The Menges Group offers our experience and expertise in the design, development, operation, improvement, and evaluation of coordinated care programs for Medicaid and Medicare beneficiaries.  Our specific skill sets include:

  • Helping health plans develop and prepare proposals for contracts in response to state agency procurements that involve Medicaid contracts for TANF and SSI subgroups, Medicaid LTC programs, and dual eligibles.
  • Assessing the impacts of existing coordinated care programs – both qualitatively and quantitatively – to evaluate/demonstrate the cost, quality and access impacts of a broader program.
  • Data analysis to identify cost savings opportunities.
  • Preparing policy papers on behalf of various trade associations, and supporting organizational efforts to compile/analyze data from their members in a manner that is useful to their collective interests.
  • Board of directors’ level strategic planning and executive team meetings and facilitation.
  • Assisting safety net providers in their payer contracting and price negotiation strategies.

Value-Based Payment (VBP):

The Menges Group has experience supporting health plans in creating, modifying, and implementing VBP arrangements. We often tailor VBP arrangements to support key state goals and population needs, such as mitigating health disparities and improving behavioral health access. Examples of our work include:

• Facilitation of VBP summits to design arrangements
• Data-driven analysis of which providers to target and outcomes to address
• Addressing longstanding care gaps
• Interim staffing to oversee internal/external training and implementation

Contact:
Joel Menges
571-312-2360
jmenges@themengesgroup.com
www.themengesgroup.com