On November 14, CMS proposed a new rule that seeks to improve the rules promulgated in 2016. The 2016 “Mega Rule” updated the Medicaid and CHIP managed care programs, significantly [...]
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Sellers Dorsey adds Bob Lux, former CFO of Temple University Health System, as Senior Strategic AdvisorTwenty Ten 2018-12-12T14:30:44+00:00
PHILADELPHIA, PA – Sellers Dorsey announced today that Bob Lux has partnered with the firm as a Senior Strategic Advisor. Mr. Lux served most recently as Senior Vice President, [...]
BackgroundA state university’s medical school wished to develop and implement a fee-for-service (FFS) physician upper payment limit (UPL) program for physicians and providers serving Medicaid beneficiaries. Before the work began, [...]
Background A state university healthcare system wished to develop and implement a graduate medical education (GME) supplemental payment program. The aim of the program was to garner payments up [...]
Background A public hospital system required help to identify, develop, and participate in new supplemental payment programs to reduce the Medicaid funding gap that resulted from the dramatic increase [...]
Background A state health agency wished to develop a hospital assessment for providers located specifically in one major urban county. The goal of the program was to enhance revenues [...]
Background A state Medicaid agency set a goal of covering childless adults with income up to 100% of the federal poverty level (FPL) under the Affordable Care Act. Prior [...]
Background A state government wished to create a universal healthcare program by expanding Medicaid and using subsidized insurance products through the private sector. When the project began, Sellers Dorsey [...]
Background With assistance from Sellers Dorsey, a western state’s Medicaid program had a two-fold agenda in mind. On one hand, they wished to provide incentives to hospitals for quality-based [...]
Background A group of managed care organizations (MCOs) needed assistance through several phases of a state’s procurement. The state was implementing a new managed program for children with special [...]