Solutions and Thought LeadershipThe Health Results Group and our partners offer creative, innovative solutions to challenging policy and business issues in Medicare, Medicaid, and health reform. We are thought leaders on value-based, market-driven solutions to improve the U.S. health care system. |
Medicare Solutions:As seasoned advisors on complex Medicare issues, we are frequently called upon to solve sensitive, intractable problems. We help a diverse range of organizations navigate the $480 billion Medicare program. Solutions include strategic counsel and technical assistance on Medicare reimbursement, regulatory issues, market tactics, and reform.
Medicaid Solutions:For state Medicaid agencies, we provide in-depth technical assistance to resolve challenging finance and policy issues. For the $380 billion Medicaid program, our solutions focus on cost containment, delivery systems reform, coverage expansion, dual eligible issues, value-based purchasing, and program integrity.
For health care organizations, we provide Medicaid savvy, state friendly solutions to achieve business objectives. Our Medicaid business solutions focus on market strategy, reimbursement, state relations, business development, and crisis management.
Health Reform Solutions:Federal and state health reforms offer an unprecedented array of risks and opportunities. We help clients foresee, understand, and adapt to new and emerging policies.
Our health reform solutions take advantage of our extensive experience with the intricacies of federal and state legislation, regulations, budgets, and waivers. | Recent Client Projects:Our recent consulting engagements help demonstrate the breadth and depth of our expertise: - Advised major health plan on market opportunities and challenges in Medicare and Medicaid.
- Review of competing positions on comparative effectiveness research.
- Strategic counsel for medical device company on Medicaid market strategy and opportunities.
- Advised state on design of s. 1115 federal waiver for health coverage expansion.
- Strategic counsel for medical diagnostics firm on Medicare coverage and reimbursement.
- Review of latest financing and provider payment reforms by large employers, health plans, and public programs.
- Scan and assessment of latest efforts to develop patient-centered care.
- Technical advice on design of comprehensive long-term care reforms.
- Study on State Medicaid long-term care savings from improved medication compliance by frail seniors.
- Drafted proposed federal health legislation.
| Recent Speaking Topics:Our speaking engagements include major industry conferences and private briefings for senior executives. Recent topics include: - Impact of Obama Administration and new Congress on pharmaceutical and biotechnology industries.
- Comparative Effectiveness Research: Implication for the Pharmaceutical, Biotechnology, and Medical Device Industries.
- New Risk Adverse World of Regulation and Reimbursement for Pharma and Biotech.
- Workshop on Drug Pricing and Reimbursement in the Changing Marketplace.
- Future Medicare Compliance Risks.
- Medicare Advantage Special Needs Plans: Partnering with States in Dual Eligible Market.
- Case for Medication Compliance.
- Long-Term Care Reform in Medicaid.
- Medicare and Medicaid Demonstration Waivers.
- Delivery System Reforms for Dual Eligibles.
- Health Information Technology.
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