Government Healthcare Consulting
Strengthening oversight and accountability in public healthcare funding and policy
Help healthcare resources reach the people who need them
Healthcare is one of the most complex regulatory and funding environments in government. Every day, health-related agencies — and the service providers they support — confront evolving federal rules, shifting policies, and public demands for efficiency and accountability. And the stakes are exceptionally high: The communities they serve deserve quality healthcare and public health support.
BDO has a long history of helping federally funded agencies and providers successfully operate in a highly regulated environment, balancing healthcare policy, resource allocation, compliance, and accountability. We have decades of experience with Medicare, Medicaid, SNAP, TANF, and other national healthcare programs, and we have worked extensively with state, county, and city governments to design and implement healthcare policies. We are familiar with the varying ways that different states support healthcare delivery in their communities.
We are committed to improving the integrity, efficiency, and effectiveness of government-administered healthcare programs, helping governments better serve their citizens and elevate the availability and quality of care.
How BDO Can Help
BDO offers government healthcare consulting services to help your organization achieve its goals.
Navigate Evolving Policies
We help state governments and providers stay informed about shifting regulations and policies in the heavily regulated healthcare industry.
Maintain Accountability
We have the experience and resources to support rigorous fiscal accountability, even for large national programs like Medicare and Medicaid.
Monitor Compliance
We help states monitor MCOs, PBMs, and healthcare agencies for contract and regulatory compliance, accurate reporting, and independent auditing.
Manage Programs
We help design and operate healthcare programs, determine eligibility, process applications, direct resources, and measure outcomes.
Government Healthcare Capabilities
Our Medicaid and Medicare services include the following:
- Medicaid policy
- Medicaid finance and inter-agency funding
- School-based Medicaid services
- Value-based care
- Cost reporting and reimbursement
Our HHS solutions include support for the following programs:
- Temporary Assistance for Needy Families (TANF)
- Supplemental Nutrition Assistance Program (SNAP)
- Women, Infants, and Children (WIC)
- Social Services Block Grant (SSBG)
- Community Services Block Grant (CSBG)
Our work supports the following public health initiatives:
- Ryan White HIV/AIDS Program
- Housing Opportunities for Persons with AIDS (HOPWA)
- 340B Drug Pricing Program
- Public Health Emergency Preparedness (PHEP) Program
- Substance Use Prevention and Treatment Block Grant (SABG)
Our MCO services include:
- External Quality Review Organization (EQRO) services
- Audits conducted in accordance with government auditing standards
- Agreed-upon procedure reports and engagements in accordance with specified guidance
- Claims review and auditing
- Compliance and regulatory oversight
Our PBM services include:
- Retrospective audits
- Near-real-time monitoring
- Regulatory compliance
- Procurement
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Contact Us
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Meet Our Government Healthcare Consulting Leader
Implementation and management for government programs are offered through BDO Government Services, LLC, a Delaware limited liability company and a separate legal entity affiliated with BDO USA, P.C.
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