Healthcare Providers

Healthcare Reform

The Affordable Care Act (ACA) creates new opportunities for payers and providers to work in partnership to create innovative approaches to healthcare reform and delivery system change.  It provides funding opportunities for payers and providers to develop demonstrations, for example, to prevent chronic diseases and test new service delivery models.  Additionally, the ACA has major impacts for Medicaid and CHIP in areas such as payment reform; service delivery; streamlined eligibility and enrollment processes; increased transparency and program integrity – to name a few.  States must implement changes in short timeframes, during a time of budget constraints and following guidance that is not often black and white.  Necessary information systems changes create competing priorities with other time-sensitive changes, such as ICD-10 implementation.  Also, enhanced federal assistance is time-limited, and states must plan long-term funding strategies.

Navigant is well-positioned to help states, plans and providers during these drastically changing times.  Our professionals have extensive experience assisting clients to plan for and implement healthcare reform strategies – dating for years prior to passing of the ACA – for example, assisting the Illinois Adequate Health Care Task Force with developing a strategy for providing all uninsured Illinois residents with access to affordable and comprehensive quality health care.  We have helped long-term state clients with the evolution of their Medicaid delivery and financing systems, including Pennsylvania, California and Wyoming.  We have been in the forefront of healthcare reform – providing assistance to our clients as they strategize about how best to comply with the ACA and to maintain their success in the marketplace. 

While the ACA was only recently passed into legislation, our team has worked with states for more than 15 years to identify and implement healthcare reform initiatives, through both statewide initiatives and focused pilot projects.  This expertise allows us to successfully implement changes required by the ACA.  Our consultants are experienced in:

We are available to assist providers and states to analyze ACA requirements and final rules, and identify and implement modifications to their service delivery.  For more information, see:

Click here to read our insights on the healthcare industry.

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