Governors around the country have recently announced plans to restructure their Medicaid programs in ways that affect the care of people with intellectual disabilities, mental health and behavioral problems, and other recipients of long-term care. Oliver Wyman's government programs experts Jim Fields and Parie Garg take a closer look at contracting opportunities in the Home and Community-Based Services market.

Global Head, Health Services, Oliver Wyman
Partner, Health & Life Sciences, Oliver Wyman

In many ways, Medicare Part D, the program that provides seniors with prescription drug coverage, has been a great success. Yet, while the program has essentially been a win for consumers, it has been a gauntlet for plans. Oliver Wyman Partner Jim Fields explains in “The Part D Dilemma” why it can be so hard.

Global Head, Health Services, Oliver Wyman

Smaller health plans trying to compete on Medicare Part D are finding the deck stacked against them. One of the biggest challenges is the extreme price sensitivity of the Prescription Drug Plan market, as illustrated by this infographic.

Global Head, Health Services, Oliver Wyman

Medicare Part D presents a bit of a conundrum for health plans. It’s in high demand and a gateway to larger opportunities, yet significant profitability challenges make it difficult to run solo. In a new paper, Oliver Wyman Partner Jim Fields describes why Part D is so difficult and how health plans can minimize the risk and maximize the benefit of remaining in this essential line of business.

Global Head, Health Services, Oliver Wyman