Medicaid Financing 2018-11-19T19:34:36+00:00

Medicaid Managed Care

Working with states, providers, managed care organizations, and administrative support organizations across the nation, our consultants provide strategic advice, technical assistance and relationship management to help achieve goals where business and policy intersect in managed care service delivery systems.

CLIENTS AND SERVICES
Medicaid Managed Care Expertise Tailored for Clients

Sellers Dorsey offers managed care expertise to national and community-affiliated managed care plans, state Medicaid programs, Medicaid providers, and Medicaid support vendors. Leverage our experience and capability and allow us to serve you in these and other areas:

Take a look at our capabilities with the various clients we serve:

  • Designing and managing an effective Medicaid managed care program, including program and waiver creation, procurement, readiness review, implementation, health plan contract monitoring, and quality and value-based purchasing (VBP) initiatives
  • Meaningful engagement with stakeholders including technical assistance on stakeholder engagement strategy and facilitation services
  • Understanding and implementing state and federal regulations and health care innovations
  • Preparing for and winning new Medicaid business through successful responses to requests for information and requests for proposals, as well as readiness review
  • Educating stakeholders and improving relationships with members, providers, advocates, and public officials through stakeholder engagement strategy and stakeholder facilitation services
  • Applying the latest in health care trends, best practices, and regulations to your business, including VBP initiatives
  • Business and relationship strategies to help technology companies and others providing support for or within a managed care system to succeed in the Medicaid managed care environment
  • Preparing for and winning new Medicaid business by writing, reviewing, and providing technical assistance for responses to requests for information and requests for proposals
  • Identifying the latest in health care trends and regulations and applying them to your business
  • Business and relationship strategies to help technology companies and others providing support for or within a managed care system to succeed in the Medicaid managed care environment
  • Preparing for and winning new Medicaid business by writing, reviewing, and providing technical assistance for responses to requests for information and requests for proposals
  • Identifying the latest in health care trends and regulations and applying them to your business

OUR TEAM
Medicaid Managed Care Experts Who Get Things Done

Get to know our experts and how you can benefit from their experience. Sellers Dorsey includes former Medicaid Directors and health plan executives, clinicians, and former state officials responsible for the development, financing, administration and operation of managed care and long-term services and supports programs for states and health plans.

Gary Jessee
Managing Director
Pam Coleman
Senior Consultant
Pat Brady, MBA
Managing Director
Nancy Kohler
Senior Consultant
Emily Zalkovsky
Senior Consultant
Sharen Ludher
Senior Consultant
Brian Dees
Senior Consultant
Kinsey Jolliff
Senior Consultant

Gary Jessee assists states, managed care organizations, service providers, and support vendors working within Medicaid. For 20+ years, he’s worked in health and human services at state and national levels, and his successful tenure in Texas state government comprises several leadership roles, including State Medicaid Director.

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Pam Coleman’s expertise is in Medicaid integrated managed care. She’s worked with several states to develop MLTSS and other Medicaid managed care programs, and when she served as Deputy Medicaid Director for the Texas Health and Human Services Commission, Pam administered the Managed Care Operations Department.

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Offering 20+ years’ experience with federal and state health policy, Pat is an authority on Medicaid financing. She provides public and private sector clients with strategic, policy, and technical assistance throughout revenue maximization initiatives and long-term care programs, particularly Medicaid managed care programs.

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A resident Value-Based Purchasing (VBP) expert, Nancy works with clients on VBP in Medicaid managed care and Medicaid financing. Prior to Sellers Dorsey, she was integral to PA’s Statewide Quality Care Assessment, and her comprehensive experience includes public health program operations, policy development, implementation, fiscal analysis, and strategic positioning.

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Emily Zalkovsky has strong expertise in Medicaid managed care, health care policy development, and design and implementation of new Medicaid programs. A recent former Deputy Medicaid Director in Texas, Emily directed a large unit responsible for managed care programs, acute and long-term services and supports policy development, medical benefit design, legislative analysis, and waiver and state plan negotiations. Emily was instrumental in the implementation and ongoing management of programs for adults and children with disabilities, individuals in nursing facilities, dual eligible beneficiaries, and children in foster care.

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Sharen Ludher serves as a Senior Consultant for the firm’s work in Medicaid managed care and long-term services and supports. With experience in both the public and private sectors, Sharen helps clients through strategic business intelligence and relationship support. In her previous role as Senior Advisor to the Deputy Executive Commissioner for Medical and Social Services at the Texas Health and Human Services Commission, Sharen provided critical thought, analysis, and recommendations on a wide range of topics.

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A seasoned health policy expert, Brian Dees, Senior Consultant, provides strategic and business planning assistance to Sellers Dorsey clients using his in-depth knowledge of managed care and Medicaid policy.

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Kinsey Jolliff, Senior Consultant, provides management and support to a wide spectrum of firm clients in the areas of health policy, Medicaid finance and program operations. Kinsey’s expertise includes health policy development and implementation, program analysis and evaluation, Medicaid program operations, political and community organizing, strategic positioning as well as Federal and state health policy issues.

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Clare Seagraves joins Sellers Dorsey from the Texas health and human services agency.  Clare spent over ten years working on a combination of LTSS, public health, and Medicaid programs and policies while at the Texas Health and Human Services Commission.

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Michael is an expert in managed care and government programs, providing strategic guidance, operational expertise, and project support. A key area of focus for Michael is to help the Commonwealth of Pennsylvania, combining his operational experience in long-term services and supports with his managed care experience. In the past Michael worked for Geisinger Health Plan where he managed operations for multiple products, and he spent over 10 years working for the Pennsylvania Department of Human Services (DHS) and the Department of Aging.

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CLIENT STORIES
Client Success in Medicaid Managed Care

Sellers Dorsey has a strong track record of helping clients succeed in Medicaid managed care. Our staff have experience both as former state officials and as consultants serving various clients with diverse goals.

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EVENTS AND CONFERENCES
Continual Growth in Knowledge and Relationships

Through our ongoing work and our relationships with key decision makers and thought leaders in the private sector and in state and federal governments, Sellers Dorsey remains well informed of the latest rules and guidance from CMS and trends and innovations emerging from the private sector. Our staff regularly communicates with leaders and staff of organizations and affiliations in the industry, and they attend events with these influencers and decision makers year-round.

Please let us know if you would like to meet a member of our team at an upcoming event. If you are an event organizer and are interested in hearing one of our thought leaders speak to your audience please contact us at [email protected].

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Contact Sellers Dorsey

If you would like additional information or wish to speak to any of our experts about issues facing your managed care organization, please get in touch and we will have a conversation at a time that's best for you.