ATTAC has delivered solutions and provided support for many of the nation’s top 10 insurers, Blue organizations, regional health plans, special-needs organizations, specialty insurers, health systems, ACOs, and drug plans.
Founded in 2003, ATTAC Consulting Group has been recognized as a premier national consulting and auditing firm serving insurers, managed care and provider organizations on issues related to Medicare Advantage, Medicare Part D, Medicaid, Duals Programs, ACOs and Health Exchange (HIX) products. We specialize in regulatory compliance, program development, business process engineering, auditing, and medical and pharmacy management.
We’re passionate about our industry and getting it right. We’re proud of our reputation among industry leaders for performing detailed operational analyses and designing and delivering rock-solid end-to-end solutions. Our clients count on us for expert regulatory advice, to implement robust compliance solutions and to perform efficient, expert auditing. Our medical and pharmacy groups guide organizations in the adoption of new models to manage care cost-effectively.
As passionate as we are about our solutions, we’re also passionate about our team. Each team member has demonstrated success in past operating positions within the industry or regulatory agencies. We combine that expertise with experience gained from years of problem-solving for a broad array of clients. It’s an unbeatable combination.
Provider Network Management
Building and managing effective provider networks and operations is a foundation for managing cost, quality and value, along with enhancing member engagement and provider satisfaction. ATTAC supports all provider-related activities for plans and providers (health systems, CINs, ACOs, IPAs) with our expertise in network strategy and development, and network operational effectiveness and compliance. Our experienced team offers a flexible approach to meet the specific needs of clients in commercial, Medicaid, Medicare and worker’s compensation programs across the United States.
Compliance
Regulatory compliance for Medicare Advantage, Medicaid, ACA, FEHBP, commercial, TPA and self-funded groups
In the increasingly regulated healthcare environment, monitoring compliance is critical for every health plan, provider organization, and delegated entity. Maintaining compliance requires constant attention, effective controls, and monitoring tools and programs. ATTAC is nationally recognized in regulatory interpretation, design, and operation of effective compliance programs within government health and commercial market segments.
Operations Excellence
Enrollment, claims, customer service, appeals, clinical, and pharmacy solutions
ATTAC’s tactical approach to ensure accurate and efficient processes and optimize workflow and throughput is designed to identify and implement solutions that drive operating excellence and cost efficiency. Our team’s experience helping a broad array of clients evaluate and design solutions to operational challenges sets us apart from the competition.
Business Transformation and Technology
Whether it’s launching a new line of business, insourcing or outsourcing certain functions, or selecting and implementing new solutions, we provide program/project management expertise and years of end-to-end technology implementation experience to help achieve business objectives. We deliver on-time, on-budget, compliant and effective business transformation and technology projects.
Risk Adjustment Optimization
We guide and drive risk adjustment program optimization and accuracy for health plans, provider organizations, and vendors for Medicare Advantage, commercial ACA, ACOs, and Medicaid. Our team provides a comprehensive range of risk adjustment operational excellence, consulting, advisory, and auditing services.
Auditing
ATTAC specializes in operations performance auditing, Medicare, Medicaid and ACA compliance audits, data validation, HHS RADV, and state market conduct audits. Our experienced audit managers and proven processes are focused, targeted and efficient.
Pharmacy
ATTAC’s team includes clinical pharmacists and researchers with extensive experience providing support to the pharmaceutical industry, health plans, legal firms and their clients.
Training & Interim Staffing
ATTAC has developed a series of programs to support plans’ training needs, take pressure off internal teams and ensure staff is educated on all facets of regulatory requirements. We also provide interim staff for most operational roles.
