Healthcare Strategy and Consulting
Navigate the complexities of healthcare while enhancing access, quality, and outcomes for underserved populations.
Strategic Solutions for Complex Healthcare Needs
At Sellers Dorsey, we tackle healthcare’s toughest challenges with deep expertise, data-driven insights, and bold, innovative strategies. Our 360-degree approach bridges care, policy, and business—delivering real-world solutions and lasting impact for clients and the communities they serve.
Explore Our Solutions
Policy Interpretation and Implementation Support
Our dedicated team of policy experts delivers timely insights and expert analysis to help clients navigate the nuances of state and federal healthcare policy. Whether it’s interpreting new Medicaid guidance or preparing for the impact of emerging legislation, we ensure your organization is informed, aligned, and ready to act.
We work with clients to proactively engage on emerging policies—shaping strategy, operations, and stakeholder relationships for optimal outcomes. From compliance to innovation, we turn policy complexity into opportunity.
Our team can help support:
- Policy review and impact analysis
- Policy strategy development
- Program evaluation
- Roadmap planning and implementation
- Stakeholder engagement
- Funding requirements and reimbursement innovation
- Regulatory monitoring and evaluation
- Workforce sustainability
Policy Strategy
We partner with clients to develop and execute effective political advocacy strategies that drive impact across the healthcare landscape, with a particular focus on Medicaid. Leveraging our deep policy expertise and decades of experience at both the state and federal levels, we help clients navigate the political process, engage stakeholders, and advance their priorities with clarity and confidence.
Our support includes:
- Policy analysis and strategic guidance
- Data collection, research, and issue briefs
- Communication and messaging strategy
- Coalition building and stakeholder engagement
- Policy monitoring and environmental scanning
- Impact assessment and strategy refinement
Program Design and Enhancement
We help clients design and enhance healthcare programs that improve access, strengthen outcomes, and meet the evolving needs of diverse populations. With deep expertise in Medicaid and broader health and human services systems, we implement innovative strategies, such as managed care design, benefit expansion, and quality improvement initiatives, to support more effective, sustainable programs that deliver real impact.
We assist clients with:
- Managed care enhancement
- Quality improvement
- Non-medical drivers of health
- School-based services
- Data sharing and technology
- Value-based care
- Telehealth
- Dual Special Needs Plans
Custom Analytic Solutions
Sellers Dorsey helps clients turn complex healthcare data into actionable insights that drive results. By combining deep expertise in program design, evaluation, and analytics with advanced visualization and technology, we empower organizations to uncover trends, identify priorities, and make confident, data-driven decisions.
Our approach brings clarity to your data, highlights what matters most, and supports strategies that improve performance, care delivery, and outcomes. From tailored measure development and statistical modeling to intuitive dashboards and reports, our solutions meet you where you are — integrating with your existing tools or fully managed for you — so your data tells a clear story and supports stronger outcomes.
Payer-Provider Relations
Effective collaboration between payers and providers is essential for delivering high-quality, cost-effective care. Sellers Dorsey specializes in strengthening payer-provider relationships to improve care coordination, streamline operations, and enhance financial performance.
Our team includes former Medicaid directors, health plan executives, and provider relations specialists with deep knowledge of payer-provider dynamics.
We assist clients with:
- Contract negotiation and alignment
- Network strategy and optimization
- Performance and quality improvement
- Dispute resolution and compliance
- Value-based care collaboration
Operational Performance and Compliance
Navigating the complexities of Medicaid, managed care, and health and human services programs requires a strategic approach to operational performance and compliance. We help clients stay ahead of policy and regulatory changes, prepare for audits, and improve overall program effectiveness.
Our expert team ensures compliance while driving performance improvements that enhance care quality and financial sustainability
We assist clients with:
- Readiness review
- Managed care oversight
- Audit preparation and remediation
- Regulatory reporting
- EQRO reporting and compliance
- Implementation support
- Accreditation
Stakeholder Management and Relationship Support
Successful healthcare and health and human services initiatives depend on meaningful stakeholder engagement. From patients and providers to policymakers and payers, every stakeholder brings critical insights that can shape a project’s success. We help clients build and sustain strong relationships across the healthcare landscape, ensuring alignment, trust, and collaboration at every stage.
Our services include:
- Stakeholder mapping and engagement strategy
- Facilitation and communication support
- Alignment of goals across diverse groups
- Ongoing relationship management
- Consensus-building and conflict resolution
Value-Based Care
Today’s healthcare and health and human services solutions require novel, evidence-based strategies that focus on quality and value rather than volume of services. Sellers Dorsey helps organizations build tailored, evidence-based approaches aligned with national and state priorities to succeed in value-based care.
Our team includes former Medicaid directors, health plan executives, and provider leaders who’ve been in your shoes. We use our hands-on experience to design and implement solutions that deliver patient-centered care, improve performance, and control costs.
We help clients successfully engage in value-based care arrangements by:
- Payment methodology development
- Readiness assessments
- Strategy design and implementation
- Quality measure selection and scoring
- Quality improvement frameworks
- Tech solution design for compliance and incentives
Project Management
At Sellers Dorsey, we know that effective project management is essential to delivering impactful healthcare solutions. From navigating complex regulations, to aligning diverse stakeholders, our experienced team provides tailored, end-to-end support to keep initiatives on track and driving results.
We bring strategic oversight and hands-on execution, working alongside clients to launch new programs, manage large-scale implementations, and ensure compliance with evolving state and federal requirements. With deep industry knowledge and real-world experience, we deliver structured, results-driven project management that makes a difference.
Our project management solutions include:
- Strategic planning
- Stakeholder coordination and engagement
- Workstream facilitation
- KPI development
- Change management
- Regulatory compliance and risk mitigation
- Timeline and budget oversight
- Data-driven performance monitoring and status updates
Quality Improvement
We support healthcare and health and human services organizations in driving measurable improvements in care through tailored, data-driven quality strategies. Our team—made up of seasoned policy, clinical, and operational experts—partners with clients to design and implement sustainable solutions that align with regulatory requirements and evolving care standards.
We work with Medicaid managed care organizations, providers, states, and other stakeholders to promote continuous improvement and better outcomes across the healthcare system.
Our quality improvement solutions include:
- Quality strategy development and implementation
- Performance metric alignment and tracking
- Regulatory compliance and reporting
- Data-driven performance improvement planning and support
- Provider and care coordination optimization
- Non-medical drivers of health integration
Growth and Business Development
At Sellers Dorsey, we help healthcare and health and human services organizations navigate the complexities of growth and expansion with strategic business development solutions.
We take a data-driven approach to business development, helping clients identify opportunities, mitigate risks, and position themselves for sustainable growth. Whether expanding into new markets, preparing competitive proposals, or strengthening partnerships, we deliver customized solutions to drive success.
We assist clients with:
- Industry analysis and market strategy
- Proposal development
- Service area and geographic expansion
- Oral presentation preparation
- Playbook design
- Readiness review
- Capture planning
- Relationship support
Managed Care Contracting and Strategy
Expectations for managed care organizations to demonstrate value have never been greater. Health plan partners are expected to implement innovative approaches, achieve program efficiencies, and improve overall healthcare outcomes.
We take a data-driven, results-oriented approach to managed care contracting, aligning contract terms with value-based care goals, provider engagement strategies, and regulatory requirements. Whether negotiating new agreements, optimizing existing contracts, or ensuring compliance with evolving policies, we deliver tailored solutions that drive success.
Our managed care contracting solutions include:
- Assessment of payer/provider operations
- Risk stratification
- Contract development and negotiation
- Value-based purchasing
- Regulatory compliance and risk mitigation
- Provider network strategy and optimization
- Performance monitoring and contract management
D-SNP & FIDE Strategy
Integrated Medicare–Medicaid solutions require disciplined execution across policy, operations, product, and clinical practice. For some organizations, these functions can be fragmented and compartmentalized. Sellers Dorsey helps organizations launch and optimize Dual Eligible Special Needs Plans (D-SNPs), including full integration through FIDE-SNP models, to improve outcomes and manage total cost of care.
Our team of former Medicare/Medicaid plan executives and state Medicaid directors brings hands-on experience building successful programs serving dual eligibles.
We support clients with:
State integration pathways, default enrollment, governance, and operating models
CMS SNP requirements, Model of Care development, state Medicaid addenda, encounter integrity, and audit preparedness
Health Risk Assessment / Individualized Care Plan workflows, interdisciplinary teams, transitions of care, and Long-term services and supports (LTSS) partnerships
Measure set selection, performance management, member experience, and continuous improvement playbooks
Insights, Innovation, and Real Results
Explore our thought leadership including blogs, case studies, reports, webinars, and more.
