Gorman Health Group’s consultants work closely with managed care plans, insurers, PBMs, and other healthcare entities to determine their current position within the federal programs market. We then take steps to help these organizations get a firm foothold in the marketplace, or modify their current positioning, so they can more fully take advantage of emerging opportunities and better meet beneficiary needs.

Our experts can design or revise existing product strategies and the specific population segments pursued. As one example, GHG’s consultants are acutely aware of the many challenges the special needs population presents for healthcare organizations. Our consultants evaluate whether health plans are fully equipped to confront the special financial and operational challenges posed by this segment, and work with plans to develop the necessary operational, clinical, and marketing strategies that will best serve the needs of these beneficiaries, while also ensuring the health plans’ economic viability. GHG assists plans with the filing of federal and state applications, then leads the lengthy implementation process that eventually leads up to product launch.

CMS Publishes Final 2009 MA Capitation Rates and Part D Payment Policies; CMS Will Conduct Plan Level Audits and Not Make Coding Intensity Adjustments for 2009, 04.10.08
2009 Advance Notice of Capitation Rates, 3.04.08
CMS Call Letter Establishes New Requirements and Reporting Metrics for Plans 1.24.08
Other SNP Sponsors Could Follow In QMed's Wake, Consultant Says; Medicare Advantage News, 11.15.07
The Medicare Outlook: Keys to Success in the New Senior Market, Munich Re America HealthCare Newsletter, 11.01.07
 
Protecting Beneficiaries: Improving & Monitoring Medicare Marketing Practices - AHIP, 05.07
Hard Sell Cited as Insurers Push Plans to Elderly, New York Times, 05.07.07
Advantage Plan's Risk- Wall Street Journal, 04.22.07
Power Shift in Congress Revives Health Debate - New York Times, 01.02.07
 

Home || Contact || Site Map || Terms and Conditions || GHG Webmail || GHG WebVPN || Intranet || Copyright © 1996-2008 Gorman Health Group, LLC