Overview

We help health plans evolve with the marketplace. Our team features former federal agency staffers — including the former director of the Insurance Programs Group and Medicare Advantage Operations at the Centers for Medicare and Medicaid Services. Drawing from our direct experience reshaping and improving access to care, we advise providers and their affiliated health plans on health plan formation, corporate organization and governance, regulatory requirements, network contracting and the development of strategies for taking financial risk. We’re helping provider-sponsored health plans recover unpaid government funds through the Affordable Care Act’s risk corridor and cost-sharing reduction programs, and we’ve helped clients prevail in administrative appeals to regulators. With changes always on the horizon, we are well positioned to help you develop new payment model strategies and to position your organization to succeed in the future.

Related Services and Industries

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