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Health

Thought Leadership  

Leveraging more than 30 years of experience working across the public sector, our colleagues and subject matter experts often share insights, guidance, and best practices through a variety of channels—case studies, presentations, white papers, thought leadership pieces, and more.

Here is a collection of those materials, including information on our featured subject matter experts.

 

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Case Studies

Health Care Reform

Arkansas Health Insurance Marketplace Board

Analysis of the state’s opportunities under the Affordable Care Act (ACA) Section 1332 State Innovation Waivers, including those relative to the state’s Health Care Independence Program (HCIP)

New Hampshire Insurance Department (NHID)

Consultation services related to the development, negotiation and implementation of a Marketplace premium assistance program via 1115 waiver for coverage of the Medicaid expansion population

Long Term Care

Alaska Department of Health and Social Services

Comprehensive review and evaluation of Alaska’s long-term care system.

Medicaid Provider Screening, Enrollment and Oversight

Ohio Department of Medicaid

Home and Community Based Services Provider Oversight and Investigations

Program Integrity Audit

North Carolina Division of Medical Assistance (NC DMA), Program Integrity Office

Post-payment Medicaid claims review, February 2010 – present

Health Policy and Regulatory Support Services

Federal Partnerships Health Insurance Marketplace: State of New Hampshire, Insurance Department

Consulting for federal partnership health insurance marketplace

Health Insurance Marketplace Plan Management: Arkansas Insurance Department (AID)

Development of guidelines and requirements for Qualified Health Plan (QHP) certification; QHP strategy and operational support; health insurance rate review

Federal Partnerships Health Insurance Marketplace: State of Delaware, Department of Health and Social Services (DHSS)

Consulting for federal partnership health insurance marketplace support; health insurance rate review

Subject Matter Experts

Health

Rich Albertoni

Expertise: Health Insurance Exchange and Medicaid Policy and Program Management

Sam Fish

Expertise: Health & Human Services Law

Lisa Kaplan Howe

Expertise: Health Insurance Marketplaces, Medicare, Medicaid

Tim Nowak

Expertise: EMS-specific and combination fire/EMS projects related to feasibility studies, operational analysis, combined services reviews, and program evaluations

Ken Riddle

Expertise: Fire & EMS operations, planning, and training, Proposal guidance, Creating & implementing new strategic programs, Data-driven consulting, Business leadership

Margot Thistle

Expertise; Health Insurance Marketplaces, Medicare, Medicaid

Jim Waldinger

Expertise: Health Care Reform, Medicare, Medicaid

White Papers

COVID-19 Health Services

Strategically Addressing States’ Contact Tracing and Workforce Needs During the COVID-19 Pandemic

Rawson Pino, Margot Thistle, Esq.

Health Care Reform

Health Insurance Exchanges: Key Issues for State Implementation

Prepared for State Coverage Initiatives by Public Consulting Group