Sellers Dorsey offers a range of services to support provider organizations as they navigate the complex realities of Medicaid. Our well-networked, multidisciplinary team has extensive, present-day experience in more than 30 states.
To achieve your organization's objectives, we offer:
- Support for negotiations with the state, including the state Medicaid agency, Governor's office, state budget office and Legislature.
- Support for negotiations with the Centers for Medicare & Medicaid Services (CMS).
- Policy and fiscal analysis, budget projections and other analytical as well as decision support.
- Program design and policy development, including federal waiver proposals, state plan amendments, statutory/administrative rule language and budget proposals.
Sellers Dorsey is able to help your organization develop more than one answer to the many challenges facing Medicaid programs nationwide. These include Medicaid payment reforms, eligibility expansions and administrative streamlining. In addition, Sellers Dorsey often assists organizations as they work toward meeting state Medicaid program goals including:
- Ensuring beneficiaries receive the most cost-effective, clinically sound services.
- Discouraging outdated, risky and unnecessary services.
- Improving care coordination.
- Reducing racial, ethnic and geographic disparities.
- Reforming care delivery, including consumer-driven models, volume-based purchasing and cash as well as counseling programs.
- Creating special initiatives for high-cost beneficiaries, including Medicare-Medicaid dual eligibles and children with special healthcare needs.
- Designing collaborations between Medicaid and large employers or employer coalitions to leverage market power, reward efficiency and reduce costs across the state.