How we help: State, Local and Federal Government Clients
Deep public sector expertise combined with a passion for innovation
Develop Policy
Support Areas
- Policy development (multiple)
- Policy evaluation (silo assessment)
- Best practices research
Typical Projects
SPA and 1115 waiver development- Public comment process assistance (including town hall design)
- State to state knowledge sharing sessions
Typical Key Objectives
- Draft SPA for HHS executive legal review based on similar plan changes in other states
- Develop 1115 waiver application language to be used program design submitted to CMS
Maintain Accountability
Support Areas
- Program reviews
- Agency annual reports
- Vendor evaluations
Typical Projects
- New program 6 month and Year 1 review
- Annual report creation (turnkey and gap assistance, including data analysis)
- Health system and community providers program reviews
Typical Key Objectives
- Design health home pilot performance metrics
- Conduct business unit focus group sessions to collect accomplishments in previous FY
- Assess year-over-year performance of community behavioral health providers on key measures
Foster Innovation
Support Areas
- Grant program planning
- MITA/Modularity advisory services
- Organizational transformation design and execution support
Typical Projects
- 30-day grant program design (agile sprint)
- MITA self-assessment
- Agency team visioneering (To Be/Ideal)
Typical Key Objectives
- Design initial baseline metrics for new grantees
- Complete readiness reviews for new program launch partners
- Create training materials for process transformation kickoff by department
Meet Our Team Supporting Government Clients
What do our clients say about us?
Here is some recent feedback from our clients:
“The Mostly Medicaid team helps us to identify innovations and market changes in a timely manner, allowing us to “course correct” as needed.” –Jeff, CEO of a Medicaid Managed Care plan
“Mostly Medicaid’s research and analysis greatly improved our depth and range in understanding the markets, specific opportunities within the markets we are pursuing, then translating the intelligence to effectively fine tune capture strategies and increase our success.” — Alex- CIO and Founder of a case management solution firm
The Mostly Medicaid team has spent years developing and analyzing various players in the industry and their comparisons, opinions and insights haven’t gone unnoticed and are well executed.” — Amanda, CEO large provider network management firm
What are some recent project examples?
User Persona Development for a State Website Redesign Project
Scenario
State client needed to transform public-facing website in a way that helped members and providers conduct more self-service functions. Project was near failure and unable to move forward due to inability to prioritize content and functions for go-live
Solution Design
Best practice review for recent user-driven redesign effort for key states, Developed user personas for top 3 citizen profiles and tested with focus groups, and developed key technical specifications for client team to leverage in build efforts
Results
Client was able to turnaround strained project using our use case model. State internal stakeholder engagement increased with our project management focus on gathering business requirements from multiple state business units.
Create annual report for an HHS agency
Scenario
Medicaid agency had not updated official public-facing annual report for several years
Solution Design
Internal stakeholder sessions to collect successes, simplification of report format to highlight policy goals and program design, data analysis for key charts, graphic design updates
Results
Redesigned annual report released in record time, with new capability within the agency to resume consistent release
Compare provider reimbursement models to other states
Scenario
Medicaid agency concerned that reimbursement methodologies used for non-institutional providers out of sync with similar states
Solution Design
Comprehensive review of Part 2 provider manuals and related State Medicaid plan sections for 13 categories of service, rate analysis and adjustment for regional factors
Results
Evidence based revisions to multiple provider rate processes were made in conjunction with Governor’s Budget Office
Transform agency contracting process
Scenario
$10B+ agency had become unable to manage contracting volume with vendors and sister agency
Solution Design
Inventory of all contracts and amendments, classification by stage and scope type, evaluation for contracting best practices, design for contracts management system and training moving forward
Results
Multiple vendor management processes improved and streamlined; time to execute contracts and amendments reduced; contracting risk reduced by implementing best-practices in government contracting
What Makes Our Approach Unique?
Our unique advisory model
- Focus on Key Objectives and Impact Statements ensures focus and results
- Right amount of right brain avoids “FTE deadweight” and optimizes expertise fit
- Project management discipline delivers results on time and on-budget AND gives client line of sight into progress
A Focus on Key Objectives
- The so-what: We stay laser focused on your results
Example key objectives from a recent client project
How it all fits together
The Right Amount of the Right Brain
The So-What: You get optimized expertise and no FTE deadweight
How: our precise needs discovery model and Key Objectives focus allows for very precise expertise planning
Project Management Discipline
The So What
- Objectives Are Met
- There Are No Surprises
- The Work is On Time
Recent Business Insights for Government Staff
We provide valuable business insights based on our experience helping clients solve problems.
MostlyMedicaid: We can help.
We’d love to help you achieve your business objectives in the HHS space. Reach out using this form.