage significantly hinders healthcare access. High costs may cause people to put off necessary medical treatment or avoid it altogether. Lower-income families often go without insurance and minority groups constitute over half of the uninsured population.

Inadequate health insurance coverage can adversely impact a person’s health. Adults without insurance are less likely to receive preventive care for chronic conditions like diabetes, cancer and heart disease. Likewise, uninsured children are less likely to get treated for conditions like asthma or receive critical services like dental care, immunizations and well-child visits.

Sometimes, a limited availability of resources further reduces people’s access to health services, increasing the likelihood of adverse health outcomes. For example, a shortage of doctors may mean patients wait longer to receive care.

Unreliable or inconvenient transportation can also make it difficult for people to receive consistent healthcare, potentially contributing to adverse health outcomes.

4. Neighborhood and Built Environment

The neighborhoods and built environments in which people live, work, play and learn can strongly influence their health and well-being for better or worse, depending on the circumstances.

Many people live in communities or work in jobs that present health risks like high rates of violence, pollution, unsafe water and others. Minorities and low-income people are more likely to live in neighborhoods and work in environments that present these risks.

The factors that make neighborhoods and built environments a social determinant of health fall into the following four groups.

  • Access to healthy foods: Access to nutritious foods is crucial to a sensible eating pattern. A lack of access to healthy foods can result in malnutrition, higher obesity levels and other diet-related conditions because low-income people tend to live in “food deserts.” However, accessing healthy food depends on more than having a grocery store nearby. People must also be able to afford it and affordability closely relates to employment rates and job quality.
  • Quality of housing: A home’s design and structure can significantly impact housing quality. Unsafe conditions such as the presence of asbestos, mold, lead, substandard air quality and overcrowding can lead to adverse physical and mental health outcomes.
  • Crime and violence: Whether experienced directly or indirectly, crime and violence can cause injury, mental distress and reduced quality of life. Some communities and groups are more likely to encounter crime and violence than others, such as low-income neighborhoods and Black adolescents.
  • Environmental conditions: Environmental conditions like water quality, air quality and the weather can influence a person’s health. Some groups are more vulnerable to poor environmental conditions and their associated health disparities. These include people of color, low-income families, the homeless, the elderly, pregnant women and children.

5. Social and Community Context

Social and community situations are vital aspects of health. Relationships and interactions between people and their family, friends, colleagues and community can shape their health and well-being.

Public health advocates classify social and community contexts into the following four categories.

  • Civic participation: Civic participation comprises activities like voting, volunteering, recreational sports, community gardening and more. Civic participation benefits the community and the participants by building social capital, expanding social networks and helping foster a sense of purpose.
  • Discrimination: Discrimination is a stressor that affects a person’s health by barring access to resources, dignity and quality of life.
  • Incarceration: People are more likely to develop chronic conditions like high blood pressure, cancer, asthma and arthritis. Black and Hispanic populations and people with low education levels have higher incarceration rates.
  • Social cohesion: Relationships are an essential part of physical and psychosocial wellness. Social cohesion is the strength of relationships and the perception of harmony within a community. High levels can positively influence health outcomes.

The Impact of Social Determinants of Health

Social determinants can dramatically impact physical and mental health outcomes, especially for vulnerable populations. Providers must account for circumstances like patient income, education and environment for providers to deliver the holistic care necessary for health and well-being.

The public health sphere widely understands that poverty impedes access to nutritious foods and safe neighborhoods, and that higher educational levels contribute to better overall health.

If means are available to overcome adverse social determinants of health, populations can experience better health. But without resources, social determinants can foster troublesome circumstances like discrimination and disparities. Moreover, undesirable social determinants can affect a person’s knowledge of healthcare and resources and restrict access to them.

The Truth About Negative Social Determinants of Health

Health studies have indicated that:

  • Children of adults who did not earn a high school diploma are more likely to grow up in areas with barriers to health.
  • As income levels decrease, the risk of premature death increases.
  • There is a direct connection between lower income, smoking and shorter life expectancy.
  • Poor white people are less likely to live in neighborhoods of concentrated poverty.
  • A person’s living environment may influence that of future generations.
  • Disparity-related stress relates to health and is often the result of overlapping factors.
  • Stress harms children and adults throughout their lives. Repeated exposure to environmental and social stressors may result in a cumulative burden that puts people’s health at risk.

Social determinants that result in health disparities are expensive and can hinder the quality of care that people receive, leading to additional healthcare expenditures, loss of efficiency and early death.

Research related to the price of health disparities puts the situation into perspective. For Black people, Hispanics and Asian Americans, 30% of direct medical costs relate to health inequities. On a broader scale, the U.S. loses approximately $309 billion each year to the direct and indirect costs of health disparities.

How ProspHire Can Help

As our population diversifies, it becomes more vulnerable to the concerns associated with adverse social determinants of health. One straightforward path to addressing this issue is coordinating services across the spectrum of care. Merging social support and assistance with healthcare delivery is vital for providers to confront the various social determinants that have such a bearing on patients’ wellness.

ProspHire prioritizes helping you provide high-quality healthcare to your patients, and we tailor solutions to do that. We understand the far-reaching effects that nonmedical factors have on a person’s health, so we’ve implemented strategies to help you address them.

Below are the services we offer related to social determinants of health.

  • SDoH solutions: These solutions allow you to look beyond the point of care and address all areas that impact health outcomes, such as housing, food insecurity, transportation and improving access to needed community programs.
  • Population health assessment and transformation: Assess your population, understand the underlying drivers of health and implement change to address social determinants and equitable health outcomes through turnkey interventions.
  • Organizational strategic planning: Drive organizational transformation through defined goals and a developed playbook for change management and actionable strategies to address health disparities.
  • Community-based partnership development: Evaluate, align and partner with community-based organizations to address social determinants and close care gaps to improve equitable outcomes and increase community-based care management.
  • Maternal health equity: Address inequities and improve outcomes in maternal health through population-based interventions and recommendations curated to meet the needs of vulnerable patients and members.
  • Quality accreditation achievement: Be a leader in the industry through the pursuit and award of health equity and other quality accreditations.

With these services, health providers can build a more comprehensive awareness of the biological, behavioral and social components that shape wellness. The result is an equitable healthcare system that makes better health outcomes attainable for everyone.

Let ProspHire Help You Address Social Determinants of Health

Tackling the challenges presented by negative social determinants of health is no small undertaking, but patients deserve your best effort. A multifaceted approach is necessary to make the changes that will allow our society to find health equity. ProspHire has the expertise and enthusiasm to develop a solid plan for your organization.

ProspHire helps our clients provide better access to quality healthcare. We’re here to help you implement the strategies and interventions needed to fight health disparities and achieve health equity.

With our commitment to culture, leadership, diversity, equity and inclusion, our minority-owned business is a leader in healthcare strategy and execution. Contact the experts at ProspHire today to learn more.

What Are CMS Documentation Requirements?

The Centers for Medicare and Medicaid Services (CMS) require Mandated Documents for Medicare and Medicaid Beneficiaries, which describe member benefits and provide clear and accurate explanations through standardized templates. Since requirements change annually, it’s important for payors to update these documents and relay them to plan beneficiaries to maintain compliance.

Learn more about CMS medical record documentation requirements with ProspHire.

Who Needs Required Documentation?

Any provider approved to offer Medicare- or Medicaid-sponsored plans to their beneficiaries must comply with CMS Mandated Documents.

If you are approved to offer Medicare Advantage plans, you must follow the directives of Medicare and share up-to-date CMS Mandated Documents with beneficiaries.

What Are the Required Documents for CMS?

While CMS Requirements may vary by plan type, there are generally two categories of required documentation for CMS — communications and marketing. If a document is classified as a communication, it provides information to current or prospective enrollees. Marketing materials might include intent and content intended to draw an enrollee’s attention to particular information.

Two categories of required documentation for CMS, communications and marketing

Plans must submit all marketing documents and some communications to the Health Plan Management System (HPMS) for review. HPMS requires some documents to be submitted by particular dates, while others are considered file and use (F&U), meaning the plan can use the materials five days after submitting them to HPMS for review. If the review finds any discrepancies, the plan may be subject to compliance actions.

These documents include the following:

Annual Notice of Change (ANOC)

Plans must send beneficiaries an ANOC each year, usually in the fall and no later than September 30. This document will detail any changes in cost or coverage that will take effect in January of the following year and is considered F&U.

ANOC and EOC Errata

If there are errors in the ANOC or EOC, plans must provide this document to enrollees immediately after they receive CMS approval.

Comprehensive Medication Review Summary

If enrollees are in a plan’s Medication Therapy Management program, they should receive this document immediately following the comprehensive medication review (CMR) or within 14 days.

Coverage/Organization Determination, Discharge, Appeals and Grievance Notices

If an enrollee has filed an appeal or someone has filed an appeal on their behalf, plans must issue this form based on the relevant time frames.

Enrollment/Election Form/Request

Plans must provide enrollment documents on request, and these materials require an HMPS review.

Enrollment and Disenrollment Notices

Medicare has very specific requirements for enrollment and disenrollment notices. Plans can find specific information on these materials in the Medicare Managed Care Manual.

Evidence of Coverage (EOC)

In the fall, plans must also send an annual EOC document that explains what the plan will cover the following year and how much beneficiaries must pay. This document falls under F&U review requirements.

Excluded Provider Notice

Providers can be subject to penalties for using individuals or entities listed in the Office of the Inspector General’s List of Excluded Individuals/Entities. CMS also keeps a list of excluded entities on the preclusion list. If an enrollee uses a provider listed on one of these excluded provider lists, plans must present them with this notice.

Explanation of Benefits — Part C

When enrollees use a Part C benefit, plans need to provide these materials monthly or per claim with a quarterly summary.

Explanation of Benefits — Part D

When enrollees use their prescription drug benefit, often referred to as Part D, plans must provide this documentation to enrollees by the end of the month following the month when they used their benefits.


Also known as a drug list, this communication lists the prescription drugs a plan covers. Plans must make these documents available to enrollees annually by October 15.

Low Income Subsidy (LIS) Notice

If potential enrollees are eligible for Extra Help, plans must provide this document before the enrollment effective date.

Low Income Subsidy (LIS) Rider

Plans must provide this document to current Extra Help enrollees each year by September 30.

Membership ID Cards

Plans must provide both hard and digital copies of ID cards to their enrollees within either 10 calendar days of enrollment or before the end of the month before their enrollment.

Mid-Year Change Notification to Enrollees

If there is a change to the plan rules, benefits or formulary, plans must provide notice of these changes 30 days in advance, unless otherwise stated by the specific CMS regulations.

Non-Renewal Notices

If enrollees are impacted by a non-renewal or service area reduction, plans must provide this notice 60-90 days before the end of the contract year, depending on the material.

Outbound Enrollment Verification

If the enrollee is using an agent or broker enrollment, plans must provide this outbound enrollment verification by hard copy, telephone or email within 15 calendar days of the enrollment request.

Part D Transition Letter

If a beneficiary receives a transition fill for a non-formulary prescription drug, plans must send this letter within three days of adjudication.

Pharmacy Directory

All plan enrollees must receive this pharmacy directory by October 15 for the following plan year.

Plan Termination Notices

Before reaching the plan termination effective date, plans must provide this notice by hard copy and newspaper publication.

Pre-Enrollment Checklist

Plans should provide this document alongside the Summary of Benefits (SB) before enrollment, in the same format the SB is delivered.

Prescription Transfer Letter

If an enrollee’s Part D sponsor requests to fill a prescription at an alternate pharmacy than the one they currently use, plans must send this letter in a timely manner.

Provider Directory

All plan enrollees will receive a provider directory annually by October 15 for current enrollees, within 10 days of enrollment for new enrollees and within three days for current enrollees when requested.

Provider Termination Letter to Beneficiaries

If an enrollee’s provider is no longer part of the plan’s network, plans need to notify enrollees by hard copy via mail 30 days before the effective date.

Safe Disposal Information

At a minimum of once annually, plans need to distribute information on the safe disposal of prescription drugs that constitute controlled substances, including information on drug takeback sites in the enrollee’s community.

Scope of Appointment (SOA)

The SOA form provides enrollees with the opportunity to mark which products they want to discuss, and plans must provide this via signed hard or electronic copy or telephonic recording before the appointment.

Star Ratings Document

The Star Ratings document is generated from HPMS following a standard format. Plans must provide one to enrollees before enrollment and upload the document for HPMS review within 21 days of the updated information.

Summary of Benefits

Plans must provide the SB to all enrollees annually by October 15 and submit the document for HPMS review by that date.


Plans must also include any relevant disclaimers in all CMS required documents for patients.

Contact Us to learn how we can help optimize your required documentation processes

How ProspHire Can Help

Complying with CMS document requirements often requires annual updates with the participation of various departments, which can impact an organization’s efficiency and optimization. However, failing to meet the document requirements for government programs like Medicare and Medicaid can lead to non-compliance actions like fines and member abrasion.

ProspHire can help organizations maintain compliance and streamline their required documentation delivery management systems. With resources like a Required Documents Playbook and Program Toolkit, ProspHire can help organizations create a foundational operating model to ensure plan beneficiaries receive the necessary documentation on time.

Contact us through the form below to learn how we can help optimize your required documentation processes.

ProspHire Names First Chief Marketing & Communications Officer

PITTSBURGH, PA – Founding Principals Lauren and Chris Miladinovich today announced that ProspHire has named Tricia Egry as its first Chief Marketing & Communications Officer. Tricia was previously Senior Director and remains a member of the Firm’s Executive Leadership Team. She is responsible for enhancing and amplifying the ProspHire brand and building and driving a marketing & communications strategy and digital-first programs that drive engagement and conversation, while inspiring a team of nearly 100 employees and consultants across the U.S. ProspHire is a woman-owned and rapidly expanding Pittsburgh-headquartered management consulting firm focused on healthcare advisory, project delivery and strategic resourcing. 

“Since Tricia joined ProspHire in 2021 she has championed an aggressive multi-functional digital marketing strategy that focuses on creating a Best-in-Class client experience to drive lead generation, cross-selling and sales,” said Lauren Miladinovich, ProspHire’s Managing Principal and CEO. “Tricia’s dedication to ProspHire and its people is exceptional and we are thrilled to promote her to be our first Chief Marketing & Communications Officer.”

A proven marketing leader, Tricia brings considerable experience in delivering high-impact, integrated marketing, brand and communications strategies across diverse industries, locations and geographies. Prior to joining ProspHire, she served as National Marketing & Communications Leader of Field Teams at BDO, USA, where she led marketing & communications strategies for more than 60 U.S. offices by managing the development and execution of go-to-market plans that included digital and social media campaigns, public relations and advertising initiatives, sales enablement and bid management and event and sponsorship strategies. She came to BDO through the expansion of Alpern Rosenthal, where she led strategic marketing initiatives for numerous industries as Director of Marketing. Tricia’s career experience also includes being a journalist and news producer for NBC and a disc jockey at several radio stations in Western PA.

“The story of ProspHire is one that I can really relate to,” commented Egry. “It’s a brand that lives at the intersection of relationships and innovation and the leadership aims to help our people, our clients and our communities prosper. I look forward to continuing to evolve the Firm’s marketing and communications program and playing a critical role in our continued momentum and expansion.”

“This is a big moment for ProspHire,” said Christopher Miladinovich, ProspHire’s Principal and Chief Operating Officer. “Tricia’s extensive experience leading marketing organizations at various stages of growth will help our Firm drive revenue and accelerate as we embark on our next chapter.”

About ProspHire
ProspHire is a national management consulting firm focused on healthcare advisory, project delivery and strategic resourcing. Founded on the core value of relationships, with the goal to “prosper together,” ProspHire partners with clients to identify and solve their most significant people, process and technology challenges. The woman-owned and rapidly growing Pittsburgh-based firm has nearly 100 practitioners and consultants who deliver exceptional service to each one of our clients across the U.S. Visit

What Is Value-Based Healthcare? 

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Traditional fee-for-service healthcare does not always provide a desirable system for all patients. It can result in inadequate or overpriced services, making it a less attractive option for many individuals.  

Value-based care (VBC) is changing the landscape by lowering prices and boosting satisfaction for patients, payers and providers as well as aligning incentives and promoting quality care. 

We are exploring the different facets of VBC to help you better understand this care model. Learn more about how value-based healthcare works and its many benefits.  

What Is Value-Based Care and How Does It Work? 

Value-based healthcare programs are designed to reward providers for delivering the highest quality of care. They involve incentive payments for the efficiency and ultimate effectiveness of the services delivered. These systems work as a form of reimbursement and rival traditional healthcare programs that operate with retrospective payments based on bill charges.  

The U.S. federal government first introduced VBC programs in 2008 to improve healthcare services provided to people with Medicare as part of the Medicare Improvements for Patients and Providers Act (MIPPA). In 2010, the Affordable Care Act (ACA) also further advanced the development of value-based healthcare.  

Today, both federal and commercial payers are leading the way in value-based care initiatives by focusing on common areas of duplication, supporting care pathways and evidence-based medicine goals. Removing unnecessary variation in care delivery means better outcomes and lower costs. 

Examples of Value-Based Healthcare

Examples of Value-Based Healthcare 

Value-based healthcare is available in a variety of options. The following are some of the most popular programs you can choose from: 

Accountable Care Organizations 

Originally intended for Medicare patients, accountable care organizations (ACOs) coordinate various healthcare providers to offer coordinated care for a defined population of patients. Providers in the organization share not only the responsibility for improving care, but also the associated risks and incentives in quality performance metrics and lowering costs. While ACOs must invest in technology, people and processes to improve care, the risk arrangements often allow for returns on the investment. 

Bundled Payment 

A bundled payment, also called an episode-based payment, encompasses a program that allows patients to pay for an entire episode of treatment for medical and surgical care. The bundled payment methodology usually begins during hospitalization or surgical procedures and ends ninety days after the initiation of the bundle. This allows providers to emphasize not only the treatment provided within the hospital but the post-acute services, such as rehabilitation or nursing care afterward. It helps incentivize better care transitions and utilization of high-quality post-acute providers that keep the patient safe and avoid unnecessary readmissions. 

Patient-Centered Medical Homes 

A patient-centered medical home (PCMH) is another value-based healthcare model that is centered on a team-based approach to care, anchored in the primary care setting. Providers are typically reimbursed with additional payments to support a more patient-centric and care management delivery model often including services for physical health, mental health, wellness and around-the-clock availability to meet patient and caregiver needs.    

Hospital Value-Based Purchasing 

CMS has also established metrics for most US hospitals related to penalties and risks for quality and cost of care. The programs require hospitals to improve performance on hospital-acquired conditions, value-based purchasing and readmission reduction. These programs place a significant portion of Medicare revenue at risk for hospitals and allow hospitals to grow and support other providers in value-based arrangements. 

What Does Value-Based Care Mean for Payers and Providers?

Now is the time to consider examining or re-examining these programs and the impact on quality care and lowering costs. Are the current programs effective? Are patient outcomes improving and is the expense of operating in these models truly impacting cost? While research is mixed, there is no question that rethinking healthcare reimbursement is here to stay. The most successful organizations are finding the right combinations of care management, pathways, reimbursement and patient engagement that is pushing healthcare delivery in the right direction. 

There are several challenges to success in value-based care. One challenge is access and analysis of timely data that provides the necessary feedback on what is working and what may not be working in care delivery. Often data that providers see is outdated and not well presented to allow real-time interventions or change. 

Another challenge is the lack of coordination between payers and providers and coordinated use of resources for patient/member care management. Care management services may be offered by physician practices, hospitals and payers without a patient-centric approach which can be duplicative and sometimes conflicting. In an ideal system, these important care management and care transition services should be coordinated and focusing on ensuring patients are guided through chronic and acute illnesses and services without overlap or complications. 

Working together, payers, providers and patients can optimize value-based care models by learning from past experiences and continually finding new and innovative ways to align incentives, improve engagement and concentrate on quality outcomes and appropriate costs. 

ProspHire wants to help you provide the highest quality of care.

Turn to ProspHire to Learn More 

Value-based healthcare can assist in advancing the Quadruple Aim. From providing better care at lower costs to improving health management strategies, this type of care offers many benefits. 

At ProspHire, we want to help you provide the highest quality of care possible for your patients. With our team’s extensive healthcare industry knowledge and commitment to delivering valuable results, we are here to optimize your project resource management. 

Are you interested in learning more about how ProspHire can enhance your organization’s processes and improve your performance with integrated clinical care solutions?Contact us below to get started today! 

Hannah Hess and pup

ProspHire Honors Memory of Managing Director Hannah Hass with ‘In Her Shoes’ Program

One year after ProspHire Managing Director Hannah Hass passed away, the Firm unveils ‘In Her Shoes’, a Women in Leadership Training Program, in her honor. This program is focused on inspiring and empowering the women of the Firm through professional development.

‘In Her Shoes’ is a 6-week program that aims to develop future female leaders within ProspHire, focusing on driving innovation, creating high-performing teams, managing difficult situations and developing within your leadership style. “In memory of our colleague and dear friend, Hannah Hass, the ‘In Her Shoes’ program is dedicated to making a positive impact on ProspHire’s Women in Leadership by women empowering women,” says Lauren Miladinovich, Co-founder, Managing Partner and CEO of ProspHire.

The oldest of three sisters, Hannah spent her early life exploring the hills and mountain rivers near Elkins, West Virginia. She loved being on the river and you could often find her sharing a kayak with her German Pinscher, Franz. She had a successful career as a consultant at Deloitte and moved on to build a loving work family at ProspHire, where she was admired by her colleagues for her independence, intelligence and humor. Hannah loved bringing people together.

Donations may be made in Hannah’s name to Project HEAL.

Remembering ProspHire Senior Principal Advisor Rick Dorman

It is with great sadness that we inform of the passing of our friend and colleague Rick Dorman. After facing a battle with cancer, he died on November 12, 2022, with his family by his side. Our sincere condolences go out to Rick’s family during this difficult time.

“Rick represented the best qualities of an advisor, partner, mentor and teammate,” said Lauren Miladinovich, Co-founder, Managing Principal and CEO of ProspHire. “He will be greatly missed by his colleagues across the Firm.”

Rick spent 27 years at Deloitte Consulting, becoming Principal in 1999. Upon retiring, he became an advisor at ProspHire. He was passionate about project management and business development. He was candid, but kind – he never held back. He was a man of sarcasm with much love behind it.

He was an active force on the ProspHire board of advisors and coached new and aspiring partners. Those who worked closely with Rick know how much pride he took in his profession and how he enjoyed life enthusiastically. His knowledge of wine often led to him being designated to select the wine for leadership team dinners.

“More than anyone I know, Rick loved life, he loved the profession and he loved ProspHire. He was the consummate teammate and friend and cared deeply for every staff member,” shared Chris Miladinovich, Co-founder, Principal and Chief Operating Officer of ProspHire. “Together, we remember Rick and the indelible legacy he left at the Firm.”

Rick was a mentor to many, including ProspHire’s Dan Crogan, Principal and SVP of Consulting, when he entered the Firm’s partnership. “Rick brought a wealth of business knowledge to the executive leadership team, but more importantly he was a great man and dear friend,” said Dan. “His patience and mentorship behind the scenes will be truly missed.”

Donations may be made in Rick’s memory to the Target Cancer Foundation ( or the Woodlands (

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