Operations Management for Public Sector Organizations

PHPG consultants can provide technical assistance and expertise in the following areas:

Claims and Encounter Analysis

Development, implementation and ongoing administration of all types of Medicaid/SCHIP managed care programs

Analysis of legislative and policy issues

Litigation support services

Development of Section 1115 Demonstration Waiver proposals, negotiation of Terms and Conditions, and preparation of the Operational Protocol

Development of HIFA Waivers and 1915(b) and (c) waiver applications

Title XIX claiming systems for school-based services

Design of reimbursement methodologies for managed care, including performance-based systems