With proper design and oversight, the managed care delivery model allows state Medicaid programs to improve access to care, reduce unnecessary utilization, improve quality of care, and address social determinants of health (SDOH) and health equity for Medicaid enrollees. Reaching the full potential of Medicaid managed care requires that agencies, managed care plans, providers, and solution partners march in the same direction. Sellers Dorsey can help you map your route and stay on track.
Sellers Dorsey provides managed care expertise through strategic advice, technical assistance, and relationship management to state Medicaid programs, Medicaid acute care and long-term services and supports providers, vendors, and national and community-affiliated Medicaid managed care plans. We assist clients with all aspects of managed care, including program design, managed care organization procurement, implementation, value-based care, and contracting, including contract oversight, contract compliance, and audit support.
Our team includes former state Medicaid Directors and senior-level policy advisors, health plan executives and operations experts, clinicians, and state and federal budget and legislative staff. These individuals have firsthand experience in the development, financing, administration, and operation of Medicaid managed care programs, including managed long-term services and supports programs, for states, health plans, and providers.
Our team’s diverse managed care background and expertise allows us to provide our clients with perspective on all facets of the Medicaid managed care service delivery system. Our experts include: