Medicaid Managed Care

Market Visibility Strategy for Provider-Sponsored Health Plan

Background Our client, a provider-sponsored health plan, had limited rapport with state Medicaid Agency leaders. Because of this, the client had a loss of Medicaid market share in previous state procurements and had a limited focus on the Medicaid line of business. The Collaboration Our team assisted the client with strengthening its relationship with state

Stakeholder Strategy for New Dental Plan

Background A new dental plan entered an established state Medicaid and CHIP market and wanted assistance with building and maintaining positive relationships with key stakeholders. The Collaboration Sellers Dorsey assisted the client with identifying key stakeholders and facilitating stakeholder “listening sessions.” Our team highlighted best practices and potential pain points and provided strategic guidance on

Optimizing Strategy for National Health Plan

Background A new national health plan in a state Medicaid market wanted assistance on achieving multiple operational and technical goals. The Collaboration Sellers Dorsey worked with the health plan to define its main goals including: Strengthening the health plan’s relationship with state Medicaid leadership Advancing value-based purchasing arrangements with providers through technical assistance Developing communication

Stakeholder Engagement Strategy for a National Health Plan

Background A large national health plan wanted to improve its relationships with acute and long-term services and supports providers in their network, statewide provider trade associations, and member advocacy groups. The Collaboration Working with its client, Sellers Dorsey created an opportunity for stakeholders to provide candid feedback to the health plan on any challenges they

Business Development Advice for Home and Community-Based Services Provider

Background A home and community-based services provider sought business development advice to grow their business strategically in the Medicaid marketplace. The Collaboration Sellers Dorsey educated the client on the home and community-based services waiver environment in states in which they want to expand their business, including information about specific services and populations covered under the

Guidance to Managed Care Entity through a State Medicaid Integrated MCO Procurement

Background Answering a state’s Medicaid managed care procurement, a managed care entity enlisted Sellers Dorsey to assist with its response. With the firm’s managed care expertise on hand, this entity aimed to deliver a response that met the RFP’s requirements and showcased its experience with long-term services and supports (LTSS). The Collaboration Providing strategic advice and technical

Readiness Review for a Community-Based Managed Care Plan

Background Following a successful procurement, a community-based managed care plan wanted to ensure they could successfully complete a state’s rigorous readiness review process. The Collaboration Working with our client, Sellers Dorsey helped prepare the plan for state readiness reviews. These preparations included mock onsite reviews and systems testing. The Results The managed care organization was