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Articles by Paul Schuhmacher

Prior to joining AArete, Paul began his career at Huron Consulting Group where he worked on corporate disputes and fraud investigations. With nearly 10 years of consulting experience across a variety of industries including extensive experience with healthcare payers, working with several large national payers, regional payers, and integrated health systems. He specializes in using data analytics to drive strategic decisions and operational improvements that result in significant bottom line improvement with minimal disruption to an organization. Paul directed and oversaw five engagements with state Medicaid Health Plans of 20M+ member payer that resulted in over $200M of savings and led an engagement with 4M+ member national Medicaid payer that achieved $25M of annual recurring savings through identification and implementation of unit cost, utilization management, and configuration opportunities. Paul holds a Bachelor of Science degree in Business Administration from Indiana University’s Kelley School of Business with concentrations in Business Economics & Public Policy and Finance and is a Certified Fraud Examiner (CFE).

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4 Strategies Medicare Advantage Plans Can Implement to Mitigate Financial Pressures  

July 15, 2024

This is an AArete Healthcare Payer insight The sustained financial pressures that Medicare Advantage (MA) health plans are facing – due to increased utilization, rate cuts, Star Ratings, and changes to risk adjustment – will persist throughout the foreseeable future. That means health plans must take a consistent, thoughtful approach to sustaining their business by…

Medicaid Redetermination

The Looming End of A Long Redetermination Pause Calls For A Cleareyed Strategy

February 3, 2023
woman on phone looking at paperwork

The Post-PHE Medicaid Redetermination Playbook

September 7, 2022

The Hospital of the Future: Balancing Risk, Revenue in Post-Pandemic World

May 28, 2020

Walmart Gets Into Affordable Healthcare

February 24, 2020
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