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Payer and Provider organizations gather to discuss opportunities in government sponsored health care

Gorman Health Group convenes its second national health care forum in Washington, DCWASHINGTON, June 27, 2013 – More than 200 executives representing over 80 health care organizations met in Washington, D.C. for the 2ndGorman Health Group Forum on the future of government sponsored health care programs.The exclusive event provided an intensive cross-functional examination of the state of government health care programs to support health plans and providers exploring new opportunities in the health insurance exchanges, the dually eligible expansion, and the continued growth of the Medicare

STATEMENT FROM GORMAN HEALTH GROUP REGARDING THE FINAL GUIDANCE FOR THE ROLE OF AGENTS, BROKERS AND WEB-BROKERS IN THE HEALTH INSURANCE MARKETPLACES:

Washington, DC. May 1, 2013-“The Centers for Medicare and Medicaid Services (CMS) just released final guidance for the role of agents, brokers and web-brokers in health insurance marketplaces,” said Executive Chairman John Gorman .  “We are grateful to CMS for getting this guidance out on the street as quickly and thoughtfully as they did.  With the huge cut in Navigator funding, the reality is agents and brokers will be driving the vast majority of enrollment in more than two dozen states.” “In the

GORMAN HEALTH GROUP’s KNOWLEDGE UTILITY “THE POINT” REACHES OVER 100 MEMBERS IN APRIL

WASHINGTON – April 26, 2013- Gorman Health Group (GHG), the leading solutions provider in government-sponsored health care, announced on Friday that its online knowledge utility, the Point , reached a milestone. Six months after its launch, the Point now serves more than 100 individual and over 20 corporate members, as well as multiple industry associations. This unique subscription service makes available the same tools and analyses GHG consultants use in delivering services to over 75 managed care and provider system clients each year.

STATEMENT FROM JOHN GORMAN, EXECUTIVE CHAIRMAN, GORMAN HEALTH GROUP REGARDING THE FINAL 2014 RATES FOR MEDICARE ADVANTAGE

The following is a statement from John Gorman, Executive Chairman, Gorman Health Group:  “The last 45 days for Medicare Advantage (MA) stakeholders have been like watching an asteroid on a collision course with Earth, only to be averted at the last second.  With the proposed rates representing the deepest cuts to MA in the history of the program, this was nothing less than doom diverted, a stunning reversal from the Centers for Medicare and Medicaid Services (CMS).  It was a rare bipartisan coalition of over 160 Members of Congress whose lobbying power brought April flowers.  Tea

GORMAN HEALTH GROUP’S VALENCIA REACHES $20 BILLION IN CAPITATION MANAGEMENT

WASHINGTON, DC   September 5, 2012 --- Gorman Health Group, leading consulting and solutions provider to companies in Medicare Advantage and Part D, is proud to announce that their premier financial reconciliation software, Valencia, now manages $20 billion USD in Medicare capitation payments.  With almost 6 million beneficiaries under its management, Valencia serves as a plan’s single source for CMS membership, payment and reconciliation data. This software also connects PDE data with membership discrepancies, manages Coordination of Benefits and Medicare Secondary Payer activities,

GORMAN HEALTH GROUP INITIATES OFFSITE VIRTUAL AUDIT PROGRAM

WASHINGTON, August 21, 2012 – Gorman Health Group (GHG), the leading solutions provider in Government health care programs, announces today its first client to contract for its offsite virtual audit program. The first of its kind in the Medicare Advantage and Part D industry, the GHG program facilitates the auditing program that CMS requires of Medicare Advantage and Part D organizations. CMS requires that every contracted organization have in place an audit work plan that addresses the risks associated with administration of Part C and Part D benefits. GHG now offers a cost effective

GORMAN HEALTH GROUP LAUNCHES GORMAN UNIVERSITY, A NEW TRAINING PLATFORM FOR MEDICARE’S PRIVATE SECTOR PARTNERS

WASHINGTON, August 9, 2012 – Gorman Health Group has launched a new training platform specifically designed to help Medicare’s private sector partners meet regulatory compliance standards for their internal training programs. The platform, titled “Gorman University,” offers over thirty courses in eight topic areas, available in three formats: self-guided online training, expert-led webinars, and on-site training sessions. “Medicare Advantage and Part D organizations, and their first tier and downstream entities, struggle to keep staff trained on the latest regulations. And for good

GORMAN HEALTH GROUP ANNOUNCES NEW PARTNERSHIP WITH THE BURCHFIELD GROUP TO PROVIDE ENHANCED MEDICARE PART C AND D SERVICES TO HEALTH PLANS

WASHINGTON, March 22, 2012 – Gorman Health Group (GHG) the leading solutions provider in Government programs, announces today a business partnership with The Burchfield Group (Burchfield) to provide Medicare Part D claims auditing and analysis and Medicare Part C and Part D data validation services to managed care organizations. “Rapid changes in Part D regulations make tracking Medicare requirements exceptionally difficult -- to say nothing of actually managing to them. Plans must first identify and eliminate compliance and operational risk in Part D before they can even think of

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