Providers

Working at the intersection of industry and government, we help hospitals, physicians, ambulance, and other providers increase access, quality, and reimbursement for Medicaid services.

Challenges
  • State budgets create pressure on Medicaid program spending, and vice versa.
  • Movement to value-based care is increasing in pace and complexity.
  • Access to supplemental funding requires technical, policy, and political abilities providers do not have in house.
  • Medicaid managed care requires navigating evolving complexities and requirements.
How we help

With expertise in Medicaid financing, value-based care, and Medicaid managed care, Sellers Dorsey helps providers to fund and strengthen their Medicaid services according to their unique needs and the policy objectives of states and CMS. We offer providers these and other services:

our services
  • Medicaid revenue opportunity evaluations
  • Revenue enhancement via programs in fee-for-service and managed care
  • Other programs such as DSH, value-based and alternative payment models, GME, DSRIP, and provider assessment initiatives
  • Value-based payment strategy development, quality measurements, and compliance, as well as financial data analysis modeling
  • Provider strategic planning for Medicaid and managed care
Results

Our reputation in this field is one of innovation and accomplishment. Working with Sellers Dorsey, our provider clients have benefited from:

  • The first physician UPL program, the first local hospital assessment program, and the first non-healthcare related provider assessment
  • Well over $19 billion in new federal funding to date
  • Successful implementations of value-based payment models
  • Strategic planning for Medicaid and managed care
  • Medicaid supplemental payment programs for ambulance providers
  • Nursing home UPL programs
Case Studies
» See more examples of success that our clients have realized by working with us.
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