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Health Plans

We know healthcare. The breadth and depth of our expertise is exceptional and informed by outstanding performance for a broad array of Fortune 500 companies since 2000. Our content is objective, driven by unique data assets, and unfailingly creative. Check us out.

Why Work with Us

Position for Success

Health plans should match their strategy with data to meet the needs of their patients better.

Our team of health plan experts combines first-hand industry experience, unique policy perspective, and access to unmatched data and analytics capabilities. Count on us to help you evaluate and manage risk, determine and optimize provider partnerships, expand into new business lines and markets, and prepare for future changes that will impact your business.

Improve Financial Performance

Thoroughly evaluating your risk and quality performance, we perform third-party, end-to-end assessment encounter data system (EDS) submission to identify opportunities to improve your risk score accuracy. We also identify and improve factors that cause low Stars performance, including supporting the appeals process.

Optimize Provider Networks

Gain transparency into provider performance in new markets and within your existing network. Our MORE2 Registry® combines Commercial, Managed Medicaid, and Medicare Advantage data. Analyzing this unique data from the lens of our government program and value-based provider arrangement expertise, we can optimize your provider network for growth and profitability.

Achieve Program Compliance & Operational Effectiveness

Transform operations while maintaining program compliance with our deep policy expertise and hands-on evaluation of your operational capabilities and gaps. Confidently expand into new markets and lines of business, considering the most important drivers of compliance and profitability.

Define Strategic Priorities

Develop a practical strategy with our highly collaborative approach facilitating leadership retreats and cross-functional work groups to understand the impacts. We work closely with every stakeholder to identify realistic steps and get you from here to there.

Health Plan Capabilities

Our Experts

Michael Lutz

Michael Lutz

Senior Consultant, Center for Healthcare Transformation

Michael Lutz supports clients who serve members of Medicare, Medicaid, and commercial health programs. He applies his background in plan operations and strategy to help customers anticipate and implement changes in federal and state regulations to ensure program compliance and operational efficiency.

Robin Duddy-Tenbrunsel

Robin Duddy-Tenbrunsel

Associate Principal, Policy

Robin Duddy-Tenbrunsel analyzes the implications of health reform and applies her background with the health insurance exchanges, evidenced-based policy, and the federal budget process to providing strategic advice to clients on their policy and advocacy priorities.

Thomas Kornfield

Thomas Kornfield

Senior Consultant, Policy

Thomas Kornfield provides analytical support and strategic advice for clients on Medicare Advantage risk adjustment and payment and on Part D issues. He has over 20 years of public and private sector experience in Medicare Advantage and Part D payment policy, including 10 years working at the Centers for Medicare & Medicaid Services.

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