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Jim has more than 30 years of experience providing consulting and advisory services to state Medicaid programs and state agencies, private insurers, hospital providers and other healthcare entities. He specializes in the design, implementation, and evaluation of healthcare delivery and payment systems for all types of provider services, and the evaluation of the adequacy of payment rates. His experience includes inpatient and outpatient hospital services, nursing facility services, and home and community-based services for aged and disabled populations, persons with intellectual and developmental disabilities, and behavioral health needs.
Jim also has significant experience in the development of programs and related analyses to support opportunities for successfully leveraging federal funding for payment of provider services, and the regulatory and compliance considerations associated with enhanced and supplemental payment programs.