Services

At Managed Care Advisory Group, our team delivers an higher level of personalized service geared towards the overall client experience. Team members pride themselves on flexibility and attention to detail, all with the goal of providing clients with dedicated support.

It is our hope that through our business we are able to build an enduring partnership that grows with each year. By taking the time to get to know your business - how it operates, its unique situation and requirements and your employees, we believe we can serve you better than anyone else in the industry. Working as a team we will deliver consistent, profitable results.

From our weal of experience and innovation, Managed Care Advisory Group offers the following services:

AWP Settlements

Benefit Plan Sponsors that had prescription drug coverage lost billions of dollars in Average Wholesale Pricing (AWP) schemes engaged in by drug manufacturers. To assess your liability as a sponsor and the recovery due your business and your employees MCAG will work with your business as part of our AWP Settlement Management service.

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HMO Settlements

Healthcare Providers who have been harmed by the pricing and improper claim coding schemes engaged in by insurance payers are eligible to claim lost dollars. MCAG’s HMO Settlement Management service will review your business, assess your claim, file and pursue your recovery throughout the process.

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Employee Benefit Plan Auditing

MCAG knows that AWP Settlement judgments represent only a small fraction (only 1%) of the actual dollars spent on overpriced prescription medications. Plan Sponsors will likely only recover only 10 cents. With settlement judgment amounts having very little to do with actual Employee Benefit Plan losses the next step is to approach those who benefited most directly from the pricing scheme: the Prescription Drug Fulfillment Administrators.

MCAG will review your Benefit Plan claims history, identify your losses and work with lead actions to recover your losses.

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Consulting Services

MCAG also offers consulting services. For more information, please contact us.