Our customized solutions are poised to skillfully handle the complexity of Medicaid plan administration in today's unprecedented regulatory and economic environment. Our technology–enabled solutions provide you with the freedom to focus on what you do best — care for your members!
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As Health Care Reform progresses, health plans in the government market need to prepare for the unprecedented growth in both the Medicaid and Dual Eligible populations. To be successful, plans in the Medicaid and Medicare markets need to find scalable and flexible solutions to keep pace with state and federal regulatory requirements and to stay ahead of the competition!
Our dedicated Medicaid Services implementation and development team understands the prevailing issues in the Medicaid market and has the knowledge of and ability to implement proven solutions.
Our proven, strategic solutions for managed care plans enable you to:
It takes time, resources, and complex business rules and workflows to skillfully manage the intricacies of serving the diverse populations covered by Medicaid.
With more than 19 years of experience working exclusively with government health plans, we have the experience and a broad understanding of the evolving managed care market needed for successful administration of Medicare Advantage; Medicare Part D and Managed Medicaid Plans.
TMG Health, a Cognizant Company, serves health plans, both large national plans and small regional plans, totaling upwards of 4 million members. Our experience culminates in a broad understanding of the challenging government market and the success markers associated with thriving within that market, including: