• Alex Abbott
  • Susan Ackerman
  • Nomair Alam
  • Leesa Allen
  • Ashley Allison-Jones
  • Scott Allocco
  • Alexa Altman
  • Kyree Armstrong
  • Chris Bailey
  • Christina Bascomb
  • Andy Baskin
  • Jan Begert
  • Pamela Bentancor
  • John Benz
  • Ryan Bishop
  • Tanya Boone
  • Karen Brach
  • Pat Brady
  • Mindy Braithwaite
  • Wendy Braunstein
  • Sarah Brooks
  • Olivia Brown
  • Virginia Brown
  • Nancy Brucker
  • Matthew Bucknell
  • Jordan Bullock
  • Cherie Buser
  • Julie Cannariato
  • Mari Cantwell
  • Jimmy Carlin
  • Kevin Carvalho
  • Elisabeth Clauss
  • Stephen Coady
  • Mark Colantonio
  • Jana Covington
  • Pilarica Crocker
  • Jay Davenport
  • Brian Dees
  • Randie DeHerrera
  • Rachel Delavan
  • Ted DeNicola
  • Tyler DeRubio
  • Tim DeSario
  • Jose Diaz
  • Rosalinda DiTommaso
  • Donna Dorris
  • Brian J. Dorsey
  • Alexia Duany
  • Jennifer Duffy
  • Leslie Duran
  • Ogechukwu Erechukwu
  • Janice Fagen
  • Rebekah Falk
  • Danielle Farnan
  • Tressa Feher
  • Rachel Feldman
  • Paul Frank
  • Lauren Fujioka
  • Josh Gall
  • Colleen Gallagher
  • Heather Kennedy Gessler
  • Patrick Gillies
  • Matthew Golden
  • Anusha Gopalan
  • Darin Gordon
  • Fran Grabowski
  • Jason Green
  • Kathy Grogan
  • Meagan Guidry
  • Sierra Hamilton
  • Jeff Harris
  • Leah Hartlander
  • Jimmy Hatcher
  • Jill Hayden
  • Michael Heifetz
  • Lyndsey Helmstetter
  • Matthew Hertzog
  • Matt Hicks
  • Michael Ippolito
  • Jason Ivey
  • Sofia Javed
  • Gary Jessee
  • Alexandra Kanemaru
  • Nina Kavarthapu
  • Amaan Khan
  • Tiffany Ko
  • Nancy Kohler
  • Deborah Kozick
  • Christopher Labonte
  • Elaine B. Lamarre
  • Mason B. Lane, Esq.
  • Tasha Laney
  • Michael Larmond
  • Stella Lee
  • Kevin Levine
  • Vas Litkewycz
  • Felicia Lockhart
  • John Louiselle
  • Michael Luckovich
  • Sharen Ludher
  • Marisa Luera
  • Cassandra Ly
  • Matthew Ly
  • Joe Madsen
  • Debbie Malar
  • Lesley-Anne Manuh
  • Matthew Maughan
  • John McCarthy
  • Brian McGuckin
  • Cathleen McNelis
  • Jessica Mead
  • Kerstin Meeks
  • Allison Montano
  • Amanda Mozes
  • Megan Mueller
  • Janel Myers
  • Seun Onafowora
  • Matt Onstott
  • Mario Ortiz
  • Anita Ouedraogo
  • Clayton Palmer
  • Anthony Parenti
  • Jatin Patel
  • Dana Petrillo-Schippers
  • Sarah Rabot
  • Matt Ralls
  • Scott Reasonover
  • Jack Rech
  • Karla Richardson
  • Cathia Riley
  • Gabe Roberts
  • Tamarra Robinson
  • Edwin Roby
  • Justin Rodriguez
  • Kurt Runco
  • Riyaz Sachak
  • Luis Salcedo
  • Rossana Sandoe
  • Carla Scarpone
  • John Seaver
  • Martin D. Sellers
  • Nancy Smith-Leslie
  • Mark Smith
  • Ann Spishock
  • Dave Spishock
  • Justin St. Andre
  • Bradford Stansbury
  • Emily Sternberg
  • Lydia Storey
  • Jennifer Stratton
  • Brianna Stronk
  • Jen Swails
  • Brenda Theroff
  • Regine Tilghman
  • Jeremy Tipton
  • Tom Traylor
  • Tara Turse
  • David Ulsh
  • Michelle Welby
  • Billy Werner
  • Zach Williams
  • Tessa Wimmer
  • Lauren Wolf
  • Meredith Wurden
  • Mia Young
Medicaid and Public Agencies

State Medicaid programs are working with their federal partners at CMS to innovate at the forefront of payment and delivery of health care. Equipped with decades of state Medicaid leadership experience, we stand ready to partner with Medicaid directors and staff to improve health outcomes, create efficiency, and build sustainable health care programs.

Challenges

State Medicaid program leaders must address numerous priorities at once:

  • Find funding to maintain Medicaid programs and achieve state policy goals
  • Increase the degree to which payments are tied to quality and outcomes.
  • Find sustainable ways to manage the administrative load that accompanies the work of being a changemaker.
  • Evolve population health strategies aimed at urgent needs while staying in budgetary boundaries.
  • Manage the implementation of Medicaid managed care to populations traditionally served in fee-for service.
  • Keep lines of communication open with numerous stakeholders while pursuing innovations.
  • Manage the pace of activity at the office (or the home office) to avoid burnout among critical staff and department leaders.
How we help

Sellers Dorsey experts have experience as successful state Medicaid leaders, so we can help states implement proven concepts and develop effective new approaches through these and other services:

our services
  • Medicaid supplemental financing initiatives
  • Value-based care strategy development and health system transformation
  • Developing and negotiating 1115 Medicaid waivers
  • Facilitating commissions, committees, and task forces to drive stakeholder feedback and support for Medicaid reform initiatives
  • Managed care program planning and procurement
Results

Sellers Dorsey has worked with policy makers to develop, negotiate, and implement state Medicaid and reform initiatives such as waivers, expansion of managed care to new populations, and development of value-based purchasing and other alternative payment models. With our help, states have achieved these and other results:

  • Expanded Medicaid coverage to a wider adult population under the Affordable Care Act by developing a Section 1115 waiver to provide a full benefit package
  • Optimizing a waiver solution to subsidize private insurance for adults over a key income threshold
  • Significant increases in federal funding while achieving budget neutrality and achieving Medicaid program objectives
  • Innovating a funding methodology and overhauling an 1115 waiver to obtain CMS approval for achieving universal healthcare coverage
  • Provide incentives to hospitals for quality-based delivery system reforms
  • Establish and preserve supplemental payments to hospitals and physicians
Case Studies
» See more examples of success that our clients have realized by working with us.
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    Sellers Dorsey is tracking and assessing the large volume of information coming from the Biden Administration, Congress, CMS, and state governments regarding Medicaid. Sellers Dorsey publishes these updates in a weekly newsletter called the Sellers Dorsey Digest.