Martin Graf

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Winning on Stars: It Starts and Ends With Providers

CMS Star Ratings are do-or-die for health plans. And this year, the bar is higher than ever. Our latest analysis finds that a health plan’s Star rating is defined primarily by the behavior of its providers.

Timothy Abbot portrait

Timothy Abbot

Associate, Oliver Wyman
Melinda Durr portrait

Melinda Durr

Partner, Health & Life Sciences, Oliver Wyman
Martin Graf portrait

Martin Graf

Partner, Health & Life Sciences, Oliver Wyman
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CMS Proposed Rules for Managed Medicaid: A.K.A. Hello, Red Tape

Medicaid enrollment across the United States currently encompasses ~50M individuals, of which ~40M are enrolled in some form of Managed Medicaid. The covered population is expected to continue to grow, driven by factors such as Medicaid expansion, population growth, and economic challenges in select States.

Jim Fields portrait

Jim Fields

Global Head, Health Services, Oliver Wyman
Martin Graf portrait

Martin Graf

Partner, Health & Life Sciences, Oliver Wyman
Parie Garg, PhD portrait

Parie Garg, PhD

Partner, Health & Life Sciences, Oliver Wyman

Managed Medicaid: The Dual Eligibles Opportunity

While recent reports have noted its slow start, Oliver Wyman’s Martin Graf, Jim Fields, and Parie Garg provide an update on the CMS demonstration program "Fully Integrated Duals Advantage program" and discuss where its potential lies.

Jim Fields portrait

Jim Fields

Global Head, Health Services, Oliver Wyman
Martin Graf portrait

Martin Graf

Partner, Health & Life Sciences, Oliver Wyman
Parie Garg, PhD portrait

Parie Garg, PhD

Partner, Health & Life Sciences, Oliver Wyman