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The Pacific Health Policy Group is a national consulting firm specializing in the design and implementation of innovative health care initiatives for government-sponsored/funded programs, including Medicaid, Medicare, TRICARE, and correctional health care systems. We have offices in Laguna Beach, California; Highland Park, Illinois and Waterbury, Vermont.

Since the firm's creation in 1994, we have assisted state and county government clients across the country to evaluate their existing programs and undertake reforms to:

  • Expand access to health coverage for low-income workers and their families

  • Develop managed systems of care for Medicaid and S-CHIP beneficiaries, including long-term care recipients

  • Design specialized programs for behavioral health care and school-based services

  • Increase federal financial participation, through innovative waiver programs and reimbursement system

  • Contain costs, while preserving essential services, through restructuring of provider payment rates

  • Streamline operations to better serve covered populations

We also provide assistance to private sector organizations, including health insurers, hospitals and medical group practices in the following areas:

  • Evaluate new business and market opportunities

  • Develop proposals to serve Medicaid and other publicly-financed populations in response to government Request for Proposals

  • Performance monitoring and program readiness activities

  • Litigation support

Please take this opportunity to review the type of consulting assistance we can provide for your organization as well as our experience in serving our many public and private clients.

 

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