Expertise

Medicaid, Health and Human Services

Transform Your Medicaid Programs

Alvarez & Marsal (A&M) helps Medicaid and related state agencies assess, stabilize and transform programs that provide physical health, behavioral health, health related social needs, pharmacy benefits and long-term services and supports with tailored, results-driven solutions. 

With over 20 years of experience partnering with 32 states, we specialize in improving outcomes, reducing costs and ensuring compliance with federal regulations. From value-based payment models to managed care quality improvement, our experts provide the leadership and support needed to drive sustainable healthcare transformation.
 

The A&M Approach

Our experts bring together deep subject matter knowledge and operational insight. We collaborate closely with Medicaid Directors, Provider CEOs, Health System leaders and other stakeholders to ensure success across the full spectrum of Medicaid operations.

 


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Related Insights

Navigating Work Requirements with AI-Driven Eligibility and Enrollment Solutions Under H.R. 1

The implementation of these rules presents significant challenges for states, particularly in balancing compliance with limited resources. A&M experts discuss how effective execution will require streamlined collaboration across teams and functions, leveraging efficiencies to ensure sustainable progress.

Medicaid Work Requirements – Update

Momentum builds in Congress for Medicaid work requirements, with states preparing to balance workforce engagement and essential health coverage for able-bodied adults. A&M’s team of Medicaid experts can provide critical support to states as they work to integrate work requirements successfully into their existing Medicaid programs.

Transforming Medicaid Through CMS Final Rule Implementation

The implementation of these rules presents significant challenges for states, particularly in balancing compliance with limited resources. A&M experts discuss how effective execution will require streamlined collaboration across teams and functions, leveraging efficiencies to ensure sustainable progress.

Federal Budget Reconciliation Bill Proposals and Medicaid Provider Taxes

Proposed federal changes to Medicaid provider taxes could have major implications for providers, managed care organizations and the patients they serve. A&M Public Sector Services experts outline what's at stake and how states can proactively assess risks, identify new funding sources and maintain Medicaid program sustainability.

Getting Medicaid Work Requirements Right

Policy and financial changes to existing state Medicaid programs can be disruptive for Medicaid members and state staff and processes. In this article, Caitlin Thomas-Henkel and Heather Huff discuss how A&M can help HHS agencies execute critical initiatives to improve outcomes, manage costs and enhance functional efficiency in challenging environments.

Fortifying Family First: Effectively Balancing Congregate Care in the Child Welfare Continuum

Congregate care is an umbrella term for a variety of out-of-home group residential settings. A&M can work with states to assess barriers to prioritizing family-based placement and promote the effective used of congregate care stays.

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