The lack of CMS updates—which include crucial enrollment facts—results in uncertainty, but corporations that prepare ahead will probably be from the best position As Steve notes, "It is really an interesting time and energy to go silent; if timelines slip, it could compress actions afterwards within the calendar year, but strategies ought to have prepared already for each of the routines." MMIT (Managed Marketplaces Insight & Technological innovation)
️ MA bids for 2026 – due June two ⏳With lots of relocating sections, overall health plans and suppliers could have a brief runway to regulate to variations — Placing a strain on methods. ⏳ ATTAC Consulting is ready to enable We are able to promptly deploy our skilled company network management workforce to assistance:
Dr. Chapman has served as Healthcare Director for your health and fitness program with more than one million members in business, Medicare Advantage and Medicaid solutions. In his get the job done with ATTAC consumers, he focuses on the medical aspects of managed care, quality and STAR programs, together with development and software of utilization management standards, good quality checking and interventions, and building operational efficiencies in clinical plan application to scale back administrative fees.
Pooja has greater than 15 several years of practical experience driving business enterprise and knowledge technology transformations to effectively advance healthcare and pharmaceutical industries. She has centered on developing a tradition of collaboration and transparency, managed implementations of complicated, large cross-dependency floor-up units, updates and enhancements, and held significant-visibility positions. Pooja supplies independent, expert and typical method administration guidance to multi-disciplinary and interdepartmental teams, and guides clientele via operational and technological know-how initiatives.
Eric has greater than 30 many years of knowledge in foremost ATTAC’s knowledge analytics group. He's adept in style and design and enhancement of software front-stop and back-end solutions to assistance numerous business requirements.
In addition, she has efficiently led statewide expansions and network adequacy company contracting builds across many states.
Lori has broad experience in Medicare Aspect C/D and business appeals and grievance. She has thirteen a long time of best ATTAC Consulting Group Medicare expertise in procedure improvement, audit/checking and enrollment operations. Ms. Mercer’s experiences involves employing operational and technological best tactics to make sure excellent and compliance with organizational, state and nationwide benchmarks.
Carol s a member of ACG’s Health care Administration, Top quality Enhancement and Government Packages groups. She brings in excess of twenty years of knowledge centered on improvement and implementation of clinical administration methods, which include utilization administration, case management, disorder management, top quality enhancement courses, clinical information programs, NCQA accreditation and strategic scheduling.
We're a Health care consulting agency specializing in operations and Health care compliance solutions for overall health insurers and managed treatment companies
Sharon is often a member of ACG’s scientific pharmacy group supporting Medicare Portion D, Medicaid, and pharmacy profit management groups. Sharon has comprehensive encounter in integrated medical observe, formulary management, operational system reengineering and PBM oversight. She has designed and applied utilization management systems for prolonged-phrase care company groups (Medicare Part A/ managed care) and has organized and participated on corporate JCAHO certification groups, for both of those experienced nursing facilities and pharmacies.
She also makes a speciality of growth of personalized staff members-training applications and accomplishing direct team instruction with a wide range of operational- and compliance-connected matters.
Carmen is often a member of ACG’s Health Strategy Operations and Federal government Systems Observe Groups. She presents purchasers aid in the development of helpful inner auditing and downstream monitoring packages, together with delivers operational know-how from the parts of enrollment and high quality billing (In particular MA and Aspect D), appeals and grievance administration, HEDIS reporting and administration of external audits.
We Merge that experience with expertise obtained from a long time of challenge resolving for any broad assortment of clientele. It’s an unbeatable blend.
Using a verified track record in main detailed compliance packages, Tammy has properly guided well being designs from the complexities of CMS pointers, condition, and federal regulations.