Expert Solutions for Government
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Medicare Advantage | Medicare Part D | Managed Medicaid

Who We Are

TMG Health is the leading national provider of Business Process Outsource solutions for Medicare Advantage, Part D and Managed Medicaid plans. With more than 18 years of experience of providing technology-enabled services to the government market exclusively, our knowledge of health plan processes, State & Federal regulatory requirements and the daily challenges plans face within the government market is second to none.

Our Expert Solutions

TMG Health is the leading national provider of Business Process Outsource solutions for government sponsored health plans. Our best-in-class technology and subject matter expertise deliver superior results for any or all of your critical services for:

  • Medicare Advantage
  • Managed Medicaid
  • Medicare Part D

Your Trusted Partner

We have successfully navigated the changes for both large and small plans for more than 18 years. Our proven solutions support:

  • Growth in Medicare, Medicaid, Dual Eligibles & Medicare Part D
  • Stringent MLR Requirements
  • Strict Compliance Requirements
  • Information Management & Reporting
  • Medical Management

Industry News… View All

  • News Scroll

    • May 10, 2016 - Louisville Business First:
      Cars today can park themselves, and soon might be able to drive themselves, but that won't work for health care.
      At least, not in the opinion of Humana Inc.'s CEO, Bruce Broussard. He wrote a linked-in post on whether automation, such as the kind that drives the Google Self-Driving car, could disrupt the health care industry.
    • March 30, 2016 - Health Leaders Media:
      Healthcare information and security officers are leading efforts to avoid cyberattacks through training and tools as 81% of healthcare executives say that their organizations' systems have been compromised during the past two years.
    • May 8, 2016 - The Fiscal Times:
      Medicaid managers have done little to stem rampant fraud in the massive government health care program for the poor, which totaled more than $29 Billion last year, according to a new government accountability office (GAO) report to congress.
    • May 11, 2016 - HCSC- Dow Jones:
      Modern medical training does not include much education about the healthcare system, financing the system, or physician reimbursement.
    • May 2, 2016 - Sellers-Dorsey:
      The full rule is massive and addresses a wide variety of other issues, including medical loss ratio, network adequacy, beneficiary protections, managed long term services & supports, and capitation rates.
    • April 29, 2016 - HealthCare Finance:
      As it stands, one in three Medicare beneficiaries, about 18 million people, are already enrolled in Medicare Advantage and those numbers are only expected to climb as 10,000 baby boomers a day turn age 65.
    • May 4, 2016 - St. Louis Post Dispatch:
      George Paz has officially retired from his role as CEO of Express-Scripts holding Co., the St. Louis region's largest public company, passing the reins on to Tim Wentworth.
    • May 5, 2016 - PR Newswire;
      Health Care Service Corporation (HCSC) today announced that Dr. Dan McCoy has been named president of BCBS Texas, effective July 1, 2016.
    • April 4, 2016 - Healthcare Finance
      Lower rate increase offset by policy changes that CMS did not put into effect.
    • April 4, 2016 - CMS.Gov
      On April 4, CMS released final updates to the Medicare Advantage and Part D programs through the 2017 Rate Announcement and Call Letter. These policies seek to provide stable payments to plans, and make improvements to the programs for plans that provide high quality care to the most vulnerable beneficiaries.
    • April 5, 2016 - Huffington Post
      Signed on March 23, 2010, the law has clearly done a lot of good, in spite of its rocky startup, two Supreme Court challenges and numerous other attempts to derail it. It has helped an estimated 20 million people gain insurance.....