Prizm Health Advisory's goal is to help Medicare Advantage (MA) Special Needs Plans (SNP) program participants fulfill their objectives of providing specialized, high-quality and cost-effective care to high need, vulnerable Medicare beneficiaries.

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Many companies serving SNP customers offer great quality care and can show excellent health outcomes but struggle to comply with SNP-specific Centers for Medicare and Medicaid Services (CMS) and State Medicaid regulations. Certain requirements can seem to stress “processes” over “outcomes” and even health plans with top quality and customer satisfaction ratings can still be penalized for not complying with all rules and regulations. Successfully addressing the many facets of SNP operations is what motivates Prizm Health.

 

Our strength is in aggregating, interpreting and identifying strategies to implement CMS regulations so that clients can achieve compliance while meeting their organizational goals. We help make compliance routine for clients allowing them to focus their resources on what they do best – taking care of their customers.