Bending the curve on costs while ensuring quality and continuity of care is critical to insurance and managed care organizations.

ATTAC Consulting Group’s clinical specialists work with Medicare, Medicaid, commercial health plans and Part D organizations to create and implement programs designed to produce efficient care management operations.

Medical Management

  • Medicare SNP model of care design and implementation
  • Case management program design
  • Duals program implementation
  • IPA / medical group, ACO delegate oversight and evaluation
  • CMS SNP-MOC outcome auditing
  • Medicare Advantage Organization Determination training

 Pharmacy

  • Formulary management
  • MTM programs
  • Medicare Part B vs. Part D management
  • Drug utilization management programs
  • LTC pharmacy management
  • PBM oversight and reject claims management programs