EXECUTIVE SERVICES
Strategic Services
Driving Value-Based Care and Innovation
Chelsea Management Group (CMG) brings decades of expertise in healthcare strategy, helping organizations build and optimize value-based care programs. With experience working alongside some of the largest health plans and healthcare technology firms, CMG has developed a reputation for leading successful transformations in full-risk practice, in-home physician services, telehealth, and managed care.
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Our team specializes in creating education programs that promote proper documentation and compliance, ensuring that organizations can navigate the complexities of electronic medical records (EMRs) while preventing fraud, waste, and abuse. CMG also has a unique focus on Version 28 Risk Adjustment strategies, helping healthcare plans and providers improve patient outcomes and meet quality and safety standards.
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With a wealth of knowledge in managing Medicare Advantage plans and serving as trusted consultants to numerous firms, we are committed to delivering tailored solutions that drive measurable success and support sustainable growth.
Strategic Services
Driving Value-Based Care and Innovation
At Chelsea Management Group (CMG), we’ve been pioneers in supporting value-based care (VBC) and risk agreements since our inception. Our approach is centered on building and managing value-based programs that drive quality care, improve patient satisfaction, and reduce avoidable utilization.
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CMG specializes in designing, deploying, and managing value-based strategies for health plans and full-risk groups across multiple states. From contracting and physician training to identifying high-risk populations, we ensure that value-based care programs are tailored for success. Our solutions include the use of in-home and facilitated virtual care, combining innovative technology with hands-on patient engagement to enhance care delivery.
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We also provide insight into contract configuration, working to motivate Fee-for-Service groups to embrace risk-based models. Our goal is to implement technology that physicians love—tools that streamline their workflow, reduce administrative burdens, and give them more time with patients. By focusing on reducing inappropriate utilization, CMG helps reduce the total cost of care, enabling healthcare providers to confidently embrace value-based care.
Our programs empower physicians and enhance patient experiences, creating a system where both doctors and patients benefit from more meaningful, efficient care.
Fractional Chief Medical Officer
Expert Leadership When You Need It
Chelsea Management Group (CMG) offers highly skilled, flexible Chief Medical Officer (CMO) services to healthcare organizations, providing the leadership you need, when you need it. With more than 25 years of experience working with Fortune 100 companies, mid-size organizations, and startups, our team brings deep expertise in value-based care, risk adjustment, and managed care.
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We support your organization by deploying full-risk models, training clinical teams, improving physician documentation and coding, and integrating telehealth and in-home primary care solutions. Whether you need strategic oversight or operational execution, CMG’s fractional CMO services are tailored to meet your specific goals and challenges, driving better outcomes and reducing the total cost of care.
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Our technology-driven approach enhances physician workflows, improves patient satisfaction, and helps reduce inappropriate utilization—all while supporting physicians in adopting efficient and compliant practices. From helping you navigate Medicare risk adjustment to building programs that prevent fraud, waste, and abuse, CMG’s expertise ensures that your organization thrives in today’s healthcare landscape.
YEARS OF EXPERIENCE
Employed Roles
Upward Health: In-home primary care practice with integrated behavioral health and social determinant of health solutions across multiple states addressing health inequities.
CHP: 100,000+ member College Student Health Plan transitioning from TPA to full risk.
St. Augustine Healthcare (Founder): 25,000 member Medicaid/Commercial plan in Florida.
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Parses (Founder): Healthcare auditing and technology firm with an auditing platform.
STARUS Medical Group: MSO focused on quality, patient satisfaction, and reducing MLR.
SMRxT: Biomedical firm with technology for monitoring and tracking medication adherence.
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CareSync: Healthcare technology firm focused on a mobile CCM platform to improve patient engagement, care management, and quality.
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IBM: Physician executive working with large health plans, provider groups, hospitals, and pharmaceuticals on strategy and deployment.
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Ultramedix (Founder): Medicaid health plan in Florida.
Consulting Roles
IntelliClaim (McKesson subsidiary): Data analytics firm focused on revenue cycle management and claims adjudication.
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Avalon Health Care: Commercial health plan in Florida focused on the individual market.
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MedSave: Revenue cycle management firm focused on prospective and retrospective risk adjustment for MA plans and MSOs.
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PatientKeeper: Mobile computing company focused on improving hospital productivity, safety, and outcomes via real-time access to data.
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BCBS RI: Health plan focusing on physician education, behavior, and improving utilization.
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Freedom Health: MA plan with a special focus on educating physicians and improving behavior in medical documentation and coding.
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Blue Slate: Large data analysis firm focused on semantic algorithms and unstructured data.
Corporate Computer Solutions: Computer staffing firm focused on healthcare and EDI.
Additional Services We Offer
CLINICAL SERVICES
Telehealth Transformation:
Expand your reach and improve care with optimized telehealth services.
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Addressing Health Inequities:
We help you integrate Social Determinants of Health into your care models.
In-Home Care Expertise:
Enhance care delivery with our in-home primary care solutions.