The Centers for Medicare & Medicaid Services (CMS) administers Medicare, the nation's largest health insurance program, which currently covers 39 million Americans. The Lewin Group has longstanding and specialized expertise in issues related to the Medicare program. Lewin offers clients substantive experience with the Medicare program by helping health plans, providers and CMS itself through a variety of management and research activities, including the following:

Providers

• Feasibility assessments
• Medicare cost estimates of new benefits, such as glaucoma detection
• Physician payment issues, such as work values and practice expenses
• Risk adjustment methodologies
• Hospital financial and cost center analysis
• Provider education and training
• HMO/PSO/PHO development & licensure

Health Plans

• Design of Medicare risk programs
• Analysis of existing operations
• Preparation of federal applications and CMS demonstration bids
• Readying staff for CMS site visits
• Development of rate and benefit structures

Centers for Medicare & Medicaid Services (CMS)

• Studies of cost impacts of benefit changes on Medicare program
• Analyses of CMS provider payment methodologies
• Analyses of beneficiary health service utilization using CMS data sets
• Measurement of beneficiary satisfaction with CMS telephone customer service
• Enrollment and disenrollment analyses
• Design and evaluation of demonstration programs
• Detection of provider fraud and abuse

For more information on our specialized Medicare consulting services, please contact The Lewin Group