ForHealth Consulting is attending
NAMD 2024 Fall Conference
November 11 – 13, 2024
Washington Hilton
Who We Are
At ForHealth Consulting, we partner with purposeful organizations to make healthcare more equitable, effective, and accessible. For over 25 years, we have collaborated closely with state Medicaid agencies to think big about how to make healthcare better—how we pay for it, how we manage information, and how we provide quality care to everyone.
Many of ForHealth Consulting’s experts bring their on-the-ground experience working in Medicaid agencies to our engagements. We develop innovative solutions and actionable strategies that help you do what you do better—for yourself and for the people you serve. We’re not just thinkers; we put ideas into practice to create value in the real world.
Most of all, we believe in the power of a shared purpose; together, we can make healthcare better. Better for all of us.
Our Services Include:
Clinical Pharmacy Services
Led by a multidisciplinary team of pharmacy experts, our innovative clinical pharmacy management program empowers Medicaid drug plans to achieve the highest-quality patient outcomes while ensuring the cost-effectiveness of your pharmacy benefit programs, even as expenses rise and budgets tighten.
Disability Determination Services
Our proven disability determination services enable expedited processing times, accurate decisions, and cost-effective methods to help ensure you—and your members—receive prompt and appropriate disability determinations. Our in-house network of clinicians offers the expertise you need to provide the right Medicaid benefits to those who objectively qualify.
Employment Equity & Inclusion
Employing an inclusive workforce is critical for you to best serve your diverse member base. We offer workforce development, training, and consulting services that provide practical tools, specialized education, and networking opportunities to help you achieve your inclusion goals.
Medicaid Inmate Exclusion Policy
We help you navigate the recently released “inmate exclusion policy” partial waiver in the new Section 1115 demonstration opportunity, which prohibits Medicaid from paying for most services provided during incarceration. We combine our deep knowledge of healthcare for justice-involved populations with our comprehensive experience in waiver design and implementation.
Medicare Eligibility Enhancement Program
Our team employs a specialized analytical approach, deep understanding of federal rules, and proprietary software tools to help you achieve meaningful results beyond the routine Medicare eligibility for expanded member benefits and enhanced Medicare savings.
School Based Services
To secure Medicaid reimbursement for eligible services provided in a school setting, our experts create reimbursement models and programs to support the design, implementation, and ongoing administration phases of school based services programs.
Our Solutions
ForHealth Consulting is committed to finding solutions that transform healthcare. You need better access, better knowledge, and better performance for your organization and those you serve. Let’s get there together.
Better Access
Our healthcare system leaves too many behind. We help you put great care within reach of those who need it.
Better Knowledge
The right insights can make all the difference. We empower our partners with information that supports better outcomes.
Better Performance
Healthcare is complex. Our products make you more efficient, so you can deliver the right care where and when it matters.
Our Experts
Jessica Carpenter MS, RD, LDN
Associate Executive Vice Chancellor, Market Growth & Transformation
Jessica Carpenter leads our market growth strategy and organizational transformation and optimization efforts. She previously served as managing director, Health Systems Solutions, as well as in clinical program leadership and management roles at ForHealth Consulting, with a focus on Medicaid long-term services and supports (LTSS).
Jessica is a Massachusetts-licensed dietitian and a registered dietitian with the Academy of Nutrition and Dietetics. Her many publications and abstracts feature subjects from health and nutrition to best practices and coordination of LTSS for medically complex children and best practices.
Catherine Mick MSW, MBA
Associate Executive Vice Chancellor for Strategy & Chief of Staff
Catherine “Katie” Mick applies her strategic and operational innovation skills as an advisor to the chief executive, providing guidance on policy, planned initiatives, and business activities that strengthen and build client relationships, support organizational growth, and create an environment where employees can thrive. Prior to joining ForHealth Consulting, she was undersecretary for human services at the Massachusetts Executive Office of Health and Human Services, effectively driving strategic policy initiatives across multiple healthcare and human service systems.
Throughout her career, Katie, a trained social worker, has been stalwart in supporting individuals with disabilities, children, youth, and families, survivors of human trafficking, sexual assault, and domestic violence—and cross-sector initiatives involving early education, public safety, and sustained economic stability.
Bekah Diamond, JD
Executive Director, Market Development & Organizational Transformation
Bekah Diamond works across ForHealth Consulting, managing enterprise-wide business growth efforts. Using her deep healthcare policy and operational expertise, she specializes in identifying the right solutions for each client challenge, building strong strategic partnerships that result in tailored offerings, and improving our organizational effectiveness to deliver the highest value to our clients.
Bekah has spent her career in healthcare committed to accessible, affordable, high-quality care for all. Prior to joining ForHealth Consulting, Bekah served as Chief of Staff in the Massachusetts Executive Office of Health and Human Services, which includes the state Medicaid program (MassHealth). Bekah also previously oversaw the implementation of Medicaid accountable care reform for Boston Children’s Hospital and drove the execution of the Affordable Care Act at the Massachusetts Health Connector (the State Based Marketplace).
Our Work
Overviews
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Overview
ForHealth Consulting Overview
Overview
Clinical Pharmacy Services Overview
Overview
Disability Determination Services Overview
Overview
Employment Equity and Inclusion
Overview
Integrated Care Initiatives and Programs for Dually Eligible Individuals
Overview
Medicaid Inmate Exclusion Policy/ Justice & Health Equity Services Overview
Overview
Medicare Eligibility Enhancement Services
Overview
School Based Claiming Overview
Our Expertise
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Poster
Crossing the Enrollment Finish Line: Increasing TPL Benefits in Massachusetts and Michigan
Presentation
Crossing the Enrollment Finish Line: Increasing TPL Benefits in Massachusetts and Michigan
News Story
ForHealth Consulting School-Based Claiming Services Helps with New CMS Guidance
Perspective
Disability Determinations Perspective
Perspective
Medicare Enrollment Support Perspective
Perspective
Third Party Liability Perspective
Perspective
TRICARE/CHAMPVA Perspective