State Payer Services
Navigant’s experienced consultants guide states through major changes in their healthcare and human services programs. Using our hands-on experience and practical know-how, we help with fiscal crises; reorganization of healthcare and human services programs; and changing demographics and shifts in federal policy. We also help states develop, assess and select strategic options that address complex and competing resource needs.
Services
States request the assistance of Navigant Consulting for our diverse skills: our experience in all areas of healthcare and human services programs; and our hard-earned reputation for integrity. We have extensive experience assisting state agencies, provider associations, not-for-profit and for-profit healthcare companies. We lead the field in assisting government agencies with state healthcare coverage expansion initiatives, Medicaid reform, payment system design, waiver program design and evaluation, managed care implementation, and operation and the development and financing of consumer-driven services. Our core competencies include:
Strategy
Environmental assessments and strategies for program reform
Analysis
Feasibility, actuarial and policy analyses, survey and focused studies of access, quality and healthcare costs
-
State and Federal Healthcare Program Services
Consulting Services for State and Federal Healthcare Programs
-
Program Design and Development
Program options, program development, draft regulations, waiver and grant applications, State Plan Amendments, and Requests for Proposals
Operations
Operational improvement, health plan and contractor monitoring, personnel training, performance audits, and contract compliance reviews
Program Evaluation
Waiver program evaluation and certification of cost savings
Cost Analysis, Rate Analysis and Development
Cost report development, analysis of cost information, development of actuarially sound rates, and payment approach design
Pay-for-Performance
Program development, financial payment modeling, and payment calculation
Healthcare Reform
Access improvement, coverage and costs impacts, uninsured coverage options, benefit models, and financing alternatives
Consumerism
Design and evaluation of payment methodologies, programmatic, administrative, fiscal policy and strategic development, program development, implementation and evaluation
Quality
Evaluation and design of quality management, performance-based incentive programs, benchmarking, stakeholder negotiations, and policy evaluation
Litigation
Analytical support, expert testimony, and compliance
