PR -XL Health Uses TMG Health's BPO Services To Meet Special Needs Plan

Owned and operated by Baltimore-based XL Health, Care Improvement Plus is one of the nation’s fastest growing disease management companies. Founded in 1997, XL Health is an industry leader in providing outsourced disease management services for health plans to support their chronically ill seniors. As the nation’s population ages and faces increasing healthcare costs, Special Needs Plans (SNP), which support low income and chronically ill members, are expected to double by 2030.

XL Health created Care Improvement Plus, a Medicare Advantage Special Needs Plan, to provide chronically ill patients with the disease management services and support their need to maintain better health and a higher quality of life. To launch its SNP, Care Improvement Plus built a comprehensive provider network. Their goals also included a low cost SNP infrastructure leading them to decide that business process outsource (BPO) services would best support that model. They explored several BPO SNP providers and decided that TMG Health was the most qualified BPO provider meeting their needs for claims processing and back office management.

Serving health insurers in the Medicare and Medicaid market since 1998, King of Prussia, Pa.-based TMG Health is the nation’s leading provider of administrative services to Medicare Advantage plans and the most experienced BPO services provider for Special Needs Plans. TMG Health has demonstrated expertise in providing SNP program administration for dual eligible, chronically ill and institutionalized members, providing access to skilled resources and state of the art information systems specifically tailored to address unique SNP product requirements. TMG Health offers proven ability to successfully launch or expand Medicare Advantage SNP products with fully compliant services.

Care Improvement Plus relied on TMG Health for help with their explosive membership growth. They didn’t have the capability that TMG Health had for claims processing and back office management. Austin Ifedirah, Senior Partner of Care Improvement Plus stated, “TMG Health became a key partner, providing Care Improvement Plus the flexibility to grow without having to put the systems in place.”

A case study entitled, “XL Health’s Care Improvement Plus Utilizes TMG Health’s BPO Services to Meet Their SNP Performance Model” can be found by
clicking here.

TMG Health provides of Business Process Outsourcing (BPO) services to the Medicare, Medicaid and retiree health plan markets, serving over 40 health plans in all 50 states. TMG provides operational outsourcing solutions and systems for health plans, providers and insurers.