Medicare Advantage | Medicare Part D | Managed Medicaid

Leading Provider of Business Process
Outsourcing Solutions to the
Government Health Plan Market

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

    April 3, 2017 - Becker's Hospital Review:
    The report, titled "Digital Affectability; Therapeutic Lens on Value", details the economic potential of using digital assets for disease prevention, intervention and monitoring in the life sciences sector. The Accenture team deduced digital initiatives will lead to $60 billion in economic opportunity after adjusting for risk, translating to $24,184 per patient.
    March 22, 2017 - Business Wire:
    Mr. Murphy comes to Affinity with extensive experience leading public and private healthcare organizations. He was most recently at Aetna, one of the nation's leading diversified healthcare benefits companies, where he oversaw a multi-state, $4 Billion region that included Medicaid programs.
    March 8, 2017 - Health Day:
    Between 1999 and 2012 Salt (Sodium) consumption rose from about 2,900 milligrams a day to 3,350 milligrams a day. That's more than double the ideal upper limit of 1,500 milligrams a day of sodium recommended by the American Heart Association for people with high blood pressure (hypertension).
    March 15, 2017 - Broadway World:
    US Newswire/FAIR Health announced today that as a result of its designation last year by CMS as a Qualified Entity (QE), it is adding four full years of Medicare claims data to its database of more than 23 Billion private healthcare claims.
    March 13, 2017 - AHIP:
    "AHIP congratulates Seema Verma on her confirmation. Millions of Americans are eager for solutions that will make health care more affordable and more accessible. We look forward to working with Verma and her staff on ways we can better serve our nation's health care needs".
    March 13, 2017 - Kaiser Health News:
    Under a new federal law, hospitals across the country must now alert Medicare patients when they are getting Observation Care and why they were not admitted --even if they stay in the hospital a few nights.
    February 24, 2017 - CSG Actuarial:
    MA enrollments as of February 2017 reflected a higher year-end growth that the previous two years, and consistent with the percentage growth in 2013 & 2014:
    February 17, 2017 - HCSC/Dow Jones:
    Overall, getting a flu shot cut one's risk of contracting flu and needing to see a doctor by 48% this season. The H3N2 component of the flu vaccine has not worked as well as other components in recent years.
    February 21, 2017 - Health Leaders Media:
    According to a report from the Identity Theft Resource Center, the healthcare/medical industry experienced 377 reported data breaches in 2016, behind only the business sector in the number of incidents:
    February 16, 2017 - Managed Healthcare Executive:
    "Express Scripts is honored to be named one of the world's most admired companies", said Tim Wentworth, CEO & President, Express Scripts. "This recognition is driven by the commitment and passion of our 26,000 employees to make medicine more affordable and accessible for the 85 million people we serve".
TMG Health, Inc.
100 Four Falls Corporate Center – Suite 406
Conshohocken, PA 19428