United States

Health and Human Services

KPMG leverages a global network of highly-experienced professionals from across a wide range of functional service areas to deliver thought leadership on topics such as modernizing service delivery models, harnessing data and analytics, improving program outcomes, preventing fraud, and implementing public-private partnerships among other federal, state, and local government health and human services topics. Our professionals leverage their experience in integrated eligibility, Medicaid, child support enforcement, child welfare, technology innovation, WIC, and unemployment insurance to provide unique perspectives that address the challenges governments face now and in the future.

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Integrated Service Delivery

Digitizing Human Services: Field notes and forecasts from the front lines of government's technological transformation
Forbes Insights and KPMG research report containing interviews with senior executives and case studies on the public sector's digital transformation efforts.
Federal Regulatory Proposals Could Spur Next Generation of Child Welfare Information Systems
Summary of the Notice of Proposed Rule Making for Comprehensive Child Welfare Information Systems (CCWIS) and the implications for state and local child welfare agencies.
Integrated Services Delivery: Finding the "Right Doors" for Your Clients
Highlights the critical ways states can unlock the power of delivery channels to enhance client self-service, improve customer experiences, drive clients towards the “right door” that benefits them, and realign costs to worker-based activities that will improve client outcomes.
Data Sharing Standards Poised to Change Child Support Enforcement
Summary of the affect new legal requirements for data sharing are expected to have on state child support enforcement programs.
Extension to OMB Circular A-87 Cost Allocation Exception Deadline Provides States with More Opportunities to Enhance HHS Eligibility Systems
Key considerations for states to take advantage of the permanent enhanced funding provided for modernizing Medicaid eligibility and enrollment systems and the three-year extension granted by CMS.

Affordable Care Act (ACA)

Three building blocks for a financially viable health insurance marketplace
Three priority issues that marketplace leaders should consider as they balance the requirements for lean and efficient operations, against the demands of a highly variable and complex health insurance market.
Migrating From the Federally Facilitated to a State-Based Marketplace
How states can move from the Federally Facilitated Marketplace to a State-Based Marketplace to comply with the ACA and the opportunities for federal funds to modernize existing state-level health and human services legacy systems.
The Market Model for Sustainable ACA State Exchanges
Summary of federal regulations relating to ACA financial sustainability and potential state-based exchange financial sustainability operating models.

Program Integrity

High-Performing State Medicaid Integrity Programs: Putting it all Together in "the Final Mile"
Key challenges and leading practices used by states in addressing the risk of improper payments in Medicaid and provides perspectives on the leading practices in Medicaid integrity programs.
The Affordable Care Act – Financial Managers, Are You Part of the Program Integrity Playbook?
How financial managers at all levels of government have a huge opportunity to bring their knowledge, skills, and abilities to bear in helping program managers implement the Affordable Care Act’s program-integrity provisions.

Healthcare Transformation

Planning for an Incremental Approach to Modernization
Outlines a four-step planning process for agencies seeking to adopt a more incremental and agile approach to modernization and systems development.
Redefining the healthcare delivery system: The role of social services
Explores the innovative approaches that governments are taking to integrate social services into healthcare delivery systems.
The Secret to Achieving Meaningful Medicaid Transformation
Important steps that can help a state plan for and achieve meaningful and sustainable Medicaid transformation.
Creating lasting change: A state-level approach to healthcare delivery system reform efforts
Describes how New York State has embarked on one of the nation’s biggest and boldest efforts to move the needle on healthcare outcomes and create a financially sustainable healthcare safety-net system.
A Model for Healthcare Transformation: Delivery System Reform Incentive Payments Program
Highlights states' delivery system transformation and payment reform efforts to improve quality of care, improve population health, and reduce costs, creating the healthcare system of tomorrow.
Developing an Adaptable and Sustainable All Payer Database (APD)
States can use an APD to support healthcare cost savings and quality outcomes. This white paper describes next steps for states to consider in moving to an APD solution.
Value-based purchasing strategies for state employees
Four strategies that states can use to increase value by obtaining higher-quality care at more affordable prices for their covered populations.


Updating Medicaid managed care: A new CMS rule for quality, transparency, and integrity
A summary of CMS's landmark regulation governing Medicaid and CHIP managed care programs and its implications for state Medicaid programs.
Protecting beneficiaries' identities
An overview of the mandate requiring states to replace the Medicare Health Insurance Claim Number (HICN) and considerations for Medicaid agencies.
Federal CCWIS final rule spurs next generation of child welfare information systems
An overview of the final rule and potential opportunities and next steps for state and local child welfare agencies.
Sharing data for better healthcare
How new federal guidance promotes the expansion of health information exchange (HIE) and gives states a new funding tool to encourage connectivity with more Medicaid providers.
A new reporting rule for SNAP
How states must comply with the Department of Agriculture's Food and Nutrition Service's recently issued final rule related to reporting changes to SNAP.

Contact Us

Contact Paul Hencoski
Paul Hencoski

U.S. Lead Principal - Health and Human Services
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