Strategy

We are instrumental partners for health plans making critical business decisions and developing growth strategies. To advise on the costs and benefits of different approaches, we dig deep into the details while keeping the big picture in focus. Post-analysis, we distill complex information into a form you can use to make the decisions that are best for your business.

Medicare Advantage and Part D Prescription Drug Plans

We counsel plan sponsors on strategic decisions, such as entry into the Medicare Advantage market, product expansions, outsourcing portions of operations, and marketing strategy.

  • Advise on developing a successful Medicare Advantage joint venture
  • Advise on health plan formation, both for-profit and not-for-profit
  • Advise on multistate expansion of for-profit and not-for-profit health plans
  • Perform regulatory due diligence for acquisitions and other transactions

Medicaid Managed Care Plans

  • Perform analysis of federal and state Medicaid managed care requirements
  • Perform regulatory due diligence for acquisitions and other transactions
  • Interpret, analyze, and implement new legal and regulatory requirements

Medicare Supplement or Medigap Plans

  • Counsel on sales and marketing strategy for entire suites of products for Medicare beneficiaries
  • Perform regulatory review of marketing materials
  • Advise on development of eligibility and underwriting standards in light of regulatory requirements