Medicaid & Health Coverage Programs
We support federal and state agencies in strengthening Medicaid programs through consulting, program integrity, provider reimbursement, managed care oversight, data analytics, and financial management services. Our Medicaid consulting and advisory services help agencies improve program performance, ensure regulatory compliance, strengthen payment accuracy, and support effective administration across fee-for-service, managed care, long-term services and supports, behavioral health, pharmacy, and other Medicaid programs.
Supporting Medicaid Programs Across Delivery Systems, Services, & Financing
Medicaid programs operate within a complex and evolving environment, spanning multiple delivery systems, provider types, and funding mechanisms. As programs expand, agencies must balance access, quality, cost, and compliance across an increasingly interconnected landscape, all while safeguarding taxpayer dollars and maintaining program integrity.
We support federal and state agencies across the full Medicaid lifecycle, providing independent, data-driven insights to strengthen oversight, improve payment accuracy, and support effective program administration.
Where We Support Medicaid Programs
Medicaid programs rely on a mix of fee-for-service and managed care delivery systems, along with supplemental and directed payment structures. Each introduces unique oversight and compliance considerations.
We help agencies evaluate, implement, and monitor these models to ensure financial integrity and program performance.
Long-term services and supports (LTSS) programs represent a significant and growing share of Medicaid, spanning institutional care and home and community-based services.
We support oversight, reimbursement, and program design across the full continuum of LTSS.
Behavioral health services are a core component of Medicaid programs and are increasingly central to system transformation efforts, including integration with physical health, managed care, and community-based services.
We support agencies in strengthening behavioral health systems through oversight, analytics, and program design that improves access, coordination, and accountability.
Pharmacy programs are among the most complex and financially significant components of Medicaid, requiring specialized expertise in reimbursement, pharmacy benefit manager (PBM) oversight, and financial management.
We support agencies in managing pharmacy benefits through data-driven rate setting, transparent pricing strategies, and strengthened oversight of vendors and utilization.
Effective oversight is essential to maintaining public trust and ensuring Medicaid funds are used appropriately. Agencies must identify and address risks across eligibility, provider enrollment, managed care, claims payment, and program operations while meeting evolving federal and state requirements.
We help agencies strengthen program integrity through audits, payment reviews, data analytics, compliance monitoring, and targeted oversight activities that improve accountability and support responsible stewardship of public resources.
Provider reimbursement is central to program sustainability and must align with both policy goals and operational realities.
We support agencies in designing, evaluating, and refining reimbursement approaches across Medicaid programs.
Medicaid programs are continually evolving in response to new federal legislation, CMS guidance, delivery system reforms, and changing beneficiary needs. Agencies must design, implement, and refine programs that improve access, strengthen accountability, and support long-term sustainability.
Our consulting and program transformation services help state Medicaid agencies navigate complex policy, financing, and operational challenges through strategic planning, delivery system transformation, waiver support, stakeholder engagement, and implementation assistance. By combining deep Medicaid policy expertise with practical operational experience, we help agencies move from program strategy to successful implementation.
Why Agencies Hire Myers & Stauffer
Medicaid programs do not operate in silos. Delivery models, services, and reimbursement structures are deeply interconnected.
Our approach helps agencies align these components, strengthening oversight, identifying risk, and supporting consistent, defensible program management across the enterprise.
Our work is grounded in 50 years of supporting government-funded programs. We bring deep Medicaid expertise, integrated financial and clinical insight, and an independent perspective tailored to each agency’s structure and priorities.
Supporting Long-Term Medicaid Program Success
We help agencies strengthen Medicaid programs through practical, data-driven, evidence-based, research grounded, and clinically sound solutions that support compliance, accountability, and long-term sustainability.
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
John Dresslar, CPA
Member
Email:jdresslar@mslc.com
Phone Number: 223-259-5306
Email: ksorensen@mslc.com
Phone Number: 919-829-7429
Ryan Farrell, CFE
Principal
Email: rfarrell@mslc.com
Phone Number: 512-342-0800
Bobby Courtney, MA, MPH, JD
Principal
Email: bcourtney@mslc.com
Phone Number: 317-815-5475
Jared Duzan, CFE
Principal
Email: jduzan@mslc.com
Phone Number: 317-409-4194
Allan Hansen
Principal
Email: ahansen@mslc.com
Phone Number: 816-957-6230
Tamara Basso Bensky, CPA
Member
Email: tbensky@mslc.com
Phone Number: 410-581-4549
In the Words of our Clients…
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