Many Medicare Advantage (MA) plans and Prescription Drug Plans (PDPs) make product filings to CMS without fully understanding what they’re getting into.  The commitments that one makes to CMS in a product application are non-negotiable -- and form the basis of efficient and compliant operations from the moment the plan begins marketing to members. 

Since passage of the Medicare Modernization Act, Gorman Health Group has brought dozens of plans of all types—including established MA organizations and new market entrants -- from vision to reality.  As part of our full-service offering to MA plans and PDPs, Gorman Health Group offers a range of implementation solutions. 

We begin every engagement with a detailed assessment of your needs, allowing us to apply support where it is needed most while leveraging your organization’s strengths to the greatest effect -- minimizing your costs.

Whether you need help writing policies and procedures, implementing a program for medical management and clinical oversight, or simply planning and mobilizing the effort, GHG can help.  We can also help you set up distinct finance and accounting operations, ensure efficient ongoing enrollment processes, develop marketing materials, and recruit and train sales agents.  And we’ll ensure that each aspect of your operations that we touch is compliant in every way. 

In addition to performing “standard” MA implementations, GHG’s senior consultants have experience implementing:

• Dual-Eligible Plans
• New Special Needs Plans, especially those for the chronically ill
• PACE Plans
• Processes for providers making the transition to “payers”

For an assessment of your needs from the company that has brought more plans to market that any other specialty consultancy in the industry, please call us at 202-204-6181 or email us at info@gormanhealthgroup.com