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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

Andrew MacPherson, Founding Principal and Managing Partner of Healthsperien, has been appointed to the Board of Directors of the Elisabeth Kübler-Ross Foundation

Andrew MacPherson, Founding Principal and Managing Partner of Healthsperien, has been appointed to the Board of Directors of the Elisabeth Kübler-Ross Foundation, a global nonprofit dedicated to advancing compassionate care for individuals facing serious illness, death, and grief.

We’re proud to announce the Center for Medicare & Medicaid Design Solutions and the Center for Patient-Centered Transformation

Healthsperien is proud to announce the launch of two new Centers of Expertise—the Center for Medicare & Medicaid Design Solutions and the Center for Patient-Centered Transformation—expanding and rounding out our Centers of Expertise to better support our clients and partners as they navigate an increasingly complex health care environment.

We’re proud to announce the Center for Health Research, Policy, & Strategy—Healthsperien’s Newest Center of Expertise.

Healthsperien announces the official launch of its Center for Health Research, Policy & Strategy, the newest addition to Healthsperien’s expanding capabilities and the third in a series of new Centers of Expertise. Serving as the firm’s hub for data-driven analysis, applied research, and evidence-informed policy development, the Center will provide clients with the objective insights needed to navigate today’s most complex healthcare decisions. By leveraging national administrative claims datasets, real-world evidence, surveys, focus groups, and interviews, the Center will deliver evidence-based strategies to inform and guide client decision-making.

Redefining Hospice: Living Fully Until the End

A recent Forbes article highlights insights from Tom Koutsoumpas, Founder & President of Healthsperien and CEO & Founder of the National Partnership for Healthcare and Hospice Innovation (NPHI), who urges a redefinition of hospice—not as a last resort, but as a life-affirming opportunity for patients and families. From dispelling myths to embracing telehealth and advancing equity, Koutsoumpas emphasizes that hospice is about living fully, with dignity and support, until the very end.

New U.S. News & World Report Op-Ed by Tom Koutsoumpas

Healthsperien is proud to share that our Founder & President, Tom Koutsoumpas, has authored a new opinion piece in U.S. News & World Report reflecting on the history, impact, and future of hospice care in America.

Healthsperien Managing Partner and Foundation for Social Connection Action Network Featured on CBS Evening News’ Eye on America

Managing Partner and Founding Principal Andrew MacPherson, speaking on behalf of the Foundation for Social Connection Action Network (F4SCAN), testified before the U.S. Senate Special Committee on Aging and delivered a powerful message: loneliness among older adults is a public health crisis we can no longer ignore.

Points of Contact

Contact Us Today

Healthsperien, LLC, is a Washington, D.C.-based health care policy consulting firm focused on strategic, regulatory, legislative and implementation issues.