Expertise of Health Results Group

As specialists in Medicare and Medicaid, our expertise crosses the spectrums of policy, finance, reform, reimbursement, market strategy, and business development.

Medicare Expertise:

  • Coverage and reimbursement
  • Medicare legislation
  • CMS rules and policy
  • Finance and budget issues
  • Part D drug benefit
  • Medicare Advantage
  • Special Needs Plans
  • Medicare demonstrations
  • Market strategy and business development

Medicaid Expertise:

  • Coverage and reimbursement
  • Federal legislation and rules
  • Finance and budget issues
  • Cost containment
  • Value-based purchasing
  • Medicaid managed care
  • Dual eligibles
  • Waivers
  • Market strategy and business development

Pharma & Biotech:

  • Medicare Part B coverage and reimbursement
  • Medicare Part D coverage and reimbursement
  • Medicaid coverage policies
  • Federal regulatory issues
  • State legislation and regulation
  • Benefit design innovations
  • Managed market strategy

Health Policy & Finance:

  • Market analysis and opportunity identification
  • Legislative analysis
  • Regulatory analysis
  • Budget and fiscal analysis
  • Policy design and development
  • Health policy research

Health Care Reform:

  • Federal health reform
  • State health reform and waivers
  • Coverage expansion
  • Cost containment
  • Payment reforms
  • Pay for performance (P4P)
  • Value-based purchasing
  • Market-based solutions

Medical Technology:

  • Medicare coverage and reimbursement of medical devices, diagnostics, and imaging
  • Medicaid coverage and payment policy
  • Federal regulatory issues
  • Market and policy strategy