Managed Care Monitoring and Oversight

Enhancing Healthcare Access and Quality Through Managed Care Monitoring and Oversight
The Centers for Medicare and Medicaid Services (CMS) remain committed to advancing quality and access for Medicaid beneficiaries. The new provisions of CMS’ Medicaid Managed Care Final Rule and Ensuring Access to Medicaid Services Final Rule expand states’ data collection, analysis, and reporting obligations.

These expanded reporting requirements require a robust data infrastructure to enable accurate, timely, and transparent reporting, and Sellers Dorsey is ready to implement those solutions.

Ensuring Full Compliance, Advancing Access, and Improving Care Delivery
By leveraging our expertise in Medicaid, LTSS, and data analytics, our Managed Care Monitoring and Oversight solutions help clients to effectively observe and evaluate managed care programs to advance quality of care and outcomes while attaining compliance with complex federal reporting requirements. Sellers Dorsey does more than just collect data, we help our clients understand their data and build frameworks to guide program design, development, and implementation.

We utilize a hands-on approach, innovative operational solutions, and dynamic data collection tools to help states improve patient outcomes and reduce the costs of care.

Making a Positive Impact on Healthcare Quality and Access
Our consultants and subject matter experts bring together decades of experience in healthcare policy, public health, Medicaid managed care, and data visualization to help our clients:

Develop and implement monitoring and oversight tools.

Determine care delivery gaps and identify key opportunities for enhanced performance and improvement.

Comply with regulations and policy changes, such as network adequacy requirements.

Complete federal reports by compiling data and developing the narrative for MCPAR and other reports.

Produce public reporting transparency.

Are you interested in what Sellers Dorsey can do for you? Contact us below.