What we do

Delivery System & Payment Transformation

Myers & Stauffer provides Medicaid delivery system transformation and payment reform consulting services to help states improve care delivery, advance value-based payment models, and strengthen program performance. We support agencies with Section 1115 demonstrations, delivery system reform initiatives, value-based purchasing (VBP), alternative payment models (APMs), directed payments, Medicaid financing strategies, quality measurement, and population health initiatives that drive sustainable improvements in access, quality, and cost-effectiveness.

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Improving Quality, Controlling Costs, & Enhancing Outcomes

States are increasingly advancing delivery system and payment reforms to improve quality, control costs, and enhance beneficiary outcomes. Myers & Stauffer provides technical, policy, and operational support to design and implement transformation initiatives that align financial incentives with value-based care and integrated service delivery.

These efforts are supported by our broader consulting services, which integrates policy, financial, and operational expertise to help states navigate complex program environments and implement sustainable solutions.

Our team supports agencies across the full lifecycle of transformation, from strategy development and federal approval through implementation, evaluation, and ongoing program refinement. We bring deep experience in Medicaid policy, financing, and operations, enabling us to translate complex federal requirements into actionable, state-specific solutions.

A Trusted Partner in Medicaid Transformation

With nearly 50 years of experience supporting government health care programs, Myers and Stauffer brings a unique combination of consulting, financial, and program integrity expertise. Our team includes former state Medicaid officials and subject matter experts who understand the complexities of program administration and the importance of practical, implementable solutions.

Through our integrated Consulting services, which include Federal Authorities and Waivers, and Grants services , we serve as a trusted partner to states navigating complex transformation efforts, helping agencies align policy, financing, and operations to achieve sustainable improvements in care delivery and beneficiary outcomes.

Myers & Stauffer supports states in designing and operationalizing delivery system models that improve care coordination, integrate services, and address the needs of complex and high-cost populations. Our work is informed by a detailed understanding of federal demonstration authorities and emerging care models.

Our services include:

  • Design, development, and implementation of Section 1115 demonstrations, in coordination with our Federal Authorities and Waivers work.
  • Delivery system reform incentive payment (DSRIP) program design, implementation, and performance measurement.
  • Development of integrated care models addressing physical health, behavioral health, and long-term services and supports (LTSS).
  • Patient-centered medical home (PCMH) program design and certification support.
  • Behavioral health system transformation, including alignment with federal initiatives and best practices.
  • Strategies to expand access to substance use disorder (SUD) treatment, including institutions for mental diseases (IMD) policy alignment.
  • Certified community behavioral health clinic (CCBHC) model design and implementation support.

We assist states in aligning delivery system reforms with broader program goals, ensuring initiatives are operationally feasible, federally compliant, and positioned to achieve measurable improvements in care delivery.

We provide comprehensive support for the design and implementation of payment models that align financial incentives with quality, access, and efficiency. Our team works with states to develop compliant financing strategies that leverage Medicaid authorities and integrate with delivery system reforms.

Our services include:

  • Design and implementation of value-based purchasing (VBP) and alternative payment models (APMs).
  • Development of payment methodologies aligned with state plan amendments (SPAs) and Section 1115 demonstrations, in coordination with our federal authorities and waivers specialists.
  • Directed payment program (DPP) design, including value-based and uniform rate increase structures.
  • Managed care payment strategy, including rate development support, incentive structures, and contract alignment.
  • Transition planning for pass-through payment phase-out and alignment with the Centers for Medicare & Medicaid Services (CMS) requirements.
  • Development and evaluation of supplemental payment methodologies, including upper payment limit (UPL) and disproportionate share hospital (DSH) programs.
  • Financial modeling and fiscal impact analysis to support policy decisions and federal submissions.

For initiatives supported by federal funding opportunities, we align financing strategies with grant requirements and reporting expectations.

Myers & Stauffer integrates quality measurement and population health strategies into all delivery system and payment transformation efforts. We support states in establishing performance frameworks that drive accountability, measure outcomes, and inform continuous program improvement.

Our services include:

  • Development of quality measurement strategies aligned with CMS, National Committee for Quality Assurance (NCQA), and other national standards.
  • Design and implementation of performance measurement and reporting frameworks.
  • Alignment of quality metrics with value-based purchasing and payment models.
  • Population health strategy development, including identification of priority populations and risk stratification approaches.
  • Integration of social determinants of health (SDOH) into program design and performance measurement.
  • Development of data analytics tools, dashboards, and key performance indicators (KPIs) to support decision-making.

These efforts are often integrated with broader transformation initiatives delivered through our consulting services to ensure alignment across policy, financing, and operational domains.

How We Support States

Myers & Stauffer provides end-to-end support across delivery system and payment transformation initiatives, combining policy, financial, and operational expertise to ensure successful implementation.

Our approach includes:

  • Policy analysis and program design.
  • Financial modeling and rate development.
  • Implementation planning and operational support.
  • Stakeholder engagement and provider alignment.
  • Federal authority strategy, waiver development, and CMS engagement through our Federal Authorities and Waivers work.
  • Program monitoring, evaluation, and federal reporting.

Where applicable, we also align transformation initiatives with external funding opportunities through our grants consulting services, ensuring compliance with federal requirements and maximizing available resources.

The Transformative Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Jerry Dubberly, PharmD
Principal

Email: jdubberly@mslc.com
Phone Number: 404-524-9519

Catherine Snider
Member

Email: csnider@mslc.com
Phone Number: 317-649-1615

In the Words of our Clients…

Myers & Stauffer’s staff are professional, knowledgeable, responsible, accountable, and ensure they are meeting the needs of their clients. 

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Sharing Knowledge & strengthening programs

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