Health Care Current library

This weekly series explores breaking news and developments in the US health care industry; examines key issues facing life sciences and health care companies; and provides updates and insights on policy, regulatory, and legislative changes.


Government Programs: Medicare & Medicaid

Health Plans

​In this environment of high-stakes change and growth, many health plans are scrambling to stand up their approaches to government health programs. Deloitte’s top-ranked health plans practice stands apart with mature, first-hand, practical knowledge of government programs based on years of investment and involvement.

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​​An experienced approach for your new focus of growth

Public-sector programs that fund and regulate government health care programs are more important than ever for most plans. Medicare, Medicaid and dual-eligible members will make up more of your business and, you can’t operate within the value chain it takes to serve them—from strategy to operations to compliance—without interacting with the government.

Our practitioners have deep experience not only with Deloitte, but also in federal and state health care programs as well as access to Deloitte’s public- and private-sector specialists—and our multidisciplinary approach can help broaden your government-sponsored business and make it more profitable.

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​Our approach

​Our approach

  • Strategy: From an assessment of your competitive landscape to product and benefit design, our qualitative and quantitative tools help you make the big decisions that frame other decisions.
  • Performance improvement: Insights that can help drive better plan performance and improved member satisfaction and health outcomes.
    Medicare Stars: Improving your Medicare Star rating to help boost your health plan’s profitability.
  • Organizational design and resource modeling: We can help you assess how many people you need where, and how to design your organization to drive government programs growth and performance.
  • Revenue: Knowing the ins and outs of risk adjustment and the regulations that govern these payments helps get the most reimbursement you can while staying on the right side of the rules.
  • Other services including fraud, waste and abuse detection and prevention program assessments; technology services support; platform migration; and compliance evaluations.

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Related service offerings

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Health Care Regulatory Solutions

Find out how the game has changed in doing business with the government and how ACA compliance may affect your business model. Deloitte can help.


About the Deloitte Center for Health Solutions

About the Deloitte Center for Health Solutions: The source for health care insights.


Life Sciences

Learn more about the solutions we offer life sciences companies as they adapt in an era of transformation. 


Health Plans

Our Health Plans practice offers a range of solutions to help organizations make the most of post-reform market opportunities.

Gregory Scott

US Health Plans Sector Leader

Jim Hardy

Specialist Leader | Life Sciences & Health Care

Lucia Giudice

Managing Director | Life Sciences & Health Care

Dbriefs Webcast

Health Sciences

Anticipating tomorrow's complex issues and new strategies is a challenge. Take the lead with Dbriefs—live webcasts that give you valuable insights on important developments affecting your business. Dbriefs offers live webcasts featuring practical knowledge from Deloitte specialists.


Life at Deloitte

People make Deloitte one of the best places to work. What’s great about the people? That’s an easy answer. They are exceptional. Each person is unique and valued for that, among the best and brightest in the business, and takes pride in his or her achievements and the success of others.