Risk Adjustment
Supporting Health Plans & Supplemental Benefit Vendors in Medicare, Medicaid, and ACA
At Rebellis Group, we provide strategic support to health plans and supplemental benefit vendors operating in the Medicare, Medicaid, and ACA markets. Our expertise helps organizations enhance member engagement, optimize benefit offerings, ensure compliance, and drive growth in an evolving regulatory environment.
Who We Support
Medicare Advantage Plans (MA, D-SNP, C-SNP, I-SNP)
Helping plans navigate risk adjustment, quality improvement, and supplemental benefit integration.
Medicaid Managed Care Organizations (MCOs)
Ensuring regulatory compliance, benefit alignment, and operational efficiencies.
ACA Marketplace Plans (Exchange Plans, QHPs)
Optimizing member outreach, retention strategies, and product differentiation.
Supplemental
Benefit Vendors
Partnering with health plans to expand and implement value-added benefits that improve member outcomes.
How Rebellis Can Help
✔ Strategic Market Entry & Expansion
Guidance on new market opportunities, plan expansions, and product development.
✔ Regulatory & Compliance Support
Ensuring adherence to CMS, state Medicaid agencies, and ACA guidelines.
✔ Supplemental Benefit Strategy & Implementation
Aligning non-medical benefits such as food, transportation, OTC, in-home care, and digital health solutions with plan goals.
✔ Quality & Member Engagement Optimization
Helping plans improve Star Ratings, HEDIS performance, and member satisfaction.
