Full Medicare and Medicaid Plan Outsourcing

Why Outsource Your Medicare or Medicaid Operations to TMG Health?
With our extensive Medicare and Medicaid management expertise and systems integration experience, outsourcing to TMG Health makes it possible for your organization to improve performance with minimal capital investment and fixed operational costs.

With TMG Health, your plan can utilize managed care information systems fully configured for Medicare Advantage or Medicaid requirements without modifying or developing new systems. TMG Health also provides guaranteed fixed costs on a PMPM or percent of premium basis.

With operating costs down and profits up, TMG Health frees your plan to concentrate on the most essential component of your business – providing quality and affordable healthcare to your members.

Our Solutions Deliver Speed, Flexibility and Performance
Increasingly, plans are turning to TMG Health's outsourcing solutions for the speed, flexibility and performance that allow plans to adapt to the constantly evolving government programs marketplace with less capital and operational resources at risk.

When you partner with TMG Health you benefit by receiving:  

• Experienced Medicare and Medicaid executives currently maintaining outsourced Medicare and Medicaid plans
• A share in the economies of scale of our IS and administrative services with guaranteed fixed operational costs
• Rapid implementation in months not years, and reasonable set-up costs for implementation
• State-of-the-Art, CMS, DOI, and HIPAA compliant information systems and programs
• Reliability and accountability based upon the highest standards of performance

So, if your plan is just entering the government programs market or contemplating new product offerings, TMG Health offers solutions that will have a significant, positive impact on your plan's bottom line.

Are You Interested in Coordinating Retiree Health Benefits with Medicare Benefits?
As a result of rising costs, employers are forced to look for strategic and creative methods to deliver retiree health benefits to their Medicare-eligible retirees. The delivery of retiree health benefits and Medicare benefits is largely uncoordinated and inefficient and fails to take into account new insurance models, total health care expenditures and proven methods of reducing costs through disease management.

TMG Health can provide employers with an insurance model designed specifically for the group retiree marketplace. The advantages of TMG Health’s model include:

• National coverage area capable of serving all retirees in a group
• Comprehensive national provider network
• Customized enrollment and customer services
• Comprehensive care coordination
• Maximization of Part D drug benefits
• Risk minimization through reinsurance
• Reduced current and future medical cost trends

The same services TMG Health offers to national health plans can be applied to the retiree health plan market. If you are looking to respond to Medicare reform opportunities before Medicare program changes occur in 2006, contact TMG Health to see how we can help you get started quickly with low capital costs and with fixed operational expenses.