Buy Side Services

A historic demographic surge of baby-bomer beneficiaries into Medicare beginning in 2011 has made the senior space one of the two biggest growth sectors in managed care (the other, ironically, being the uninsured).

While credit markets have not (and will likely never) returned to their go-go recent past, there remain excellent opportunities for smart buyers, whether they are existing insurers or investment groups.  Government programs are an exceptional revenue stream ($10,000 per member per year).  And with individual aquisition costs approaching an astounding $2,000 in some markets, acquisition remains an important alternative path to organic growth.  For some plans, it is the only path.  GHG will help you identify potential targets by product type, financial criteria, geographic market, or fit with your organization.

Buyers inexperienced in Medicare must enter the market with eyes wide open.  Medicare managed care operations have little in common with commercial or Medicaid products, and benefit little from matrixed operations with these business lines.  What you save in staffing or direct systems cost you lose in through the cracks via incorrect claims pricing, poorly adjudicated enrollment, and so on.  Gorman Health Group can help you avoid the common mistakes of integration by establishing efficient and compliant processes--and use of industry leading, Medicare-specific tools--from the beginning.

For more information, please contact Nathan Goldstein at 202-364-8283.