Government Programs Consulting

Expert consulting services for payers that want to launch or expand Medicare and Medicaid lines of business.

Engage our Experienced Medicaid and Medicare Consulting Team

Select the right business lines and products to succeed in an evolving marketplace.

Engage our experts to write policies and procedures, and to handle training and implementation for special-needs plans, Medicare- and Medicaid-aligned incentives, and dual demonstrations.

Develop a provider network to support new care and payment models.

Achieve high CMS Star ratings and quality health outcomes.

Maintain regulatory compliance and prepare for audits.

Design and implement a rigorous special investigations unit to help identify, remedy, and prevent fraud, waste, and abuse.

Build Successful Government Healthcare Programs

Leverage our consultants’ CMS-specific experience

  • Our team’s leadership, guidance, and support have helped payers launch new Medicare lines of business that subsequently achieved 4+ Star ratings from CMS.
  • Our team assists with:
    • Compliance Program Effectiveness Audit
    • Program Audit Support and Remediation
    • Mock Audits
    • Delegation Oversight
    • MAPD and DSNP Markey Entry
    • Policies and Procedures
    • Stars Program Improvement
    • Interim Staffing
    • CMS, MAPD, and DSNP Training

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