Medicare Advantage Solutions Service Sheet

Growth in MA Enrollment Presents New Opportunities, Operational Challenges and Regulatory Scrutiny

Medicare Advantage (“MA”) enrollment has doubled over the past decade and now covers over one‐third of all Medicare beneficiaries. The growth in enrollment presents new opportunities, new operational challenges and new regulatory scrutiny to Medicare Advantage Organizations, Providers, and other parties involved in delivering care to MA beneficiaries.

Regulatory and Operational Support

FTI Consulting Healthcare Risk Management & Advisory supports health plans, providers, PBMs and other organizations with issues and opportunities related to all aspects of their Medicare Advantage and Risk Adjustment‐related operations.
This includes regulatory‐focused assessments and operational support as well as operational reviews and improvement initiatives that aren’t driven by regulatory issues.
FTI Consulting clinicians, certified coders, and data and compliance experts provide guidance across various areas that impact Medicare Advantage data collections, submissions and reimbursement.

Broad Client Experience

FTI Consulting has worked with both large and small plans, provider groups and other entities in various regions, analyzing data and information encompassing millions of Medicare Advantage beneficiaries.
Unparalleled expertise and industry knowledge allow FTI Consulting to address healthcare organizations’ most critical challenges.

Click here to download the full service sheet