Let us be your constant in the ever-changing world of healthcare.

ABOUT US

BluePeak Advisors, a division of Gallagher Beneﬁt Services, is a national leader in healthcare compliance and operational consulting.

BluePeak Advisors, a division of Gallagher Benefit Services, is a national leader in healthcare compliance and operational consulting. Since 2010, we’ve helped health plans, PBMs, Employer Group Waiver Plans (EGWPs), PACE organizations, allied health companies, and health systems/providers navigate the complexities of Medicare Parts C and D, Medicaid, and Commercial programs. Our team includes former CMS regulators, experienced clinicians, and managed care professionals who deliver practical, audit-ready solutions in compliance, operations, STAR ratings, fraud prevention, and data analytics.

We also partner with health systems and provider organizations to strengthen compliance programs, optimize operational workflows, and align with regulatory and contractual requirements. From strategic guidance to hands-on support, we ensure our clients meet regulatory demands, mitigate risk, and achieve operational excellence across the care continuum.

Knowledge. Experience. Trust. That’s the BluePeak promise.

Core Capabilities at a Glance

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Health Plan Compliance & Audit Support

We provide end-to-end support for federal and state audits.

Operational Strategy & Optimization

We help clients build and refine compliant, efficient operations across all lines of business.

Interim Staffing, Training & Regulatory Guidance

We offer flexible staffing and training solutions to fill gaps and build internal capacity.

Performance Improvement & Analytics

We use proprietary tools and data-driven strategies to improve outcomes.

Client Favorites

Audit Preparation and Onsite CMS and State Audit Support

During an actual CMS audit, BluePeak can assist with universe review and preparation, document and impact report preparations, coaching of staff and questions to ask or not ask CMS. We can be available onsite to support your teams. After the audit, BluePeak can assist with strategies for corrective actions, CAP writing and review, and perform actual remediation work if needed.

Medicare Bid Development and PBP Review

It’s important that the Plan Benefit Package (PBP) you submit accurately reflects the intended benefit design described and supported by the bid pricing tool. BluePeak has experienced reviewers who have a strong understanding of the bid data entry process and can review the PBP for accuracy, implementation, and compliance.

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Plan Performance in Quality (Stars/HEDIS/Gaps in Care)

NCQA updates protocols annually in accordance with changes from CMS. Now CMS requires a plan receive a 50% or greater score in each element, regardless of passing in the overall score. BluePeak can help you review your MOC and make recommendations and edits to meet all requirements and do a preliminary scoring before submission to NCQA.

NQTL Reviews (Parity)

BluePeak provides Non-Quantitative Treatment Limitation (NQTL) parity reviews to ensure your organization’s mental health and substance use disorder benefits comply with federal parity requirements and CMS standards.

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What Clients Are Saying…

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"...The collaboration was great with this team along with the auditors' steadfast commitments and the results yielded here. We truly appreciate the support."
Product ManagerNational MAPD plan

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"BluePeak asked all the right questions to help us effectively prepare for our CMS Program Audit tracer review sessions...Program Audit support prep was invaluable to helping us thoroughly prepare, present with confidence, and drive our positive outcome."
Medical Compliance OfficerFortune 500 Company

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"At every point that I've connected with our presentation team, they have been effusive in their praise of the support and expertise that has been provided."
Director, Market OperationsMedicare Advantage Plan

How We Deliver Results

All

Building Compliance Confidence and Marketing Clarity to Required Materials with Arkansas Superior Select

BluePeak guided a Medicare-Medicaid Plan’s transition to a FIDE and CO D-SNP by developing two fully compliant Models of Care (MOCs), aligning operations, and building a framework for long-term performance. Both MOCs achieved near-perfect NCQA scores and secured three-year approvals.

Health insurance concept, wooden blocks with healthcare medical icons on blue background

How BluePeak Developed a High-Scoring Model of Care and a Framework Structure for an Overall Quality Program

Neighborhood & BluePeak Successfully Executing a Competitive Medicare Bid

BluePeak guided Neighborhood Health Plan of Rhode Island through its transition from an MMP to a DSNP by providing end-to-end bid strategy, financial analysis, and compliance support. The result was a successful, on-time CY2026 bid submission with no CMS issues and a strong foundation for launch.

Perfecting Compliance: How BluePeak Helped a Client Achieve a Flawless CMS Audit Score

BluePeak supported a long-term client through full CMS Program Audit readiness and execution, delivering strategic guidance, real-time support, and cross-functional alignment. The result was a flawless audit outcome with a 0.00 score and no corrective actions.

View Our Case Studies

Industry Insights

Read More Insights

August 26, 2026 in Industry Insights

Another Implementation: CMS Final Rule, Administrative Simplification and Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures

Learn how CMS's final rule on health care claims attachments and electronic signatures impacts health plans and providers, including X12 and HL7 standards, compliance requirements, and the May 2028 implementation…

The Operational Reality of Customer Service in Medicare Advantage

Customer service is more than a support function in Medicare Advantage—it drives compliance, member experience, operational performance, and Star Ratings. Learn why strengthening call center operations should be a strategic…

June 26, 2026 in Compliance & Regulatory Updates, Industry Insights

What Medicare Advantage Plans Need to Know About OIG’s Latest Oversight Priorities

Understand OIG's newest Medicare Advantage compliance priorities and what health plans should do now to strengthen oversight and reduce regulatory risk.

Knowledge. Experience. Trust.

These aren’t just words—they’re the foundation of everything we do.

BluePeak Advisors, a division of Gallagher Benefit Services, is a national healthcare consulting firm that helps health plans, PBMs, and provider organizations navigate Medicare, Medicaid, and commercial programs through practical, audit-ready expertise in compliance, operations, and performance.

2850 Golf Road
Rolling Meadows, IL 60008

info@bluepeak.com
630-694-5215

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