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Overview

We help health care providers and health plans adapt to a rapidly changing marketplace focused on improving the clinical quality of health care delivered to patients while enhancing value and reducing the total cost of care. Our team includes former Centers for Medicare and Medicaid Services (CMS) and other federal government policymakers, as well as professionals with extensive experience in the CMS/CMMI payment reform model, which enables us to draw on the direct experience our professionals have with health care payment reform and innovation. We advise providers and health plans, and joint ventures between them, on the formation of health plans, the development of health plan products, provider network optimization, benefits and services, health plan regulatory requirements, and the development of value-based care models and strategies. We have a deep understanding of the risks and rewards that emerging payment models represent, and we know how to help your organization evaluate and pursue them.

Insights & Events

Insights
Updates July 2025

NAIC Amends Its Model Unfair Trade Practices Act

A Significant Development for Long-Term Care Insurers
3 min read  
Updates June 2025

Insurance Regulatory Considerations for Prescription Drug Cost-Management Programs

The Consequences of Engaging in the Unlicensed Business of Insurance Can Be Severe
6 min read  
Media Mentions February 2025

Tricia Beckmann Discusses Federal Oversight of Medicare Brokers With Law360

1 min read  
Media Mentions September 2024

Tricia Beckmann Discusses Health Care Benefit Cuts With Modern Healthcare

1 min read  
Media Mentions April 2023

Tricia Beckmann Speaks to AIS Health About Finalized Rule from CMS Regarding Marketing Changes

2 min read  
Podcast March 2022

Jesse Witten and Steve Lokensgard Speak About Medicare’s 60-Day Rule on The Compliance Guy Podcast

1 min read  
Published Articles March 2022

Does the 60-Day Rule Apply to Overpayments That Providers Receive From Medicare Advantage and Medicaid Managed Care Plans?

1 min read  
Published Articles February 2022

Considering the Ideal Role for Non-Emergency Medical Transportation in Addressing SDOH in Medicaid and Medicare Populations

1 min read  
Media Mentions February 2021

Faegre Drinker Report on Increased Medicare Advantage ‘Flex’ Benefits Highlighted by AIS Health

1 min read  
Media Mentions February 2021

AIS Health Summarizes a Faegre Drinker Report Analyzing 2021 Medicare Advantage Benefits

1 min read