Medicare Health Plans

The heart of our business is Medicare managed care

Many payers have turned in recent years to their govenment business to be a driver of membership and revenue growth.  The most visionary plans have awoken to the reality that these products also serve as something of a precedent for managing the opportunities presented by health reform.  But because the government business is so different than commercial products, operating these lines of busienss on a commercial platform or with a commercial mindset will not yield success.  Even those plans who strive to "get it right" from the start are challenged by the pace of regulatory change and the tightening revenue environment.

The heart of our business is our work on behalf of Medicare managed care plans, helping them thrive in this high-stakes, and high-opportunity environment.  Over the years we have brought many dozens of Medicare Advantage (MA) plans, Prescription Drug Plans (PDPs), and Special Needs Plans (SNPs) to market, and helped countless others thrive in the government programs market.  In addition serving as the trusted partner of over 50 health insurers--representing hundreds of plans--a year, we maintain active practices for providers, PBMs, and a host of other ancillary industries.  This gives us an unmatched perspective on the health plan business environment.  We invite you to learn more inside. 

 

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