Managed Care

Harmonizing Operations and Policy in Managed Care Service Delivery Systems

Aligning Priorities in Medicaid Managed Care

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) 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.

Helping Diverse Clients Work toward Shared Goals

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.

Bringing You True Leaders in Policy, Government, Business, and Industry

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:

• Former Medicaid directors who established and operated Medicaid managed care programs in their own states, both red and blue.
• Medicaid managed care plan leaders with firsthand accountability to Medicaid directors and providers alike.
• Experienced executives from large providers and provider-based plans who are thought leaders in value-based care and at-risk payments.