Even before the Affordable Care Act (ACA), states and private sector companies were seeking opportunities to improve quality, increase access, and reduce costs in Medicaid and across the health care system. Government and the private sector collaborated to identify, develop, and implement public-private partnerships to reform financing, care management, and delivery systems while utilizing emerging technology.
With the enactment and ongoing implementation of ACA, the public and private sectors will continue to be creative and work together to find solutions that work. Sellers Dorsey has the expertise to work collaboratively with both the public and private sectors to develop solutions in this complex environment.
With the planned Medicaid expansion and creation of state health insurance exchanges, state and local governments and the private sector are developing strategies to maximize their opportunities and mitigate their risks, particularly in an era of continued budget difficulties. Financing the expansion of care is only one piece of the puzzle. States and their private sector partners are seeking ways to improve quality, utilize technology, analyze data, streamline enrollment and eligibility systems, and change delivery systems to improve the way Americans receive their health care.
Sellers Dorsey has the expertise to work collaboratively with both the public and private sector to develop solutions in this complex environment. Sellers Dorsey consulting services include those to the following areas:
Healthcare Policy Solutions
- Managed Care Solutions
- Managed care program design, evaluation, and implementation
- Managed care procurement strategies and assistance with RFPs, proposals and evaluation
- Managed care readiness and gap analyses for new Qualified Health Plan markets and Medicaid expansions
- Managed long term care and integrated plans for dual eligibles
- Long-term Care Supports and Services Solutions
- Long term care program design, evaluation, and implementation
- Long term care rebalancing programs and nursing home rightsizing
- Integrated care plans for dual eligibles
- Revenue maximization
- Payment methodologies, rates, and reimbursement
- Analytics and quality improvement programs
- Hospitals and Physicians Solutions
- Revenue Maximization
- DSH and UPL calculations
- Payment methodologies, rates, and reimbursement
- Analytics and quality improvement programs
- Behavioral Health
- Revenue maximization
- Integration of behavioral and physical health
- Business strategy development
- Operations gap analyses
- Analytics and quality improvement programs
- Pharmacy Solutions
- Business opportunity identification, development, and implementation
- Market assessments and opportunity assessments
For more information on Sellers Dorsey services, expertise, and experience please contact info@sellersdorsey.com.