She provides a tested track record of driving compliance with NCQA specifications and optimizing healthcare delivery throughout varied sectors, like Medicare, business ACA, and Medicaid.
️ MA bids for 2026 – because of June two ⏳With a great number of moving sections, health ideas and suppliers will likely have a brief runway to regulate to variations — putting a strain on means. ⏳ ATTAC Consulting is able to help We could rapidly deploy our qualified supplier community administration group to guidance:
Lynn has developed and supported numerous community entry-to-care initiatives. She has made and executed social determinants of overall health applications and it has worked across membership populations.
Jennifer Venditti has more than 30 yrs of expertise supporting system/challenge administration and enterprise/IT Alternative implementations. Through her career, Jennifer has focused on dealing with companies to maximize using technological innovation to aid operational and financial aims. Lately, she has worked with corporations to establish population overall health, health and fitness equity, treatment management, and member/supplier engagement tactics and remedies to cross medical, operational and technological boundaries.
Our customers count on ACG to supply pro regulatory tips, to carry out robust compliance answers and also to complete successful, skilled auditing. Our health care and pharmacy groups are guiding businesses in adoption of recent versions to deal with treatment in a value-powerful way.
Noted for her collaborative tactic, Tammy performs seamlessly with inner and external stakeholders to navigate complicated regulatory landscapes, ensuring prosperous audits and investigations.
Lori has broad experience in Medicare Component C/D and business appeals and grievance. She has 13 many years of Medicare encounter in procedure advancement, audit/checking and enrollment operations. Ms. Mercer’s activities includes utilizing operational and technological best procedures to ensure high-quality and compliance with organizational, condition and countrywide standards.
Shared my eyesight for reversing Continual illness, integrating eco-procedure between Payers & Companies and unlocking the strength of Benefit-Centered-treatment versions for instance RA, Top quality etc. in U.S Health care together with some simple ideas and feelings to my business colleagues about ways to get PROACTIVE for the 3rd Once-a-year RA #Innovation Discussion board in Dallas. Strategic Options Community ✳️ It can be obvious following latest pent up disappointment with The existing state of Continual condition, Prior Auth frustrations, large expense of care and with the administration improve, its a pivotal instant for all. #️⃣ It is actually a lot more vital to search outside of The existing lens of KPIs of Hazard Adjustment, STAR and benefit primarily based treatment overall performance. Let us retain ourself accountable to one another on improving upon authentic well being outcomes.
Eric is a highly skilled knowledge technician and architect of databases programs to support analytics and creation apps. He is deeply professional in ACA chance model, CMS Medicare universes and other knowledge products Employed in govt Health care systems.
ATTAC Consulting Groups’ (ACG’s) group members deliver our clients instantly related business information and working experience from past working and government roles, and yrs of expertise crafting remedies and conducting audits for the wide assortment of consumers operating in the industrial (HIX), Medicare, Section D, Duals, Medicaid and ACO and other market segments across the nation.
Her arms-on working experience supports corporations in making ready for NCQA accreditation and CMS utilization administration audits, As well as in driving Charge reduction by way of powerful care management and utilization management programs.
Our consumers depend on us for specialist regulatory healthcare consulting firm information, to put into action strong compliance solutions and also to conduct efficient, skilled auditing. Our professional medical and pharmacy groups guidebook businesses in adoption of recent models to handle treatment in a price-effective way.
Mia has in excess of sixteen a long time of expertise in regulatory compliance management with a specialization in compliance in scientific pursuits and oversight of behavioral overall health and substance abuse services. She provides lawful, regulatory and compliance in medical solutions for professional and Medicaid specialty in really serious mental illness, detailed prolonged-term treatment and children’s medical expert services.
Darlene is really a member of ACG’s Govt Plans Apply Group. She provides broad skills in organizational improvement and compliance administration inside the Medicare and Medicaid arenas. For over a dozen yrs, she has held senior lawful and compliance roles in the insurance plan and managed treatment industries, where she has led activities as assorted as overall health system start out-up, management of JCAHO and NCQA accreditation, point out and CMS regulatory oversight audits, managed line accountability for grievances and appeals, profits agent oversight and industry conduct together with company procedures and coverage for corporate history retention. She has Formerly worked for Centene Corporation, AmeriGroup and United Health care.