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
With Few Details Known, WellCare FBI Raid Could Have Effect on MA Program Funding, Health Plan Week (Formerly Managed Care Week), 10.29.07
Gorman Health Group CEO John Gorman's Statement Regarding Recent Events Surrounding WellCare in Tampa, FL, 10.25.07
Congress Focuses on New CMS Report Citing Medicare Plan Deficiences Found in Audits, Medicare Advantage News, 10.18.07

Errant Medicare Advantage Plans Struggled With Appeals Mechanism, CQ HealthBeat News, 10.11.07

PFFS, Chronic SNPs, Local PPOs Take Off, While PDPs, Regional PPOs Stay Flat for '08, Medicare Advantage News, 10.04.07

Gorman Health Group CEO John Gorman Video Presentation: Marketing The Medicare Outlook - Keys to Success in the New Medicare Market, Sponsored by Munich Re, AHIP Medicare Conference, 09.25.07

MA Marketing Season Set to Begin Oct. 1 Is Seen as 'Make or Break' Push for Plans, Medicare Advantage News, 09.20.07
Gorman Health Group Memo on Increase in Number of MA Plans in 2008, Driven Largely by new PFFS Plans, SNPs and Local PPOs, 10.02.07

Gorman Health Group Summary of Children's Health and Medicare Protection Act (CHAMP); House Legislation Would Drastically Cut MA Payments; Fate of Bill Highly Uncertain, 08.03.07

Gorman Health Group Summary of Congressional Repeal of Open Enrollment for PFFS Plans and CMS Establishment of New Exceptional Circumstances Special Erollment Period, 07.19.07
MA Plans Face Likely Future Payment Cuts, As PFFS Firms Comply With Marketing Rules, Managed Care Week, 06.25.07
Gorman Health Group Summary of CMS Annoucement, New Marketing Directives for PFFS Plans, 06.08.07
Plans Should Match Own Enrollment Data to CMS Data to Reconcile PDE Submissions, Medicare Part D Compliance News, 06.07
Gorman Health Group Summary of CMS Final 2008 Call Letter
Scrutiny of Medicare Marketing Practices Could Boost MA, Part D Aquisition Costs, Medicare Advantage News, 05.21.07
Private FFS Plans: Big Growth Means Big HHA Headaches, Home Health Line, 05.21.07
CMS Will Require PFFS Verification Calls As Plans Are Urged to be Proactive in '08, Medicare Advantage News, 05.17.07
Highlights from the Deutsche Bank Healthcare Conference, 05.07.07
Medicare Private Fee-for-Service Plans: A Market-Driven Blueprint For Enhancing Value, BNA, Health Plan & Provider, 05.02.07
Gorman Health Group Summary and Analysis of Final 2008 MA Capitation and Part D Rates, 04.04.07
Gorman Health Group Summary of CMS Draft 2008 Call Letter, 03.30.07
The Key to Survival in Medicare: A Successful HCC Management Program, TMG Health Solutions, Winter 2007
Industry Stays on Guard as CBO, MedPAC Predict Huge Savings From Reducing MA Pay, Medicare Advantage News, 03.08.07
Making chronic illnesses less costly, St. Louis Post Dispatch, 03.04.07
Gorman Health Group Summary and Analysis of CMS’ 45-Day Advance Notice of 2008 MA Rates, 02.21.07
MA Head Sees Stable Pay, More MSAs in ’08, Says ’07 Enrollment Went ‘Exceedingly Well', Medicare Advantage News, 01.25.07
Analysis: New scrutiny for Medicare HMOs, UPI.com, 01.23.07
The Role Of Private Plans In Medicare's Future, including commentary from John Gorman, KaiserNetwork.org, 01.23.07
Congress Alters the Part C/Part D Playing Field, 12.19.06
Drug-Plan Prices in 2007 - Wall Street Journal, 11.19.06
John Gorman's Analysis of the Impact of Mid-Term Election on Medicare Programs
CMS Broadens SNPs’ Marketing, Lets Providers Mail SNP Promos - Medicare Advantage News, 11.09.06
Midterm US Elections Seen Having Effect On Drug Stocks - CNNMoney.com, 11.06.06
Medicare Chronic Condition Special Needs Plans: Background and Overview - October 2006
Give Us Your Sick... Thanks to a shift in Medicare policies, insurers are seeking out those they once avoided - Wall Street Journal, 10.21.06
Healthcare experts predict downturn in Rx drug plans - The Hill, 10.04.06
Medicare Drug Plans: The New Choices - Wall Street Journal, 10.03.06
Medicare Insurers to Offer More Options in ’07 - New York Times, 10.01.06
Medicare CMS Warning Not to Take Enrollment Forms
Before Nov. 15 ‘Lacks Teeth,’ Experts Say - Medicare Advantage News, 09.24.06
Medicare Sees No Rise in Premium for Drugs  - New York Times, 08.16.06
Plans Negotiate 2007 Benefits With CMS, Gear Up for Heavy Marketing to Begin Oct. 1 - Medicare Advantage News, 07.27.06
Part D Sponsors Urged to Fully Assess Areas of Concern for ’07 – Medicare Advantage News, 07.27.06
Risk Adjustments Could Make Medicare CDH Plan ‘Viable’ Product for Plans, Patients, Inside Consumer-Directed Care, 07.14.06
Enrollment Nears 500,000 in Special Needs Plans; Big Growth Seen for ’07, CMS Says, Medicare Advantage News, 07.13.06
Beneficiaries Start Easing Their Way Through The Medicare Part D Donut Hole–So Far, Medicare Part D Compliance News, . 07.06
MA Plans Urged to Start '08 Planning Even While Facing Operational Challenges for '07, Medicare Advantage News, 06.29.06
Troubles Linger in Regulation of Medicare Customer Service,
New York Times, 06.25.06
MedPAC Says MA Plans Are Paid More Than FFS for 2006, but Consultant Disputes Findings, 6.15.06
NEW GHG's B vs. D Navigator: Our Comprehensive Guide to Medicare Part B versus Part D Coverage
In Scramble for New Medicare Business, a Few Insurers Grab the Most - New York Times, 04.29.06
MA Plans Face ‘Razor Thin’ ’07 Rate Hike Or Pay Cuts in Most Markets, Experts Say - Medicare Advantage News, 04.27.06
PDPs, MA-PDs See Impending Difficulties in Continuing Growth as Lock-in Dates Approach - Medicare Advantage News, 04.27.06
Deadline Near, Jams Are Seen for Drug Plan - New York Times, 04.24.06
Medicare Rates to Rise, Only 1.1% After Adjustments – Capitation Rates & Data, 04.06
MA Market Likely to Be More Competitive, More Specialized, Offer Fewer ’07 Options– Medicare Advantage News, 03.23.06
Compliance Risks in the Medicare Retiree Drug Subsidy Program – Health Plan and Provider Report, 03.22.06
Employer Retiree Business Offers Growth Opportunities for Part D Organizations – Health Plan and Provider Report, 03.15.06
Special Needs Plans Rolling Out In New England – New England Health Plan Analysis, 02.06
Rules of Medicare Drug Plans Slow Access to Benefits Costs – New York Times, 02.14.06
Federal Costs Dropping Under New Medicare Drug Plan – New York Times, 02.03.06
 

More and more healthcare business executives, investment analysts, policy makers, and members of the national media turn to Gorman Health Group regularly for expert commentary and insights on Medicare managed care. It’s no wonder, given that GHG is the leading consulting firm in Medicare managed care. We’ve brought dozens of Medicare Advantage (MA), Prescription Drug Plans (PDPs) and Special Needs Plans (SNPs) to market since 2004. We’re backed by our highly-capable, veteran staff, who bring more than 500 years of combined managed care business and federal regulatory experience.

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