The Medicare Advantage marketplace is continually evolving. As such, health plans must proactively adapt strategies in order to stay ahead of the curve and attain long-term sustainable growth. GHG has a long history of developing comprehensive organizational growth strategies for MA Plans, Prescription Drug Plans, Special Needs Plans, and Exchange participants. We work with you to understand your current market, mine data for opportunities, and find those crucial gaps in the competitive field into which your plan can fit. We position you for the challenges — and opportunities — posed by health reform, designing growth strategies that take into account your service area, market environment, core competencies, and future vision. We support your plan in driving profitable growth in order to ensure long-term success. Services include: GHG’s sales and marketing experts have developed large-scale growth strategies for hundreds of Medicare Advantage Plans, Prescription Drug Plans, Special Needs Plans and Exchange participants. We will work with you to understand your market while mining demographic data for opportunities and identifying the gaps in the competitive field into which your plan can fit. Our team will help you implement a clear road map to drive profitable market share growth and ensure your organization’s long-term success. Once a product strategy is established, the conversation must turn to benefits. Smart benefit design is a dynamic process that begins with an examination of intended markets with consideration given to strengths in member retention and medical management, and is executed with specific enrollment and financial targets in mind. Whether your organization is just entering the government programs space or is already well-established, our team is standing by to assist. GHG provides expertise on new market entry to government-sponsored plans that are interested increasing their footprint, When assessing potential markets, we begin by analyzing the benchmarks of any and all desired new service areas. We then evaluate the operations and performance of your current network, and conduct a sensitivity analysis to help you make an informed decision that contributes to your organization’s overall growth strategy.
For many organizations, expanding into new markets is a desirable way to grow enrollment, but it is important to approach market expansion in a deliberate manner. Having an understanding of your overall market opportunity is critical for the development of accurate enrollment projections. GHG’s finance, product, and sales & marketing teams work closely together to help you design and develop a market expansion strategy that takes into account your quality, financial, risk adjustment, and Star Ratings goals to set you up for success within the competitive landscape of your market(s). Once a product strategy is established, the conversation must turn to benefits. Smart benefit design is a dynamic process that begins with an examination of intended markets with consideration given to strengths in member retention and medical management, and is executed with specific enrollment and financial targets in mind. Whether your organization is just entering the government programs space or is already well-established, our team is standing by to assist. In the Medicare Advantage space, organizations are continually searching for opportunities to grow enrollment. One way to accomplish this is by adding new products to portfolio, but it’s important for any new product launch to be accompanied by a rigorous product development strategy. GHG has developed product analysis, implementation strategies for organizations of all sizes and types. As with most of GHG’s work, we begin by conducting a thorough analysis of your market(s), your organization, and the industry as a whole in order to establish product strategy that will help your organization achieve its growth goals.
In today’s marketplace, a provider network must be both robust and marketable in order to contribute an organization’s overarching growth strategy. GHG will work with your team to conduct an in-depth analysis of your plan’s status against current CMS requirements, identify areas of concern, and uncover invaluable opportunities for growth. We can also help you develop the oversight and monitoring P&Ps needed to address evolving network and directory requirements. These strategies will be paramount in putting you ahead of your competition. Once a product strategy is established, the conversation must turn to benefits. Smart benefit design is a dynamic process that begins with an examination of intended markets with consideration given to strengths in member retention and medical management, and is executed with specific enrollment and financial targets in mind. Whether your organization is just entering the government programs space or is already well-established, our team is standing by to assist. Organizational growth is easily stunted when operational inefficiencies pose larger compliance threats. Our cross-functional subject matter experts develop early warning systems to ensure that operational inefficiencies and threats to member satisfaction are identified and addressed immediately, with limited impact on member experience, business performance, and potential growth opportunities.
Growth Strategy
Sustainable organizational growth can only be achieved through the implementation of an intentional strategy that spans multiple business units
Sales & Marketing
New Market Entry
New Market Entry
Market Expansion
Product Development
Product Development
Network Growth
Compliance
Compliance
Jean LeMasurier is Senior Vice President of Public Policy at GHG. Bringing GHG clients 30+ years of experience with the Centers for Medicare & Medicaid Services (CMS), Jean’s focus includes health policy and health care reform. Her strategic planning and consulting services have been critical inputs for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDPs), Medicaid managed care plans, pharmaceutical companies, and employers on legislation and regulatory impacts of changes in Medicare and Medicaid.
Jean has analyzed policies affecting creation of the ACA Health Insurance Marketplace, Qualified Health Plans, and dual eligible initiatives. She also was integral in advising plans and employers on retiree options. Jean’s engagements include analysis of Medicare market opportunities, strategic advice on CMS legislative/regulatory requirements, audits, and gap analysis to assure implementation of regulatory-compliant programs.
As a senior CMS official, Jean managed the $40 billion Medicare Managed Care programs for many years. This included serving as the Director of Policy and Acting Director/Deputy Director of Operations and Regulatory Oversight. Further, Jean served as Senior Advisor in the Employer Operations and Policy Group, implementing employer provisions of the Medicare Modernization Act. Jean was also a professional staff member on the U.S. Senate Finance Subcommittee on Health.
