CENTER FOR
Medicare & Medicaid Design Solutions
At Healthsperien, we believe that individuals navigating Medicare, Medicaid, or both deserve care that is seamless, coordinated, and centered on their whole person needs.
The Center for Medicare & Medicaid Design Solutions is dedicated to transforming public programs integrating financing, delivery, and accountability to improve quality, strengthen coordination, and support responsible, scalable innovation. Our work helps leaders create systems where people experience continuous, connected care rather than fragmented programs, which enables health plans, providers, and states to deliver better outcomes and create smarter spending.
Our Focus Areas
Medicare–Medicaid Integration
Designing and advancing models that align financing and delivery across programs to reduce fragmentation and enhance patient centered outcomes.
Alternative Payment Models & Demonstrations
Developing and informing CMMI and state-led payment models that incentivize quality, innovation, and value.
Behavioral Health, Primary Care & Social Needs Alignment
Strengthening coordinated approaches that connect medical, behavioral, and social supports to improve quality and manage total cost of care.
Governance, Implementation & Performance Infrastructure
Building roadmaps, governance structures, and performance dashboards that make accountable, integrated care operational and sustainable.
Our Approach
We collaborate with health plans, providers, state agencies, innovators, and multi-stakeholder coalitions to design practical, scalable solutions. Our team blends deep policy expertise with operational experience to translate integration goals into actionable models and measurable results. Through evidence-driven strategies, iterative design support, and strong partnerships, we help organizations navigate complexity, align incentives, and build systems where care is coordinated, and accountability is shared.
Reach out to learn how the Center can support your work and help shape a future where Medicare and Medicaid systems work together to deliver seamless, high-quality, person-centered care.
Reach out for more information at info@healthsperien.com
Resources
We’re proud to announce the Center for Medicare & Medicaid Design Solutions and the Center for Patient-Centered Transformation
We’re proud to announce the Center for Health Research, Policy, & Strategy—Healthsperien’s Newest Center of Expertise.
Redefining Hospice: Living Fully Until the End
New U.S. News & World Report Op-Ed by Tom Koutsoumpas
Healthsperien Managing Partner and Foundation for Social Connection Action Network Featured on CBS Evening News’ Eye on America
News
Contact Us Today
Healthsperien, LLC, is a Washington, D.C.-based health care policy consulting firm focused on strategic, regulatory, legislative and implementation issues.