Medicaid managed care markets are changing quickly as states face budget pressure, rising healthcare costs, procurement shifts, and evolving expectations for plan performance. ATI helps plans anticipate where states are headed, and adjust their market, bid, capital, and growth strategies accordingly.
We combine deep Medicaid policy expertise, procurement insight, and advanced analytics to help plans make confident decisions in competitive, margin-sensitive markets. Our work supports smarter market entry, stronger RFP positioning, more sustainable product and network strategy, improved retention, and performance models built for changing state priorities.
ATI Advisory helps managed care organizations assess opportunities, compete effectively, launch with discipline, and grow sustainably in Medicaid markets. As states respond to budget pressure, changing enrollee needs, procurement redesign, and heightened expectations for plan performance, we help organizations align their strategies with where the market is going, not just where it has been.
Market scans, competitive landscape analysis, population risk profiling, geographic analysis, and financial modeling to help organizations decide where to compete, how to enter, and what level of investment is needed
End-to-end support for Medicaid procurements and Medicare Advantage applications from pre-RFP positioning and capture strategy through proposal development, submission, oral presentations, and readiness review
Competitive, compliant benefit package design that reflects target population needs, state priorities, cost structures, and regulatory requirements
Provider network design and value-based partnership strategy to align incentives, manage risk, improve access, and support quality performance
Care models, quality strategies, and analytics approaches that identify and address gaps in care, improve outcomes, and provide support priority populations
Go-to-market planning, enrollment strategy, operational readiness, and early performance monitoring to help plans retain members, manage risk, and scale effectively
ATI helps health plans turn complex policy, market, and data signals into clear strategic direction. We identify growth opportunities, inform investment decisions, strengthen competitive position, and help organizations anticipate how federal and state policy changes may reshape Medicaid managed care markets.
Our data assets span Medicaid and Medicare, including long-term care, enabling population-level analysis, competitor intelligence, financial pro formas, geographic modeling, and policy impact assessments. We move beyond market narrative to give decision-makers evidence-backed insight they can act on.
Policy analysis and strategic interpretation:
Federal and state policy analysis, translated into clear implications for growth, risk,
investment, and competitive positioning.
Market and opportunity analytics:
Modeling for market size, population needs, competitor behavior, financial opportunity, and
policy impacts to guide market entry, expansion, and product strategy.
Program and regulatory intelligence:
Policy, regulatory, and procurement intelligence across Medicaid and Medicare Advantage,
including dual-eligible special needs plans (D-SNPs), to help organizations stay ahead of
changing requirements and market expectations.
Advanced analytics and insight generation:
Analysis of enrollee, utilization, provider, quality, and market data to uncover trends,
evaluate performance, identify opportunities, and inform strategic decision-making.
Policy engagement and influence:
Support for stakeholder engagement, policy positioning, and analytic evidence to inform
regulators, states, and other decision-makers.
Preparing for a Medicaid procurement? Talk to ATI before the RFP drops.
Bill Hanna leads ATI Advisory's Payer Strategy and Program Design practice, advising state Medicaid agencies, health plans, and other leaders on the design, implementation, and optimization of Medicaid and managed care programs. A former Wisconsin Medicaid Director with more than 15 years of experience across state government and managed care, Hanna partners with clients on waiver demonstrations, high-stakes program transitions, network strategy, and procurement readiness.
Allison Rizer is a nationally recognized expert in dual-eligible policy and brings over 20 years of experience in managed care and government programs. Prior to ATI, she worked at a large payer organization leading national policy efforts specific to individuals eligible for Medicare and Medicaid.
Learn MoreCarrie Coleman is a Director in ATI's Managed Care Strategy & Operations Practice. Coleman leverages more than three decades of experience across managed care strategy, solution positioning, and RFI/RFP proposal development.
Learn MoreBrian Fuller is a Managing Director in ATI’s Provider Strategy and Care Transformation Practice. He is a nationally recognized expert on value-based care and an expert on care integration and partnership development across the healthcare continuum. He has deep expertise in private equity-backed value-based care investments, including portfolio C-suite roles within provider organizations with risk, fully at-risk disruptors, and start-ups. Prior to ATI, he was CEO of a technology-enabled care coordination company that partners with physician group practices, hospital systems, ACOs, and payers to manage episodes of care under a variety of payment arrangements.
Learn MoreKatya Seligman, MPH, PMP is a Director with deep experience in project operations and the delivery and oversight of technical assistance initiatives focused on improving health care delivery. As Director of Project Management, Seligman is a trusted partner to project teams and clients, and is responsible for developing and implementing project management best practices and tools across the organization.
Learn More
ATI supports organizations across the full managed care lifecycle — from first market entry through reprocurement and expansion into new populations. We pair cross-industry expertise with proprietary data assets and deep policy knowledge to help health plans compete, win, and perform. From plan sponsors to provider-led and community-based partners, we help organizations succeed in evolving managed care markets.
Preparing an RFP for managed care? Speak with us first.