REAL-WORLD RESULTS

BluePeak Case Studies

Explore how BluePeak partners with health plans to solve complex challenges across compliance, operations, and performance. Our case studies highlight real-world results, practical strategies, and measurable outcomes.

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

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.

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Puzzle Pieces
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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.

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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.

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