Large Medicaid Focus TMG is Wisconsin’s largest IRIS Consultant Agency with deep expertise in Medicaid Home and Community Based Waiver quality assurance and improvement services, presenting a clear opportunity to upsell expanded waiver program consulting, compliance optimization, and regional expansion services to state and local payers.

Integrated Care Expertise With capabilities spanning integrated managed care program development, regulatory compliance, behavioral health service delivery, and policy design, there is potential to offer end-to-end program design, training, and certification services to health systems, managed care organizations, and provider networks seeking to enhance care coordination.

Scale and Footprint Operating statewide with thousands of adults served and a 201-500 employee base indicates capacity to scale support for large vendor implementations, outsourcing staffing, and rapid deployment of care management solutions across Wisconsin.

Digital and Security Readiness The tech stack includes Microsoft 365, Python, PHP, and security/privacy tools, signaling opportunities to propose cloud-based care management platforms, data analytics offerings, and secure patient data workflows that align with their compliance-focused approach.

Revenue Scale With annual revenue in the 100M–250M range, TMG is positioned for strategic partnerships, co-development deals, and long-term outsourcing contracts with government agencies, insurers, and provider organizations targeting Medicaid, Medicare, and publicly funded programs.