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| Services of the Health Results Group As experts on Medicare, Medicaid, and health reform, we offer strategic and tactical counsel, policy analysis, actionable research, problem resolution, and thought leadership. Our consulting services for industry and government include: | Health Research and Analysis: - In-depth analysis of policy, market, and economic issues in Medicare, Medicaid, and CHIP.
- Analysis of federal and state legislation, regulations, and budgets.
- Identification of policy and business risks and opportunities.
- Research on health financing and economic issues.
- Forecasting, scenario modeling, and analytical support.
- White papers, issue briefs, business cases, case studies, journal articles, and literature reviews.
| Business Strategy and Tactics: - Constructing new business strategies to spark profitable growth.
- Design of innovative services for Medicaid or Medicare.
- Strategic analysis, including environmental scans, competitive analysis, SWOT analysis, and critical success factors.
- New and emerging market opportunities from federal and state health reforms.
- Proposal critiques.
- Due diligence analysis.
- Turnaround advisory services.
| Reimbursement Strategy: - Coverage and reimbursement strategy for:
- Medicare Part B.
- Medicare Part D.
- State Medicaid and CHIP programs.
- Strategic counsel, technical advice, and problem resolution.
- Assessment of new or proposed changes in coverage policies, pricing, and payment methodologies.
- Pre-approval positioning for new products and services in Medicare or Medicaid.
| Policy Communication: - Policy strategy and formulation.
- Innovative, politically savvy arguments based on sound thinking and strong facts.
- Clear, compelling positions that resonate with federal and state policymakers.
- Research to support policy positions and business objectives.
- Issues management, advocacy support, and coalition building.
- Crisis management.
- Coordination with public relations and government relations specialists.
- Talking points, fact sheets, issue briefs, reports, and articles.
| Health Care Innovation: - Advanced advisory services on national and state-level health reform issues, including financing, coverage, payment, and market regulation.
- State health reform strategies, including coverage expansion, cost containment, delivery system reform, payment reform, quality improvement, and program integrity.
- Design of innovative, value-based solutions to reduce costs, improve quality, and modernize care delivery.
- Technical assistance in design and execution of successful health reforms.
- Development of legislative proposals, Medicaid waivers, and Medicaid state plan amendments
| Policy and Market Intelligence: - Tracking of policy issues, including legislation, rules, and budgets at federal and state levels.
- Monitoring of marketplace and competitor activity.
- Early warning of emerging risks.
- Rapid identification of new business opportunities.
Training and Education: - Briefings for executives and policymakers.
- Training seminars on specific issues, including new Medicare or Medicaid policies.
- Podcasts, videos, and webinars.
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