Those who operate within the confines of a “government health plan” are well aware of the rules and regulations imposed by the Centers for Medicare and Medicaid Services (CMS).  It is critical that any entity performing work for this type of health plan be equally as versed and experienced with the rigors of CMS.

 

While JPK Secure HealthCare Solutions (JPK) has in the past performed in the commercial healthcare space, currently almost 95% of the JPK work is directly related to government health plans.  And, the JPK product set goes beyond the output of secure member and provider correspondence. 

 

A few examples of this…JPK offers services that touch the entity as far upstream as the qualification process needed for a health plan to become accredited by CMS as a Medicare or Medicaid plan.  The application process normally takes about 16-18 months and is a most rigorous adventure.  Contracting with JPK consultants to do a portion or all of this work makes great sense.  And, the lead consultant has a 100% success record in moving the client through to a positive outcome with CMS.

 

Next, JPK has the ability to make an impact in the areas related to the technology and systems used by government health plans to process the Medicare and Medicaid work itself.  These capabilities include but are not limited to enrollment, risk adjustment, claims processing and all other processes critical to running CMS governed plans.  With the JPK team of experts, whether it be a detailed GAP analysis, an integration plan or some other systems issue, your project will be completed by professionals with many years of CMS experience.

 

The most important point to remember here is the fact that government health plans are JPK’s business.  No one knows more about the challenges of successfully running a CMS driven plan than JPK.  It is hard to imagine a situation within this space where JPK has not been asked to provide a solution or a process improvement.  The success stories are many, and the references a powerful reminder of the respect the JPK’s solutions carry in this ever-changing market.

 

Please contact JPK Secure HealthCare Solutions with your most critical issue in the government health plan space!!!