Our world-class consultants help organizations navigate the world of Medicare.
Medicare has undergone rapid change in recent years. Our expert Medicare consultants can help you stay on top of the budget pressures, political directions, technological changes, and other forces that are shaping the program’s future. With end-to-end solutions, we can guide your organization to greater success in the Medicare world.
Our Services: If it’s part of Medicare, we can take care of it.
Our consultants’ expertise in all things Medicare allows us to offer you a comprehensive menu of services across multiple disciplines.
Policy and Reimbursement Strategy:
- Analysis of Medicare policy and regulations; tracking across Medicare authorizing committees and congressional budgeting
- Strategic support to help you anticipate, model, inform, and respond to policy, budget, and rule changes
- Tactics for legislative and regulatory grassroots advocacy
- Strategies for Medicare Star Ratings and quality measures
- Integration of Medicare, Medicaid, and long-term services and supports
Learn more about our Federal Policy Services.
Medicare Advantage Actuarial and Strategic Services:
- Market assessment, new product strategies, and feasibility studies
- State & federal licensure, application, planning and implementation
- Product design and bid development
- Evaluation of financial and operational performance
- Strengthening risk adjustment and value-based contracts
- Benefit development, member engagement, and plan operations
Value-Based Care Services:
- Market assessment
- Design, implementation, and evaluation of alternative payment models
- Modeling and analysis of CMS payment systems
- Assistance with CMS Center for Medicare and Medicaid Innovation (CMMI) and MA applications and product implementations
Communications and Marketing:
- Market research to help you understand your stakeholders
- Development of creative and compelling messages that inspire action or promote your ideas
- Media and social strategies to engage target audience
- Strategic response to crises or changing market conditions
Data Analytics:
HMA customizes data analytics to help your organization develop policies, strategies and tactical work plans to meet your business goals. We use VRDC data sources, including:
- Medicare 100 Percent FFS and Encounter Data
- T-MSIS Medicaid data
- Aggregated benchmark data customized to meet your organization’s needs
Medicare insights you can use.
Our experts keep you in the know with our podcasts, blogs, Weekly Roundup, and more.
Explore Our Expert InsightsPut our in-depth Medicare expertise to work for you.
Our veteran team of Medicare consultants includes former CMS leaders and legislative staff, health plan executives, federal and state program leaders, actuaries, data analysts, physician leaders, health policy analysts, communications experts, and more. We have an in-depth understanding of CMS operations, personnel, and rulemaking as well as health plan operations and strategy. This multidisciplinary expertise allows us to guide you through all phases of Medicare and Medicare Advantage projects, and help you solve your most complex challenges.