Medicaid Redesign and Palladia’s Value Proposition

Client: Palladia
Faculty: Amy Goldman and Roger Kropf
Team: Daniel Bunger, Deirdre Byrne, Jamie Herskovits, Ebony Wiresinger, Hui Zhang
Year: 2013

The Capstone team worked with Palladia to identify their unique value proposition as they negotiate business agreements with the major behavioral healthcare insurance companies covering Medicaid Managed Care enrollees in Harlem and the South Bronx. Palladia is a large multi-service agency nationally recognized for innovative service delivery in the fields of substance abuse, homelessness, HIV/AIDS, mental illness, trauma, domestic violence, criminal justice and family services. In the changing healthcare environment, all Medicaid members will be covered with a Medicaid Managed Care plan provided by private healthcare insurance companies contracted through the state. The Capstone team was charged with analyzing current quantitative and qualitative data that Palladia collects about its services’ efficacy in order to provide Palladia, and ultimately their healthcare insurance colleagues, with a clear sense of Palladia’s superior, cost-effective services. The team interviewed payors, providers and consultants to ascertain the priorities in this area of service provision.