Kathryn M. Lepsevich
Senior Consultant

Kathryn Lepsevich is a Senior Consultant with Gorman Health Group who has extensive knowledge in health insurance and government programs with expertise in Medicare operations.

A former National Operations Manager for Prudential HealthCare, Kathryn was responsible for ten national sites and three service centers to ensure coordinated operational management oversight. In addition, she has directed internal compliance audits, and has developed business practices to meet requirements necessary for corrective actions.

  • Her managed care experience includes:
  • Project Management for Medicare
  • Regulatory auditing
  • Day-to-day operations (enrollment, reconciliation, appeals, grievances and member service)
  • Development and implementation of correspondence, policies, procedures and workflows.
  • Corporate and Medicare training.
  • Product development with a start up organization

In addition to Prudential HealthCare, Kathryn was a Senior Consultant with Managed Care Compliance Solutions, and also held various positions with Secure Horizons and Tufts Associated Health Plans.

Kathryn holds a Bachelor degree in Management and resides in Boston, Massachusetts.

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
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
 

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