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:

Political Advocacy 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:

Risk Strategy

In today’s evolving healthcare landscape, managing financial and operational risks is critical for long-term success. Sellers Dorsey specializes in risk strategy, helping healthcare organizations diversify revenue stream options through risk assumption and containment to mitigate financial exposure while ensuring high-quality care delivery.

With Sellers Dorsey by your side, we’ll help you take on risk and identify revenue with confidence through strategy, precision, and purpose.

Our services include:

Risk-bearing entity support

Navigate risk-based payment models, ensuring financial sustainability and regulatory compliance.

Strategic risk alignment

We assess your readiness and help define a risk model aligned with your financial, clinical, and community goals.

Value-based payment strategies

We design and optimize risk-sharing agreements to align incentives, improve patient outcomes, and reduce unnecessary expenditures.

Operational infrastructure design

From data systems to care management, we help you build what’s needed to manage risk confidently and compliantly.

Collaborative innovation

We connect you with stakeholders and solutions that accelerate progress across populations and markets.

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:

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:

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:

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:

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:

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.