98%
Through our personalized member support and one‑on‑one connection, more than 98% of Medicaid members engaged by our team agree to apply for Medicare—generating over $160 million in new savings to date for one state through increased enrollment.
Third Party Liability & Benefit Coordination
Maximizing benefits for Medicaid members by increasing Medicare and commercial insurance enrollment to deliver millions in savings
Many Medicaid members may also qualify for other coverage, increasing their benefits and the state’s savings potential. Combining advanced analytics with personalized member support, we help states identify untapped third party liability (TPL) opportunities for members, achieving results beyond standard data matching and outreach alone.
Our Areas of Focus
Medicare Enrollment Support
Enhanced data mining and proactive customer service support to identify and enroll Medicaid members aged 65 and older into Medicare
Medicare Savings Program Quality Improvement
Evaluation of and recommendations for optimizing program eligibility, transaction, and operational processes to maximize data utilization
Medicare Eligibility Enhancement
Proprietary data assurance, eligibility determination, and entitlement correction reviews to supplement existing Medicare TPL activities
Enhanced Benefit Coordination
High-cost claims analysis, management of insurance enrollment and prior authorization, and coordination with insurers and providers
Commercial TPL & Premium Assistance
Commercial insurance data integrity and quality improvement assessment with development of customized strategies
Our Work in Action
Expert Profile
Jen Hartman, Executive Director
Jen brings 20+ years of partnering with state and federal agencies to uncover and resolve anomalies in highly complex data environments, helping clients unlock third party benefits and drive meaningful, sustainable savings.
We take pride in making a positive difference in the lives of the people we serve every day. For every piece of data we analyze, dollar we save, and process we improve for these essential programs—we never forget that there is a person behind that data point whose life is impacted. We are making healthcare more accessible and effective for people—we never lose sight of that fact.