Wellpoint Health Networks, Inc. (Camarillo, CA)

The Pacific Health Policy Group (PHPG) assisted this private health care company, which has the largest Medicaid enrollment of any health plan in the country, in the development of its proposals to State Medicaid Agencies. Consulting assistance has included the provision of assistance with the development of proposals for all areas of managed care operations including:

• Administration and Management
• Provider Network
• Provider and Member Services
• Grievances and Appeals
• Utilization and Case Management
• Quality Management
• Information Systems
• Access and Availability of Services
• Financial Data and Reporting
• Claims Operations