Perfecting the Medicaid balancing act

Providing services to a highly diverse population while staying within the boundaries of restricted payments and eligibility requirements is a challenge many Medicaid sponsors face. Visante has the experience and expertise to help you handle those concerns and more while also optimizing clinical performance and compliance. Our consultants have COO and CPO experience in multi-state Medicaid plans and apply that knowledge to meet clients’ specific needs, covering everything from high-level strategic planning to in-depth assessments and recommendations for improved efficiency. Our Medicaid consulting services include:

  • Operations assessment and recommendations for improved performance
  • Creation of a medical pharmacy structure to maximize the integration between the pharmacy and medical benefit
  • Assistance in strengthening critical points in care such as discharge and high cost specialized pharmacy programs
  • Readiness reviews and preparation for collaboration with state government programs
  • Audit support services for Medicaid and Medicare-Medicaid Plans (MMPs)
  • A review of formulary administration to ensure the quality and efficacy of medicines meet state Preferred Drug Lists (PDLs) and formulary rules
  • Consultative support services for Medicare and Medicaid dually-eligible populations
  • Reporting assistance to meet accuracy and deadline requirements from overseeing state(s)
  • Assistance with maximizing HEDIS and quality measures