Government-Sponsored Programs

Synergy has significant experience with businesses that provide solutions to manage the challenging populations of government-sponsored programs including Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and various human services programs. Our team focuses on companies that offer Healthcare IT, outsourced business services, and managed care.

Bankers: Scott Messier, Jim Emslie, Bob Maggiacomo

 

  • Eligibility and enrollment
  • Claims processing
  • Payment integrity
  • Care management
  • Population health management
  • Specialty benefit management (vision, dental, behavioral)
  • Pharmacy benefit management

Population Health and Utilization Management

Managed Care Rate Setting

Medicare Reimbursement

Pharmacy Prior Authorization and Analytics

Risk Adjustment Analytics

Pharmacy Benefit Management

Medicaid Managed Care

Medicaid Management Information Systems

Medicaid Vision Benefit Management

Medicaid Vision Benefit Management