Medicaid Financing

Nancy ensures the delivery of contracts spanning fifteen states. Her Medicaid reimbursement experience has yielded clients at least $210 million in new federal Medicaid reimbursement in the last three years, and her expertise includes Medicaid financing, quantitative research, statistical analysis and UPL programs in managed care and fee-for-service.

With 30+ years of Medicaid rate-setting and reimbursement, Scott has designed DSH and UPL programs, given guidance on CMS reimbursement, led database management, and advised on Medicaid administrative operations. Prior to Sellers Dorsey, he served as both Director of Hospital Rate Analysis and Reimbursement Analyst with Texas Health and Human Services Commission (HHSC).

Jeff’s 25 years in navigating health policies with Medicaid and the uninsured have made him a policy expert for clients. He assists state and local governments and providers with innovating Medicaid financing programs, and he connects private hospitals or nursing homes with their public counterparts in mutually, financially beneficial partnerships. Jeff also offers guidance on CMS reimbursement policy.

Matt Bucknell offers 10+ years’ experience in federal and state health policy matters. Not only does he provide policy analysis and technical support for Medicaid financing engagements, he also specializes in evaluating/modeling provider assessments, performing budget neutrality calculations, and designing certified public expenditures and upper payment limit programs

Tom Traylor serves as Senior Strategic Advisor for Sellers Dorsey, having recently concluded his 20-year tenure as Vice President for Federal, State and Local Programs at Boston Medical Center (BMC). As Senior Strategic Advisor, Tom works with the firm to help hospitals and health plans across the country to further their missions to deliver quality care to vulnerable populations by leveraging the firm’s Medicaid financing and policy expertise.

John’s expertise is rooted in years of providing independent health policy and finance consulting services, including reimbursement and financing for hospitals and hospital associations. He is highly skilled in uninsured and safety-net policy and financial analysis/modeling, Medicaid reform strategies, certified public expenditure solutions, provider rate development, and supplemental payment programs within fee-for-services and Medicaid managed care.

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.

While employed with the actuarial division of the State of Michigan Medicaid Office, Brody helped design one of the largest fee-for-service UPLs in the country and later expanded the program to include the Michigan Medicaid managed care environment. Following these achievements, Brody worked for Michigan State University as lead project manager for the college’s Medicaid Access to Care Program.