Medicare Compliance Solutions

Innovative solutions for a complex program.

Medicare Advantage and Prescription Drug Organizations are painfully aware of how complex the Medicare Part C and Part D programs have grown. This ever-increasing complexity, plus unprecedented levels of scrutiny by CMS, have vexed even the most dedicated and best staffed MA and Prescription Drug Plans. Understanding and implementing the many requirements can be overwhelming and many health plans fall short. Over the past several years, more and more health plans have been subject to sanctions and crippling enforcement actions by CMS. The disruption and expense associated with these punitive actions can jeopardize the financial stability and even the very future of a health plan’s Medicare products.

Medicare Compliance Solutions understands the tradeoffs health plans face with competing demands for resources in all aspects of running a successful and compliant Medicare Advantage or Prescription Drug plan and staying off the CMS radar screen. We provide our clients with the knowledge and experience needed to optimize operational performance while achieving and maintaining compliance with ever-increasing regulations. At MCS we know that these two objectives are not mutually exclusive, and we work with our clients to develop strategies and common-sense practices to ensure that both objectives are achieved in the context of a stable and profitable business environment.

The Medicare Compliance Solutions team has decades of consulting and regulatory experience in the management and oversight of Medicare Advantage (MA) and Part D programs, in both the public and private sectors. We are well known and highly regarded in the industry, and have worked closely with some of the largest and most successful organizations in the country for more than twenty years. At MCS, we are committed to providing the highest quality service available, delivered in a timely, efficient, and affordable manner, in the areas we know best!