Focus on Compliance Reduces Risk for Payers in the Medicare and Medicaid Markets, according to White Paper by TMG Health


KING OF PRUSSIA, Pa., Dec. 27, 2013 /PRNewswire/ -- Compliance is a particular concern for Health Plans and Pharmacy Benefit Managers in the Medicare Advantage and Managed Medicaid markets. With regulations continually changing in response to Health Care Reform, payers can minimize the risk of sanctions and increase plan ratings (and thus, revenue) by employing automated checks and balances, a less burdened internal system and best practice enforcement, according to a new white paper published by TMG Health.

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The white paper, "3 Keys to Success in Part D Administration" outlines the pitfalls of administering Medicare Part D in an era of change and recommends actions for successful navigation of the changes brought forth by the enactment of the Affordable Care Act (ACA).

The paper includes insight and recommendations from TMG Health's operational subject matter experts as well as industry consultant Sherry Pound, of Med D solutions, and a representative of one of the nation's largest Pharmacy Benefit Managers.

TMG Health is the leading national provider of administrative solutions to the Medicare Advantage, Medicare Part D and Managed Medicaid markets.  With more than 15 years of experience in providing technology-enabled Business Process Outsourcing services to insurers, employers, health plans and providers, TMG Health offers an innovative and comprehensive suite of services designed to minimize a plan's capital investment, lower a plan's ongoing operational costs and reduce the risks associated with Medicare Advantage and Medicaid Managed Care plan administration.

For a free copy of the report, visit

About TMG Health
TMG Health is the leading national provider of expert solutions for Medicare Advantage, Medicare Part D and Managed Medicaid plans. With more than 15 years of experience in providing technology-enabled services to the government market exclusively, our knowledge of health plan processes, regulatory requirements, and the daily challenges plans face within the government market is second to none. Our expertise, coupled with a strong commitment to our Clients' success, positions us as a trusted partner who can help solve the challenges of today and prepare for those of tomorrow.

TMG Health is headquartered in King of Prussia, Pa. and is a subsidiary of Health Care Service Corporation (HCSC), the largest customer-owned health insurer in the United States and fourth largest overall, operating through its Blue Cross and Blue Shield® Plans in Illinois, Montana, New Mexico, Oklahoma and Texas. HCSC's headquarters is located in Chicago, IL.

Kim Rollman
TMG Health
Marketing Coordinator
Phone:  570-903-5198
[email protected]