5 Tips about best ATTAC Consulting Group You Can Use Today
5 Tips about best ATTAC Consulting Group You Can Use Today
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The dearth of CMS updates—such as vital enrollment info—results in uncertainty, but corporations that plan forward will be inside the best situation As Steve notes, "It is an interesting time and energy to go silent; if timelines slip, it could compress activities later on during the calendar year, but plans ought to have planned previously for every one of the pursuits." MMIT (Managed Marketplaces Perception & Technologies)
Marcia has more than thirty decades of expertise and leadership and management of medical and quality applications for Medicaid and Medicare Gain courses and professional products. She has deep expertise in the look, implementation and oversight of delegated medical management system designs, such as improvement of service provider incentive and checking packages focused on efficient and compliant healthcare administration.
Dr. Chapman has served as Professional medical Director for the well being approach with much more than one million users in business, Medicare Benefit and Medicaid items. In his work with ATTAC customers, he focuses on the clinical components of managed care, good quality and STAR plans, including progress and software of utilization administration requirements, high-quality checking and interventions, and producing operational efficiencies in scientific software software to scale back administrative expenditures.
This consists of Examination of supplier entry and adequacy compliance as well as the linked regulatory filings.
- John Barkley - Great way to lead the panels and dropping some knowledge to a lot of on bringing companies and payers with each other and vendor oversight.
Jon has guided various companies to develop helpful controls to lessen knowledge leakage and to deal with submission mistakes.
He also guides project teams supporting business method Investigation, reengineering and design and style and enhancements of core programs supporting the business, Medicare and Medicaid sectors. Ilya has held consulting roles with other companies and served as Medicare functions guide for Horizon BCBS As well as in functions capacities at Aetna, Inc.
Darlene is usually a member of ACG’s Government Systems Practice Group. She delivers wide expertise in organizational advancement and compliance management from the Medicare and Medicaid arenas. For more than a dozen years, she has held senior authorized and compliance roles within the insurance coverage and managed care industries, where by she has led actions as diverse as health prepare start-up, administration of JCAHO and NCQA accreditation, point out and CMS regulatory oversight audits, managed line obligation for grievances and appeals, product sales agent oversight and industry perform in addition to organization processes and coverage for company file retention. She has Formerly labored for Centene Corporation, AmeriGroup and United Healthcare.
We’re enthusiastic about our industry and finding it proper. We’re happy with our reputation among business leaders to conduct comprehensive operational analyses and to design and style and produce rock-reliable conclusion-to-close solutions.
Sharon can be a member of ACG’s scientific pharmacy team supporting Medicare Portion D, Medicaid, and pharmacy gain administration groups. Sharon has extensive expertise in integrated medical follow, formulary administration, operational process reengineering and PBM oversight. She has built and applied utilization administration plans for extended-expression care service provider groups (Medicare Aspect A/ managed treatment) and has organized and participated on company JCAHO certification teams, for equally skilled nursing services and pharmacies.
Her hands-on knowledge supports companies in making ready for NCQA accreditation and CMS utilization management audits, As well as in driving Value reduction by successful treatment administration and utilization administration systems.
Our consumers count on us for expert regulatory information, to apply robust compliance methods and also to accomplish effective, skilled auditing. Our medical and pharmacy groups guide businesses in adoption of recent versions to handle care in medicare consulting a cost-helpful way.
Her encounter as both equally a medical pharmacist and nationwide manager delivers special qualifications and insights into the internal workings of a broad scope of Health care environments, together with acute treatment, Long-term treatment, long-lasting treatment (LTC), and Medicare/Managed care arenas. She has above twenty years of healthcare industry experience and it has worked for RX Solutions and Phamerica, in addition to serving within the Board of Administrators for your American Culture of Guide Pharmacists.
In advance of transitioning to consulting, Ashleigh held Management roles at Common American and AmeriHealth Caritas, and served to be a service provider network contracting manager and credentialing manager in a nationwide business.