Clinical Pharmacy Services
Enabling independent, evidence-based drug coverage decisions that improve patient outcomes and control costs with transparency
Visit us at Booth #241
October 21–23, 2026
Gaylord National Resort & Convention Center 201 Waterfront Street Oxon Hill, MD 20745At ForHealth Consulting, we partner with Medicaid agencies and other health and human services organizations to make the healthcare experience more equitable, effective, and accessible. As part of UMass Chan Medical School, we bring together nationally recognized expertise with decades of practical experience across clinical care, public health, research, policy, operations, finance, and technology.
From modernizing programs and strengthening operations to improving access, quality, and outcomes, we work side by side with our clients to turn strategy into action and deliver solutions that make a lasting impact.
Let’s talk about the challenges facing your Medicaid program.
Let’s Talk Medicaid
Stop by to learn how we help states strengthen performance, optimize operations, maximize resources, improve outcomes, and navigate change with confidence. We can share practical insights and proven approaches from across the Medicaid landscape.
We look forward to learning about your priorities and exploring how we can help.
Our Services
For more than 30 years, we’ve partnered with state agencies, including Medicaid programs, to address some of the nation's most complex health and human services challenges. Together, we help organizations design, implement, and sustain solutions that create lasting value.
Enabling independent, evidence-based drug coverage decisions that improve patient outcomes and control costs with transparency
Delivering fast and accurate benefit assessments powered by integrated clinical, vocational, and regulatory expertise and insight
Navigating Medicaid's evolving landscape with strategies to strengthen program integrity, safeguard resources, and deliver sustainable impact
Promoting equitable outcomes for justice involved people by helping to close healthcare gaps and support successful reentry
Maximizing Medicaid reimbursement to support the availability and long-term sustainability of essential student health programs
Maximizing benefits for Medicaid members by increasing Medicare and commercial insurance enrollment to deliver millions in savings
Managing Director, Health Care Finance Solutions
Beth leads the strategy and operations of ForHealth Consulting’s health care financing business line. A nationally recognized expert on Medicaid policy and operations, she specializes in program development, implementation, and value-based purchasing.
As a former Massachusetts Medicaid director, Beth understands the challenges and complexities of administering Medicaid programs and navigating evolving healthcare priorities while maintaining a focus on serving vulnerable populations.
Deputy Managing Director, Health Systems Solutions
Dyana directs a portfolio of population-based strategies at ForHealth Consulting that advance health equity and improve outcomes for justice involved individuals, people with disabilities, and children and families.
With deep expertise in systems transformation for justice involved populations, she partners across sectors to develop and implement initiatives that reduce risk, enhance health and wellness, support successful reentry, and promote long-term community integration.
Executive Director, Market Development & Product Growth
Bekah advances enterprise-wide business development initiatives at ForHealth Consulting, helping clients address complex issues spanning policy and payment reform, regulatory strategy, and program implementation.
Combining deep health policy knowledge with legal expertise, she builds trusted partnerships and works collaboratively with clients to develop strategic, tailored solutions that drive measurable results and long-term success.
Director, Marketing Operations
Maria leads enterprise marketing for ForHealth Consulting at UMass Chan Medical School, shaping integrated marketing strategies that connect health and human services leaders with the organization's expertise and solutions to address complex challenges and advance meaningful results.
With more than 20 years of marketing experience, she aligns campaigns, digital channels, and industry events with client needs to drive engagement, foster partnerships, and expand awareness of innovative solutions that advance better outcomes.
Our more than 220 evidence-based pharmacy guidelines and more than 170 annually updated therapeutic class reviews help Medicaid programs make timely, consistent formulary decisions.
Our clinicians complete evaluations in-house, allowing Medicaid programs to process applications in 30 days on average, versus the 228-day federal average, with an appeal rate of less than 1%, with every determination upheld.
Our program integrity experts identified $58 million in recoverable funds, recovered $6 million through provider self-disclosure, and prevented $27 million in improper payments through oversight.
Our experts helped a state Parole Board reduce revocations by 15% and achieve a 76% parole discharge rate by strengthening treatment, housing, and community supports connections.
Our claiming work has helped state and local agencies secure more than $250 million in federal Medicaid reimbursement annually to help fund school-based health services.
Our TPL engagement with one state Medicaid program led to 98%+ of all contacted members to apply for Medicare, realizing $190 million in new savings since 2014.
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