Payers

Medicaid Consulting Services

Through our expertise, analytical tools, and pricing models, we help health plans, providers, and other public and private groups design and execute innovative, risk-managed strategies for improving access, quality and cost effectiveness in the state-run Medicaid programs.

Make the most of your Medicaid relationships

Because of the inherent risks and special needs associated with the Medicaid population, it can be a challenge to improve access, quality, and cost effectiveness while striving to achieve your organization’s clinical and financial goals.

Our services for Medicaid include:

  • Filings for Medicaid bids
  • Program/provider feasibility analyses
    • Assessment of government payment rates/systems
    • IBNR studies
    • Trend analysis
    • Management reporting
    • Provider contracting support

Get a clear understanding of Medicaid intricacies

Complex Medicaid requirements and regulations vary by state. We offer a comprehensive line of consulting services, actuarial tools, forecasting and pricing models, and databases. These services can help you make more-informed decisions, streamline required filings, understand and achieve state-by-state compliance, and financially assess proposals and contracts.

Individualized service matched to your statutory requirements

With offices and staff members across the country, we can easily access resources familiar with your state’s laws and procedures.