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Proof Positive

Geneia’s track record demonstrates our propensity for achieving results which exceed our clients’ expectations. With hands-on involvement and industry expertise, we deliver innovative, sensible and easily deployable solutions that drive improvement and create opportunity across a wide scope of services.


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Geneia's Scope of Services

  • Full Suite of Multi-Payer Accountable Care Solutions
  • Value-Based Benefit Design and Implementation
  • Payer and Provider Alliances
  • Population Health Management
  • Utilization, Case & Disease Management
  • Health Care Navigation
  • Product Development & Implementation
  • Core Business Optimization
  • Business Process Improvement
  • Operational Assessments
  • Benefit & Wellness Design Consultation
  • Health Education & Wellness Programs
  • Project & Program Management
  • Strategic Planning
  • Technology Assessment
  • System Implementation
  • Consumer Offerings
  • Individualized Cost Management Solutions

Our Most Recent History Includes

  • Supported the launch of regional accountable care arrangements to more than 30 physician practices and increased patient engagement rates (versus a population health standard of 20%). Critical to the success was the development of an integrated Care Coordinator model coupled with web-based population management tools and robust analytics.
  • Worked with regional health plans focused on population health management and programs of excellence
  • A 10-year initiative with an academic health care institution to drive health care value, wellness and engagement
  • Designed and implemented innovative health programs including value-based benefit programs & incentives
  • Created a best-practice health management consulting model which led to the development of a worksite assessment
  • Implemented comprehensive oncology case management and palliative care programs
  • Health care policy analysis
  • Designed and implemented a state's first mandated small group wellness product
  • Facilitated and implemented statewide payment reform efforts including Patient-Centered Medical Homes and Accountable Care Organizations (ACOs)
  • Successfully developed a new distribution channel for health insurance technology products
  • Designed and implemented an encounter-based reimbursement program for Federally Qualified Health Centers and Rural Health Centers

Proven Capabilities

Our demonstrated capabilities include a solid history of managing priorities, resources and time lines, and successful development of organizational structure, policies and implementation methodologies.

Our Areas of Expertise Include

  • On-time and on-budget results that exceed customer expectations
  • A strong methodological foundation focused on project planning, risk management and strong team communication
  • Extensive clinical expertise with industry-leader recognition in utilization, case and disease management
  • A suite of Population Health tools and supporting analytics
  • A Care Coordination model that supports hospitals and physician practices in meeting the quality, cost and satisfaction metrics associated with accountable care initiatives
  • The ability to build organizations, identify and contract for resources and automated processes, specifically focused on accountable care solutions, eligibility and insurance management
  • Expertise in electronic processing of transactions and interaction with health insurance companies, and in administering existing and developing new automated actuarial and underwriting models
  • Extensive experience in developing web-based applications and translating complex insurance and health policy information to facilitate consumers' transparency
  • Knowledge of and ability to analyze, interpret and implement federal and state regulations as well as to anticipate regulatory and market changes
  • Expertise in building and operating employer and consumer service centers with robust call, email and web-chat capabilities
  • Employee engagement strategies

Mike Merenda

Chief Executive Officer

Heather Staples Lavoie

Chief Operating Officer

Rick Hammer, MD

Chief Medical Officer

Denise Fessler

Vice President Clinical Management

Jim Bohenick

Senior Director Financial Services

Andrea Durkin

Vice President Marketing

Industry Recognition

Geneia's team has extensive clinical and administrative expertise:

  • Leadership with depth of experience in all aspects of health plan administration, especially member-focused and physician-focused initiatives
  • 90 nurses certified in care management, chronic care, palliative care, diabetes, dementia and intrinsic coaching, backed by board-certified physicians
  • Highly specialized teams of social workers, health & wellness specialists, diabetic & nutritional educators

Industry Leader Recognition

  • Supported the launch of regional accountable care arrangements to more than 30 physician practices and increased patient engagement rates to 75% (versus a population health standard of 20%)
  • Received the Case Management Practice Improvement Inaugural Award for the Oncology Program from the Case Management Society of America (CMSA). Program featured in CMSA Journal.
  • One of only 20 finalists nationwide, Better Health Works® program received the 2011 URAC Bronze Award for Health Improvement
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