State Medicaid agencies are facing a period of consequential decisions. Federal funding reductions, state budget pressure, and changing federal requirements are forcing states to make difficult choices about eligibility, benefits, managed care, and long-term services and supports. The decisions states make over the next 12-to-24 months will shape Medicaid programs for years to come.
ATI partners with state legislative bodies, state agencies, and local government to help leaders make informed, defensible decisions. We bring deep Medicaid policy and financing expertise, practical experience with managed care and program implementation, and data capabilities that help states understand the real costs, tradeoffs, and operational implications of their options.
We help government agencies move from policy choices to practical program design, grounded in financial analysis, stakeholder input, operational realities, and implementation support.
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.
Nils Franco leads data and financial modeling projects for ATI's state, philanthropic, and private clients, covering Medicaid/Medicare cost projections, care coordination models, alternative payment model design, cost-of-illness estimates, and total-addressable-market analyses for new programs. Prior to joining ATI, Franco served as a research analyst at the Altarum Institute’s Center for Value in Health Care and Center for Eldercare Improvement and provided consulting and data management for the Center for Medicare and Medicaid Innovation and the Medicare Ombudsman Group.
Learn MoreMorgan Craven is a Senior Director in ATI's Payer Strategy and Program Design Practice. She has deep expertise in Medicaid innovation and delivery system reform, federal and state legislative and regulatory analysis, managed care innovation, and incentive payment programs. Prior to ATI, she provided strategic guidance and technical assistance to state Medicaid agencies.
Learn MoreMichelle Herman Soper, Managing Director in ATI's Payer Strategy and Program Design Practice, brings extensive experience working for and with state, federal, private, and nonprofit organizations to improve health care for low-income, high-need individuals. Prior to ATI, Soper served as Vice President of Policy Development at Commonwealth Care Alliance (CCA), where she focused on designing and implementing a public policy and government affairs agenda that supported CCA’s mission to support high-quality, coordinated care for individuals with significant needs.
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