Gorman Health Group | Press Releases
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Press Releases

GORMAN HEALTH GROUP LAUNCHES SENTINEL ELITE™, A NEW SYSTEM FOR QUICK, EASY AGENT ONBOARDING, OVERSIGHT AND COMMISSIONS  

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, is proud to announce the launch of its new agent management system developed by GHG for onboarding and oversight of, as well as commission payments to, health insurance sales agents operating in Medicare, Medigap, and the Health Insurance Marketplaces.

 

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Release date: 7/8/2016

 


 

GORMAN HEALTH GROUP RESPONDS TO THE INDUSTRY’S DEMANDS BY BREAKING DOWN BARRIERS THAT HINDER THE MEMBER EXPERIENCE

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, announced a new member experience initiative designed to meet a health plan’s concerns for retention and service to the member while remaining compliant. Through our assessment, we provide strategies to enhance cultural competence, presenting opportunities for the health plan and providers to efficiently deliver healthcare services that meet the social, cultural, and linguistic needs of members.

 

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Release date: 6/22/2016

 


 

FORMER MHPA PRESIDENT & CEO, THOMAS JOHNSON, JOINS GORMAN HEALTH GROUP’S ELITE TEAM OF GOVERNMENT HEALTHCARE EXPERTS

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, is proud to announce a new addition to the firm’s team of government healthcare experts. Thomas Johnson, former President and Chief Executive Officer of the Medicaid Health Plans of America (MHPA) for nearly a decade, joins GHG as Senior Advisor, bringing our clients 15 years of expertise in government health programs.

 

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Release date: 6/14/2016

 


 

GORMAN HEALTH GROUP LAUNCHES NEW RECONCILIATION SERVICES TO ALIGN ENROLLMENT DATA

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government-sponsored healthcare programs, has launched a new reconciliation service with a focus on reducing the volume of enrollment and payment discrepancies while building best practices within Issuers’ Finance and Enrollment departments.

 

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Release date: 6/7/2016

 


 

GORMAN HEALTH GROUP WELCOMES CMS EXECUTIVE DAVID SAYEN TO THE FIRM’S ELITE TEAM OF GOVERNMENT HEALTHCARE EXPERTS

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, is proud to announce a new addition to the firm’s team of government healthcare experts. David Sayen, former Centers for Medicare & Medicaid Services (CMS) Regional Administrator for Region 9 (CA, AZ, NV, and HI), joins GHG as Senior Vice President of Client Relations, bringing our clients nearly 40 years of federal service and experience in health and human services programs.

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Release date: 4/5/2016

 


 

GORMAN HEALTH GROUP STRENGTHENS RISK ADJUSTMENT EXPERTISE AND SOLUTIONS THROUGH PULSE8 ANALYTICS AND TECHNOLOGIES

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, announced its new collaboration with Pulse8, an innovative healthcare analytics and technology company. This new collaborative will assist our health plan and provider clients who participate in Medicare, Medicaid, and Commercial Health Insurance Marketplace programs in their efforts to reduce administrative spend and improve revenue and quality objectives.

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Release date: 11/30/2015

 


 

GORMAN HEALTH GROUP ANNOUNCES 2016 FORUM – OFFERS PROVEN TACTICS TO MANAGE & DRIVE GROWTH IN MEDICARE, MEDICAID & THE HEALTH INSURANCE MARKETPLACES

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, announced its annual client forum April 19-20, 2016, at the Worthington Renaissance Fort Worth Hotel in Fort Worth, Texas. This event features the most renowned topic experts and industry pioneers who share proven tactics to cut costs, increase member satisfaction, and manage and drive sustainable growth.

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Release date: 11/3/2015

 


 

GORMAN HEALTH GROUP’S RECONCILIATION TOOL, VALENCIA™, SURPASSES TO 10 MILLION MEMBERS 

Gorman Health Group (GHG), the leading consulting firm and solutions provider in government-sponsored healthcare programs, announced its reconciliation tool, Valencia™, reached a milestone this month, now managing the membership and financial data of more than 10 million members in Medicare, Medicaid, and the Health Insurance Marketplace.

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Release date: 9/23/2015

 


 

GORMAN HEALTH GROUP LAUNCHES NEW SOFTWARE DESIGNED TO SIMPLIFY COMMISSION PAYMENTS

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, announced the launch of its Sales Sentinel™ Commissions Module. This unique commission payments system is designed specifically to take the complexity of regulations surrounding Medicare Advantage and Part D commission payments, and provide a quick and easy solution for organizations to calculate and generate compensation.

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Release date: 3/19/2015

 


 

GORMAN HEALTH GROUP ANNOUNCES NEW VISION FOR HEALTHCARE ANALYTICS AND RISK ADJUSTMENT PROGRAMS; APPOINTS NEW SENIOR VICE PRESIDENT TO LEAD DIVISION

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government healthcare programs, announced its new vision for maximizing healthcare analytics and optimizing risk adjustment programs, relying heavily on patient/member, health plan, and provider collaboration, and the appointment of one of the nation’s leading risk adjustment experts, Daniel Weinrieb, to lead the division.

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Release date: 3/18/2015

 


 

 

GORMAN HEALTH GROUP ANNOUNCES 2015 FORUM – OFFERS STRATEGIES FOR SUCCESS IN MEDICARE, MEDICAID AND EXCHANGE

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government health care programs,  announced its annual client forum April 7-9, 2015, at the Gaylord National Resort and Convention Center just outside Washington, DC. This event features the most renowned topic experts and industry pioneers, who share advice on key issues related to strategy, operations, quality improvement, Star Ratings, risk adjustment, and compliance, as well as what to expect in 2016 and beyond in the government health care industry.

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Release date: 12/22/2014

 


 

 

 

GORMAN HEALTH GROUP LAUNCHES NEW SOFTWARE DESIGNED TO AUTOMATE AND BRING CLARITY TO APPEALS AND GRIEVANCES

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government health care programs, announced the launch of its appeals and grievances software, CaseIQ™. The first of its kind, CaseIQ™ not only captures all the data points needed to categorize, work and report coverage disputes and complaints; it also guides users through the appropriate processing of each case, minimizing the risk of non-compliance due to user error.

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Release date: 11/13/2014

 


 

GORMAN HEALTH GROUP ANNOUNCES EXPANSION INTO MEDICAID; APPOINTS NEW SENIOR VICE PRESIDENT TO LEAD DIVISION

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government health care programs, announced its further expansion into Medicaid, and the promotion of one of the nation’s leading Medicaid experts, Heidi Arndt, to lead the division.

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Release date: 10/24/2014

 


 

 

GORMAN HEALTH GROUP WELCOMES SUSAN ROBERTS TO THE FIRM’S ELITE TEAM OF GOVERNMENT HEALTH CARE EXPERTS

Gorman Health Group, LLC (GHG), the leading consulting firm and solutions provider in government health care programs, is proud to announce a new addition to the firm’s team of government health care experts. Susan Roberts brings GHG clients more than 25 years of Medicare and Medicaid program development expertise in streamlining operations and maximizing efficiency and effectiveness.

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Release date: 10/01/2014

 


 

GORMAN HEALTH GROUP TO PRESENT AT 4TH ANNUAL RISE CALIFORNIA SUMMIT

Gorman Health Group, LLC (GHG) the leading consulting firm and solutions provider in government health care programs, will deliver the opening featured address on ‘Recognizing the Financial and Regulatory Vortex in 2015 for Medicare Advantage’ at the 4th Annual RISE California Summit, taking place July 13-15, 2014 in San Diego, California.
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Release Date: 07/16/2014

 

 


 

 

 

NOVU LAUNCHES ENHANCED QUALITY ENGAGEMENT PLATFORM TO HELP HEALTH PLANS DRIVE QUALITY

GHG’s partner, Novu, an innovative consumer health and technology services firm recently launched a quality engagement pltform to help health plans drive quality. The platform was recently featured in an article on The Institute for Healthcare Consumerism.
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Release Date: 06/09/2014

 

 


 

 

 

GORMAN HEALTH GROUP AND NOVU ANNOUNCE PARTNERSHIP TO ENHANCE MEMBER ENGAGEMENT IN GOVERNMENT SPONSORED HEALTH PROGRAMS

Gorman Health Group (GHG), the leading consulting firm and solutions provider in government health care programs, is proud to announce its partnership with Novu, an innovative consumer health and technology services firm.

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Release Date: 03/04/2014

 

 


 

 

 

GORMAN HEALTH GROUP PARTNERS WITH TRIZETTO TO PROVIDE MARKETPLACE RECONCILIATION SOLUTION

Gorman Health Group’s web-based workflow management software, Valencia™, will integrate with the TriZetto core administrative platforms, Facets™ and QNXT™, to drive and resolve membership and payment discrepancies through a health plan’s existing process. Through this combination, clients will have access to a solution that provides a workflow platform to manage this critical plan function.

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Release Date: 10/01/2013

 

 

 


 

 

 

GORMAN HEALTH GROUP BRINGS 10 CLIENTS TO OBAMACARE’S HEALTH INSURANCE MARKETPLACES

As a trusted leader in the government-sponsored health care space for nearly 20 years, Gorman Health Group has assisted multiple clients’ complete applications for the Federally-facilitated Marketplace. GHG has provided detailed reports outlining areas of risk while offering expert strategy and tangible workflow solutions to insurance plans of all sizes. Our expert team has supported clients in the creation of straightforward management frameworks and timelines to ensure health plans are ready for the Exchanges.

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Release Date: 09/24/2013

 

 


 

 

 

GORMAN HEALTH GROUP’S SOFTWARE SALES SENTINEL™ ACHIEVES 97% RENEWAL

The new Health Insurance Marketplaces (the Exchanges) and State Partnerships have established requirements for onboarding agents. Sales Sentinel™ can support your organization in credentialing, product training, and oversight, as well as seamlessly verifying the completion of the FFM registration and training.

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Release Date: 07/29/2013

 

 

 


 

 

PAYER AND PROVIDER ORGANIZATIONS GATHER TO DISCUSS OPPORTUNITIES IN GOVERNMENT SPONSORED HEALTH CARE

More than 200 executives representing over 80 health care organizations met in Washington, D.C. for the 2nd Gorman Health Group Forum on the future of government sponsored health care programs.

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Release Date: 06/17/2013

 

 


 

 

 

 

EIGHT INNOVATORS SPONSOR GORMAN HEALTH GROUP’S ANNUAL FORUM THIS JUNE

Gorman Health Group (GHG), the leading solutions provider in government health care programs, is preparing for its annual forum June 13-14 at the Gaylord National Resort and Convention Center in Washington, DC.

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Release Date: 05/03/2013

 

 

 


 

 

 

STATEMENT FROM GORMAN HEALTH GROUP REGARDING THE FINAL GUIDANCE FOR THE ROLE OF AGENTS, BROKERS AND WEB-BROKERS IN THE HEALTH INSURANCE MARKETPLACES:

“The Centers for Medicare and Medicaid Services (CMS) just released final guidance for the role of agents, brokers and web-brokers in health insurance marketplaces,” said Executive Chairman John Gorman.

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Release Date: 05/02/2013

 

 


 

 

 

GORMAN HEALTH GROUP’S KNOWLEDGE UTILITY “THE POINT” REACHES OVER 100 MEMBERS IN APRIL

Gorman Health Group (GHG), the leading solutions provider in government-sponsored health care, announced on Friday that its online knowledge utility, the Point, reached a milestone.

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Release Date: 04/26/2013

 

 


 

 

 

STATEMENT FROM JOHN GORMAN, EXECUTIVE CHAIRMAN, GORMAN HEALTH GROUP REGARDING THE FINAL 2014 RATES FOR MEDICARE ADVANTAGE

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Release Date: 04/02/2013

 

 

 


 

 

 

GORMAN HEALTH GROUP PROVIDES A SUMMARY AND ANALYSIS OF THE CMS ADVANCE NOTICE AND 2014 DRAFT CALL LETTER FOR MEDICARE ADVANTAGE

WASHINGTON, February 21 – Gorman Health Group (GHG), the leading consulting firm and solutions provider in government health care programs, has made available a summary and analysis of both the 2014 CMS Draft Call Letter and the Advance Notice for 2014 Medicare Advantage rates.

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Release Date: 02/21/2013

 

 

 


 

 

 

GORMAN HEALTH GROUP LAUNCHES NEW KNOWLEDGE UTILITY FOR GOVERNMENT HEALTH CARE STAKEHOLDERS

WASHINGTON, DC November 26, 2012 — We’ve launched with a focus on Medicare innovations — namely Medicare Advantage and the programs of CMS’ Innovation Center: ACOs, Duals initiatives, and others.

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Release Date: 11/26/2012

 

 


 

 

 

POST-ELECTION STATEMENT FROM JOHN GORMAN

It’s hard to argue this wasn’t a decisive victory for the President and Democrats in the Senate, where the GOP snatched defeat from the jaws of victory. The big question is whether Congressional Republicans will hear what the people said.

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Release Date: 11/07/2012

 

 

 


 

 

 

 

GORMAN HEALTH GROUP’S VALENCIA REACHES $20 BILLION IN CAPITATION MANAGEMENT

WASHINGTON, DC July 10, 2012 – Gorman Health Group (GHG), the leading solutions provider in Government programs, announces today CMS approval for three additional GHG clients to become Accountable Care Organizations (ACOs) under Medicare’s shared savings program. This brings the company’s total successful ACO awardees to nine.

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Release Date: 09/05/2012

 

 


 

 

 

THREE GORMAN HEALTH GROUP CLIENTS APPROVED BY CMS TO BECOME OPERATING ACCOUNTABLE CARE ORGANIZATIONS

WASHINGTON, DC July 10, 2012 – Gorman Health Group (GHG), the leading solutions provider in Government programs, announces today CMS approval for three additional GHG clients to become Accountable Care Organizations (ACOs) under Medicare’s shared savings program. This brings the company’s total successful ACO awardees to nine.

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Release Date: 07/10/2012

 

 

 


 

 

 

HEALTH PLANS GATHER TO DISCUSS INDUSTRY SHIFT TO VALUE-BASED PURCHASING

WASHINGTON, June 27, 2012 – More than 200 executives representing over 80 health care organizations met in Washington, D.C. for the Gorman Health Group Forum on the future of government programs.

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Release Date: 06/27/2012

 

 

 


 

 

 

 

GORMAN HEALTH GROUP INITIATES OFFSITE VIRTUAL AUDIT PROGRAM

WASHINGTON, DC July 10, 2012 – Gorman Health Group (GHG), the leading solutions provider in Government programs, announces today CMS approval for three additional GHG clients to become Accountable Care Organizations (ACOs) under Medicare’s shared savings program. This brings the company’s total successful ACO awardees to nine.

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Release Date: 03/22/2012

 

 

 

 


 

 

 

GORMAN HEALTH GROUP ANNOUNCES NEW PARTNERSHIP WITH THE BURCHFIELD GROUP TO PROVIDE ENHANCED MEDICARE PART C AND D SERVICES TO HEALTH PLANS

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.

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Release Date: 03/22/2012

 

 

 


 

 

 

MEDICARE ADVANTAGE TECHNOLOGY FIRM ANNOUNCES NEW MOBILE APPLICATION DESIGNED TO SET NEW STANDARD IN SALES FORCE COMPLIANCE

WASHINGTON, February 15, 2012 – Gorman Health Group (GHG) the leading solutions provider in Government programs, announces today a joint venture in partnership with Bloom Marketing Group (Bloom) to launch Ascend a mobile application designed to bring transparency to Medicare Advantage sales force management.

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Release Date: 02/15/2012