Government Programs.

The Government healthcare market growth continues to outpace all other healthcare segments. New programs are introduced every year across a spectrum of services, creating opportunities for those companies that are well positioned for this unique market. Government and Public program spending will exceed $1.2 trillion in 2010 and is projected to grow substantially with health reform proposals. The size and scale of programs, importance of teaming, strict procurement rules and the size of proposal investment, make business development in government markets dramatically different than sales in the employer or consumer markets.

HealthScape Advisors provides a broad range of services designed to assist companies excel in Government programs and markets. Our experiences and approach allow us to help clients address a range of strategic and tactical questions:

How should my company...

  • identify market opportunities?
  • evaluate the competitive landscape?
  • acquire new capabilities?
  • enter new markets?
  • differentiate and build sustainable advantage?
  • improve my success rate with procurements?
  • determine a price that will win?
  • choose teammates and partners?
  • integrate acquisitions?

Our professionals are the recognized leader in advising clients with the development and execution of successful Government health programs strategies. Our professionals have supported clients bid and win over $50 billion in government healthcare contracts over the last 15 years. This experience covers a broad range of Government health programs:

Services

Government Health Programs Experience

  • Medicaid Managed Care (Medical, Behavioral, Dental, Vision)
  • Medicaid Administrative Contracts
  • Medicare Advantage and Part D
  • Medicare Administrative Contracts (A, B, DME)
  • Medicare EDC
  • CMS Program Integrity
  • TRICARE (Managed Care Support, Rx, Dental)
  • VA Federal Supply Schedule
  • State and Federal procurements

Government Markets Business Development

  • Market opportunity evaluation
  • Competitive assessment
  • Feasibility analysis
  • Capability gap assessment
  • SWOT analysis
  • Opportunity alignment
  • Business planning and execution
  • Government Markets strategy development and execution
  • Merger targeting and advisory services

Business Capture and Competition Management

  • RFP analysis
  • Bid/No-Bid decision support
  • Strategic target pricing
  • Competitive analysis
  • Proposal management and development
  • Cost estimating and cost modeling
  • Indirect rate development and forecasting
  • Cost realism narrative and support
  • Target price management
  • Financial forecasts
  • Subcontractor management
  • Organizational and operating structure design and development
  • Performance/Cost tradeoff analysis

Contract and Program Management

  • Implementation management
  • Government Contract Accounting implementation
  • Federal Acquisition Regulation (FAR) advisory services
  • Cost Accounting Standard (CAS) advisory services
  • Truth in Negotiations Act Support
  • Change order preparation
  • Government Audit Support
  • Compliance
  • Cost and profitability management
  • Claims and Disputes
  • Contract close-out and terminations

HealthScape Advisors Difference

  • Professionals have over 15 years of experience with successfully winning and managing Government health programs
  • We have a deep history of interacting on behalf of our clients with government agencies such as CMS and TRICARE
  • Extensive knowledge of Federal Acquisition Regulation (FAR) and Cost Accounting Standards (CAS) and their application to specific issues relating to the healthcare industry
  • Dedicated to the Government healthcare market
  • Extensive database of contracts, proposals, and benchmarks
  • Winning track record
  • Integrated approach with management, technical and financial experts

Representative Experience

Government Markets Business Development

Our professionals worked with a large regional health plan to evaluate the Medicaid managed care market and develop a strategy for the market. The evaluation included a state by state assessment of market attractiveness, competitive landscape, point of entry alternatives and implementation recommendation.

Business Capture and Competition Management

Our professionals worked with a traditional Medicare contractor to bid on the new Medicare Administrative contracts. This included leading the contract capture effort, pricing strategies, cost reduction, and implementation planning. Client was awarded 2 MAC Jurisdictions with over $500 million in contract award value.

Contract and Program Management

Our professionals worked with a traditional Medicare contractor to design FAR and CAS compliant systems and processes related to cost accounting, purchasing, billing, labor charging and reporting, change order management, and contract administration. This included developing CASB Disclosure Statements, preparing change order proposals and requests for equitable adjustment, and preparing for government audits.

Contract Close-Out & Terminations

Our professionals worked with a traditional Medicare contractor to transition their business to a Medicare MAC contract awardee. This involved developing and managing detailed transition plans, creating comprehensive transition and termination budgets, and managing the shutdown of the business in manner that maximized financial recovery and minimized compliance risk and liability.