WASHINGTON, March 22, 2012 – Gorman Health Group (GHG) the leading solutions provider in Government programs, announces today a business partnership with The Burchfield Group (Burchfield) to provide Medicare Part D claims auditing and analysis and Medicare Part C and Part D data validation services to managed care organizations.
“Rapid changes in Part D regulations make tracking Medicare requirements exceptionally difficult — to say nothing of actually managing to them. Plans must first identify and eliminate compliance and operational risk in Part D before they can even think of providing first class service to beneficiaries. With the advent of value based purchasing in government programs that is an existential issue for the industry,” said Nathan Goldstein, Chief Executive Officer of Gorman Health Group.
“Our partnership pairs Burchfield’s consulting and audit services with GHG’s strategic counsel and technology solutions, resulting in a comprehensive, 360 degree approach to compliance for those organizations we serve,” said Brian Bullock, President and CEO of The Burchfield Group.
“Staying abreast of regulatory changes in the Medicare industry and maintaining compliance is a high priority for health plans,” he said. “Burchfield uses our ongoing relationship with CMS, cutting edge technology, and extensive data warehouse capabilities to help health plans meet this challenge.”
For the last 15 years, Gorman Health Group has been the leading consulting and solutions provider to companies in Medicare Advantage and Part D. Over four million beneficiaries have their Part D payments adjudicated by GHG’s Valencia. Today, more than 2,200 compliance and operations staff use GHG’s compliance dashboard and management tools. Nearly 30,000 brokers and sales agents are certified and credentialed using Sales Sentinel, GHG’s unique web-based platform.
Burchfield is one of the largest national firms wholly focused on the pharmacy benefit management (PBM) industry. Since Medicare Part D’s inception in 2006, Burchfield has provided health plans with clinical and analytical expertise, offering clients peace of mind and a proactive approach in maintaining compliance with CMS regulations.