GPV CONSULTING, LLC · PALM SPRINGS, CALIFORNIA
Managed care, built the way the watch was actually made.
Thirty-nine years inside managed care operations. Dual-Eligible Special Needs Plans (D-SNP), Medi-Cal, Covered California, commercial, large group, small group. Compliance, member experience, provider networks, regulatory reality — the detail work that makes plans run.
THE APPROACH
Loyalty is not retention.
Retention is keeping a member. Loyalty is the complete, proactive service that makes the member want to stay — and makes the plan worth staying with. The distinction matters because the work required for each is entirely different, and the industry keeps confusing the two.
My practice is operational. The glamour of strategy without the granular reality of how a plan actually runs is theater. I’ve spent four decades learning how the watch was actually made — and that is the work I bring to every engagement.
WHAT GPV CONSULTING OFFERS
Two ways to work together.
A consulting practice, or the platform itself. Select one to see the detail.
Consulting Services
Healthcare operations and the strategy around them. Lead your system replacement and configuration, business-architect guidance through the Business Requirements Document (BRD) and Functional Requirements Document (FRD), and the Maturity Assessment — a targeted or general review of your operations across compliance, employee, member, and provider satisfaction.
EQUOS
The solution — nothing more. EQUOS Premium on Salesforce Health Cloud for established plans, and EQUOS Open, a cloud-native build for smaller plans, Federally Qualified Health Centers (FQHCs), and government. The Salesforce-native managed-care platform, available to qualified plans.
Available for contract assignments, the Maturity Assessment, and for hire.
SELECTED EXPERIENCE
Forty years, seven domains.
- D-SNP aligned enrollment design, operations, and compliance
- Medi-Cal managed care operations and CalAIM (California Advancing and Innovating Medi-Cal) integration
- Covered California and commercial line-of-business operations
- Provider network architecture and delegated entity management
- Utilization management program design and delegated-oversight structures
- Appeals and grievances operations, regulatory intake design
- Health-plan technology strategy, customer relationship management (CRM) architecture, and platform deployment
Let’s talk.
If you run a health plan and you want the operational detail done right — not slideware, not performative transformation, just the work — I’d be glad to hear from you.