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
Managed Care Expertise Tailored for Clients
Sellers Dorsey offers managed care expertise to state Medicaid programs, Medicaid providers, Medicaid support vendors, and national and community-affiliated managed care plans in Medicaid and Medicare. 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
- Provide advice on Part C and D Medicare operations and compliance
- Training or interim staffing to fill gaps in case processing, subject matter expertise, and management
- Prepare Medicare plans for CMS Program Audits by conducting mock audits using CMS protocols and coaching staff for desktop reviews and interviews
- Build monitoring and auditing programs to ensure their operations are compliant with CMS requirements
- Provide program management for Medicare bid process, readiness audits, data validation audit submissions, and timeliness monitoring projects
OUR TEAM
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, 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.
CLIENT STORIES
Client Success in Managed Care
Sellers Dorsey has a strong track record of helping clients succeed in managed care. Our staff have experience both as former state officials and as consultants serving various clients with diverse goals.
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 info@sellersdorsey.com.
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.