Ideas. Strategies. Solutions. Action. With a unique combination of Medicaid, public policy, financial and clinical experience, our health care consultants help stakeholders meet the challenges of a complex, rapidly changing state and federal health care environment. We offer clients innovative strategies and the kind of counsel that leads to well-informed decisions – and action that gets results.
VHCA health care consultants have expertise in Medicaid policy, health care service delivery and payment systems, services for children, behavioral health care, developmental disabilities, aging and community-based services. Our consultants’ unique combination of experience and creativity allows us to deliver smart, effective solutions in a number of areas, including:
- System change and organizational behavior in a dynamic health care policy environment
- Federal health care reform, particularly as it relates to the Affordable Care Act of 2010
- Medicaid consulting, including policy and reimbursement
- Managed care and other care coordination strategies, including integration models involving mental health and substance use disorder services
- The design and operation of health homes and model accountable care organizations
- Management and policy guidance for physicians, hospitals, home health agencies, hospice and palliative care providers, health centers, intermediate care facilities for the mentally retarded (ICFs-MR) and nursing facilities, including IMD (institutions for mental disease) policy
- EPSDT (early and periodic screening, diagnosis, and treatment) requirements and issues associated with services offered and benefit package design, including care for children with special needs
- Service delivery and payment system reform
- Quality improvement innovations, including those tested by the Centers for Medicare and Medicaid Innovation
- Strategic planning with providers to position them for changes inherent in the evolving federal and state health care environment
- Government relations, both state and federal
Alicia is the president of Vorys Health Care Advisors LLC (VHCA). VHCA helps health care providers, business decision makers, professional associations and other stakeholders deal with the challenges of a complex, rapidly changing state and federal health care environment.
Alicia has over 25 years of experience in health care policy. More specifically, she has extensive experience with Medicaid and other public assistance programs, and has worked extensively with mental health and substance use disorder (SUD) systems and providers. Alicia has assisted state and local government programs design and implemented numerous service delivery and payment reform efforts, including the development and approval of Medicaid health homes and similar care management programs. In addition, Alicia has consulted to several clients, including the District of Columbia, Michigan, Missouri, Ohio, Rhode Island, South Carolina and Virginia on a wide range of issues, including program design and implementation, Medicaid 1115 waiver and state plan development, program analysis, and stakeholder engagement. She has also led several projects with Medicaid managed care organizations (MCOs), community behavioral health providers, hospital and health systems, and state and national trade associations, as well as supported MCOs to respond to state-issued requests for proposals.
Immediately prior to joining VHCA, Alicia worked as a principal for another national health care consulting firm. She also served as managing principal for eleven years at a national health care policy consulting and research firm. She began her career in 1995 working at the Ohio Department of Job and Family Services (now the Ohio Department of Medicaid) as a policy and program developer.
Alicia has presented and has been published on a number of health care policy related topics including: the geropsychiatric system of care in Virginia; billing effectively and accurately for integrated behavioral health services; Medicaid health home best practices and financing and policy considerations; and making the Ohio Medicaid business case for integrated physical and behavioral health care.
Alicia has a M.H.A. from The Ohio State University. She holds a B.A. from Central State University.
Reneé is a senior advisor with VHCA. She has more than 30 years of leadership experience across the public and private health care sectors across Ohio and the nation. Her work has focused on health information technology and exchange, public policy and advocacy, quality and performance management. Reneé has direct care, administrative and operational experience with diverse populations including behavioral health care, children and seniors, and intellectual and developmental disability.
Prior to joining Vorys Health Care Advisors, Reneé was the vice president of health and human services at CNSI. In her role, she provided executive business leadership in the innovative use of HIT solutions and strategic guidance for CNSI’s HIT offerings. Also Reneé advised the EHR meaningful use program, Health Information Exchanges (HIE) and Health Insurance Exchanges (HIX) to improve access to and quality of health care.
Reneé also served as a principal for Health Management Associates and as the executive director of health information technology for FourThought Group. She consulted with states on the alignment of the Medicaid Information Technology Architecture and the rapidly expanding nationwide HIT and HIE environment. She served as the chair of the HIE workgroup of the Private Sector Technical Architecture Group, and was appointed by Ohio Governor Strickland to the Ohio Health Information Partnership Advisory Board. Reneé also served as the chief administrative officer for Ohio Health Plans (Ohio’s Medicaid Program), where she led the state’s technology transformation project as an early adopter of MITA to replace the 30 year old legacy Medicaid Management Information System.
Reneé received her M.P.A. and B.S. from The Ohio State University.
David is a research and policy advisor with Vorys Health Care Advisors. He has experience in health policy research and analysis, pharmaceuticals and advocacy. He has assisted VHCA with advising clients on a variety of health policy matters including issues related to health care delivery models; federal and state Medicaid laws; managed care; and service to populations with complex medical needs.
Prior to joining VHCA, David worked as a consultant for Drug Store News, Haymarket Media, and the National Association of Chain Drug Stores (NACDS). He has expertise in emerging health-related topics, including: specialty pharmacy, healthcare delivery innovation, telehealth, generics, managed care, corporate wellness, and health information technology.
David serves on the local planning committee of the Greater Ohio chapter of the American College of Healthcare Executives (ACHE). He is also an alumni board member for the MSAH program at Otterbein University.
David received his M.S. in allied health in health care administration from Otterbein University. He received his B.A. from the University of Georgia.
Evelyn Lundberg Stratton
Evelyn Lundberg Stratton is of counsel in the Vorys Columbus office and assists VHCA. Before joining Vorys, she served for 16 years as a justice on the Supreme Court of Ohio.
Eve has decades of experience working on mental and behavioral health matters related to the adult and youth criminal justice systems. While serving on the Ohio Supreme Court, she formed and chaired the Supreme Court of Ohio Advisory Committee on Mental Illness & the Courts, which since its formation in 2001 has helped establish 38 mental health courts, of which 11 are juvenile mental health courts, recommended changes to Medicaid and advocated for a new Juvenile Competency Statute. The advisory committee’s work was recently taken on by the Attorney General’s Task Force on Criminal Justice and Mental Illness, which Eve co-chairs with Ohio Attorney General Mike DeWine. She is also actively engaged in a multi-phase, multi-state effort with the MacArthur Foundation to develop reforms in juvenile justice.
Eve’s work is also well known outside of Ohio. She co-created and co-chaired a national committee of mental health court judges called the Judges Leadership Initiative on Criminal Justice and Mental Health (JLI). JLI is the first organization of its kind that brings together organizations involved in criminal justice and mental health reforms. It not only improved collaboration and information sharing but also provided judges with access to critical information about successful criminal justice/mental health reform efforts occurring across the nation.
Eve’s efforts have resulted in many honors, such as the National Alliance for the Mentally Ill Distinguished Service Award and the U.S. Department of Health & Human Services’ Adoption Excellence Award. In 2008, she received the Ellis Island Medal of Honor. Ranking among the nation’s most prestigious awards, this honor pays tribute to American citizens of diverse origins for their outstanding contributions to their communities, their nation and the world.
Eve received her J.D. from The Ohio State University Michael E. Moritz College of Law. She earned her B.A. and an Honorary Doctor of Laws from the University of Akron. Eve also has an Honorary Doctor of Laws from Capital University Law School and an Honorary Doctorate of Community Leadership from Franklin University.