Medicare Advantage organizations are continually searching for opportunities to grow enrollment, either by adding new products or expanding their service areas. While both are viable methods, it is important to approach the expansion process in a responsible manner.

GHG has a long history of leveraging long-standing relationships and nationwide experience coupled with a robust team of consultants and analysts to effectively stand up a contracted provider network. Our 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).

Market Analysis

Before submitting a Notice of Intent to Apply (NOIA), GHG’s team of experts can conduct a thorough market analysis that will include a penetration analysis, enrollment trends and market share, product trends, growth patterns, premium and benefit trends, a demographic analysis, and a competitive analysis. The results of a market analysis are invaluable and will help your organization make an informed decision.

Financial Feasibility Study

GHG has helped MA organizations pressure test their expansion strategies by conducting an in-depth financial feasibility study. We utilize a proprietary tool to build a three-year financial pro forma that will satisfy the needs of every department impacted by a possible service area expansion. This includes a detailed analysis of the potential market, the cost of entry, and the risk/reward associated with expansion.

Market & Enrollment Opportunity Assessment

Having an understanding of your overall market opportunity is critical for the development of accurate enrollment projections. GHG will work with you to assess your current enrollment projection methodology and identify additional demographic and market factors that must be taken into account when developing sales and marketing strategies for support service area expansion.

Interim Management

If you are looking for a seasoned veteran, GHG can enrich your team with our own, providing the leadership and knowledge your organization needs. GHG’s network, product, and sales and marketing experts can supplement your existing team with able professionals who have years of experience providing strategic services to the industry.