Relentless action. Thoughtful navigation.
ATTAC Consulting Group unites expert advisory, proven innovation, and execution focused teams into one practice that drives measurable business results and better health outcomes across Medicare Advantage, ACA, Medicaid, Commercial Plans, IPAs, ACOs, and Health Systems.
We are experts and innovators who do the work, not just advise on it.
Expertise
Former health plan executives, clinicians, certified coders, data scientists, and former regulatory leaders with deep command of CMS, NCQA, and state programs.
Innovation
We help organizations adopt the right AI, the right way, and prove it was right, turning AI ambition into operational efficiency, revenue, and better health outcomes at scale.
Execution
Teams that roll up their sleeves, move in days not quarters, and turn intelligence into compliant, defensible, repeatable results.
Where revenue integrity and quality performance finally meet.
Most organizations treat risk adjustment, Star Ratings, and quality accreditation as separate silos run by separate vendors, leaving revenue uncaptured, ratings stagnant, and data fragmented. The decline in Medicare Advantage Star Ratings and the expansion of annual RADV audits have made that fragmentation expensive and risky.
Our practice closes those gaps. We pair seasoned advisors with best in class technology and managed services, several delivered through curated partner platforms under the ATTAC banner, so you get one accountable team across the full member, quality, and revenue journey.
Why It Matters Now
- CMS is expanding RADV audits to every eligible MA contract annually, with larger samples and extrapolated recoveries.
- Star Ratings drive Quality Bonus Payments, rebates, and benefit richness, and have broadly declined across the industry.
- Clinical experience and clinical outcome measures are moving to higher weight based on the CMS CY2027 final rule.
- NCQA's Digital Quality 2030 Roadmap and CMS's Interoperability mandates are reshaping how every measure is captured and reported.
Four connected disciplines. One accountable partner.
Each capability stands on its own as deep advisory and managed service expertise, and compounds in value when delivered together across your enterprise.
Risk Adjustment Advisory
End to end strategy, compliance, and program optimization for accurate illness burden capture and defensible revenue, stopping data leakage from the point of care through EDS and EDGE server submission. Our practice SMEs, including former health plan executives, are experts across all industry risk adjustment tools and vendors.
Coding and audit execution is delivered through Validira, providing RADV management, HCC coding, IVA services, and HEDIS hybrid support for Medicare Advantage and ACA health plans nationwide. With 20 years of experience and the depth, scale, and regulatory credibility the forever audit demands.
STAR Rating Advisory
Data driven Stars strategy with the analytics, tracking, calculation, and cross functional execution needed to reach and sustain 4 plus Stars, including measure level tracking and predictive simulation.
Digital Quality Enablement
Future proofing your quality and risk programs for the federally mandated shift to digital quality measurement, turning interoperability requirements into a real time performance advantage ahead of NCQA's goal to make HEDIS fully digital by 2030.
Health Quality & Outcome Accreditation
Building a durable culture of quality that earns and sustains accreditation while measurably improving member health outcomes and closing equity gaps.
Navigate AI with confidence.
AI is moving fast, including CMS's move toward AI inferred risk adjustment, and the market is flooded with tools. Few organizations have the independent expertise to tell hype from value. We are vendor agnostic, compliance first, and outcomes accountable, guiding you to choose, govern, and apply the right AI across risk adjustment, quality improvement, and healthcare operations.
Choosing the Right AI
Independent, practical guidance on where AI belongs and which solutions earn their place, with no platform allegiance.
- Choosing AI powered risk adjustment tools
- Best practices for selecting AI in quality improvement and healthcare operations
- Vendor evaluation, bake-offs, and readiness assessment
Applying AI Responsibly
The frameworks and guardrails that turn AI ambition into practical, defensible use, keeping people in command of every decision.
- Building an agentic framework for practical use cases in risk adjustment, quality, and operations
- Compliance considerations in the use of AI
- Human in the loop oversight and audit defensibility
- Data readiness as the foundation for trustworthy AI
As independent AI advisors, we are not tied to any platform, so our only goal is helping you pick AI that actually works for your organization, strengthens revenue and quality, and holds up under audit.
Advisory powered by best in class technology.
We combine our experts with proven analytics and engagement platforms, delivered as integrated ATTAC solutions, so insight and execution work as one system.
Revenue & Star Intelligence
A unified analytics engine that filters noise into predictive, defensible intelligence leaders can act on.
- Risk adjustment and revenue accuracy
- RADV audit intelligence
- Premium and enrollment integrity
- Star and quality performance analytics
- Payment integrity, MSP and COB
Tool & Vendor Expertise
Practice SMEs who are experts across the full landscape of industry risk and quality tools, with no platform allegiance.
- Suspecting analytics across any platform
- Risk adjustment and quality reporting
- Tool selection, evaluation, and oversight
- Navigating and enabling AI powered tools
Select analytics and digital quality capabilities are delivered through curated partner platforms, fully integrated and supported under the ATTAC Consulting Group practice as a single accountable engagement.
Relentless action, measurable impact.
A sample of outcomes our practice leaders have delivered across Medicare Advantage, ACA, and Medicaid.
in 45 days
Closing submission gaps with a rapid data trace
Reconciled risk adjustment submission gaps through an end to end data trace from EDI through to CMS, recovering revenue that was leaking undetected.
one week
Redesigned targeting logic for immediate transfer value
A regional payer faced a persistent risk score accuracy gap versus peers. We analyzed historical results, redesigned the targeting logic, and revamped the retrospective program in a single week to drive immediate risk transfer value.
leadership
Stabilizing operations as embedded leaders
Stepped in to manage vendors and analysts, stabilized day to day operations, and built both prospective and retrospective solutions that delivered more than ten times their cost.
reviewed, 4:1 ROI
Audit standard coding that withstands scrutiny
Applied an auditor's mindset across retrospective coding and validation, more than doubling medical records reviewed while delivering $2M in incremental, defensible revenue impact.
Led by operators who have sat in your seat.
Our practice is guided by former health plan executives with deep, hands on command of risk adjustment, Stars, and quality.
A former health plan executive with more than 20 years of experience, including 9 years inside health plans, Subbu has led ACA, Medicare Advantage, and Medicaid risk adjustment and Stars and quality programs end to end. He pairs deep operational command with a vendor agnostic, outcomes first approach to help organizations protect revenue and elevate quality.
- Former Vice President at CareFirst BlueCross BlueShield, leading ACA, MA, and Medicaid Risk Adjustment and Stars and Quality.
- Former Senior Director of Client Success at Veradigm and Pulse8.
- Former Director of Stars and Member Engagement at Independence Health Group.
- More than 20 years of experience, 15 years in healthcare, and 9 years within health plans.
- Deep expertise across risk adjustment, quality, Stars, and data analytics.
- Recognized for building prospective, concurrent, and retrospective programs that are audit durable.
Advisors who roll up their sleeves.
Integrated, Not Siloed
One team connecting risk adjustment, Stars, accreditation, and digital quality so revenue and quality reinforce each other.
Data & Outcomes Driven
Predictive analytics and benchmarking that turn assessments into measurable, prioritized action.
Built for Speed
Engagements that start in as little as 24 hours, because every day matters in a shifting regulatory landscape.
Built for What's Next
Front row insight into RADV expansion, evolving Stars weighting, and the FHIR based digital quality transition.
Partners across every line of government and value based business.
Let's protect your revenue and elevate your ratings.
Whether you need a focused engagement or an enterprise transformation across all four disciplines, our experts deliver timely, actionable, and customized results.