XL Health's Care Improvement Plus Utilizes TMG Health's BPO Services to Meet Their SNP Performance Model
Posted on: Monday, 22 October 2007, 09:00 CDT
KING OF PRUSSIA, Pa., Oct. 22 /PRNewswire/ -- Owned and operated by Baltimore-based XL Health, Care Improvement Plus is, one of the nation's fastest growing disease management companies. Founded in 1997, XL Health is an industry leader in providing outsourced disease management services for health plans to support their chronically ill seniors. As the nation's population ages and faces increasing healthcare costs, Special Needs Plans (SNP), which support low income and chronically ill members, are expected to double by 2030.
XL Health created Care Improvement Plus, a Medicare Advantage Special Needs Plan, to provide chronically ill patients with the disease management services and support their need to maintain better health and a higher quality of life. To launch its SNP, Care Improvement Plus built a comprehensive provider network. Their goals also included a low cost SNP infrastructure leading them to decide that business process outsource (BPO) services would best support that model. They explored several BPO SNP providers and decided that TMG Health was the most qualified BPO provider meeting their needs for claims processing and back office management.
Serving health insurers in the Medicare and Medicaid market since 1998, TMG Health is the nation's leading provider of administrative services to Medicare Advantage plans and the most experienced BPO services provider for Special Needs Plans. TMG Health has demonstrated expertise in providing SNP program administration for dual eligible, chronically ill and institutionalized members, providing access to skilled resources and state of the art information systems specifically tailored to address unique SNP product requirements. TMG Health offers proven ability to successfully launch or expand Medicare Advantage SNP products with fully compliant services.
Care Improvement Plus relied on TMG Health for help with their explosive membership growth. They didn't have the capability that TMG Health had for claims processing and back office management. Austin Ifedirah, Senior Partner of Care Improvement Plus stated, "TMG Health became a key partner, providing Care Improvement Plus the flexibility to grow without having to put the systems in place."
A case study entitled, "XL Health's Care Improvement Plus Utilizes TMG Health's BPO Services to Meet Their SNP Performance Model" can be found on the TMG Health website: http://www.tmghealth.com/.
About TMG Health
TMG Health is a technology-enabled, Business Process Outsourcing (BPO) services firm providing a variety of administrative services to the Medicare, Medicaid and retiree health plan markets. As the leading vendor in this field, TMG Health provides operational outsourcing solutions and information systems for health plans, providers and insurers. TMG Health is both the most experienced vendor in the market and has the broadest solution set serving over 36 health plans in all 50 states. TMG Health's client base consists of one of the nation's largest PBMs for Part D administration, insurance carriers, 14 Blue Cross and Blue Shield plans, several national start-up PFFS plans for individuals and group retirees, the fastest growing PFFS plan and the fastest growing Special Needs Plan (SNP) in the nation. TMG Health serves over 1.5 million Medicare and Medicaid members. Benefits of partnering with TMG Health include state of the art systems, rapid implementations, reduced capital costs, fixed operational costs and proven regulatory compliance.
TMG Health is a privately held corporation located in suburban Philadelphia with National Operations Centers in Northeastern Pennsylvania. For more information, visit http://www.tmghealth.com/.
Media Contact: Judy Cohen (610) 964-8440 x 203 jcohen@tmghealth.com
TMG Health
CONTACT: Judy Cohen of TMG Health, +1-610-964-8440 x 203,jcohen@tmghealth.com
Web site: http://www.tmghealth.com/
Source: PRNewswire
Related Articles
- Texas Care Improvement Plus Members Overwhelmingly Pleased With Special Needs Plan
- Care Improvement Plus Obtains CMS Contract Approval for 2008 Medicare Special Needs Plans
- Care Improvement Plus Launches Texas' First Health Plan for Chronically Ill Medicare Beneficiaries
- Care Improvement Plus Launches One of Missouri's First Health Plans for Chronically Ill Medicare Beneficiaries
- Care Improvement Plus Launches South Carolina's First Health Plan forChronically Ill Medicare Beneficiaries
- Care Improvement Plus Launches Georgia's First Health Plan to Focus on Chronically Ill Medicare Beneficiaries
- Care Improvement Plus Obtains Conditional CMS Approval to Expand Medicare Health Plan Into Southern Maryland
- Care Improvement Plus Obtains Conditional CMS Approval for New Medicare Special Needs Plan in South Carolina
- Care Improvement Plus Obtains Conditional CMS Approval for New Medicare Special Needs Plan in Texas
 |
 |
User Comments (0)
RSS Feeds