Medicare
The market is very competitive, and therefore successful plans must be high quality, overcome requirements from CMS on medical loss ratio, and be capable of on-boarding and returning their members. In order to use the program to its fullest extent, the partners at LD Consulting use decades of industry experience to ensure your plan’s business models and practices are best-in-class.
Medicaid
There has recently been a shift in coverage between Medicaid and Quality Health Plans, and during these transitions, we want to ensure there is continued access to your trusted providers and any ongoing treatment you or a loved one may be receiving.
We want to reduce the possibility of any gaps in coverage, and thus it’s highly beneficial to establish coordinated coverage policies between Managed Care Organizations. Our aim is to have Medicaid health plans work in unison with State agencies, and to have these plans be able to navigate through State and Federal requirements.
Health Insurance Exchanges
Now more than ever, there are opportunities arising for health plans that strive for quality and put an emphasis on compliance measures. Within the Exchanges, health plans must become more member-focused and be held to a higher accountability, all the while practicing with a greater sense of urgency.
LD Consulting 