At the intersection of health care policy, politics and communications.

Our Firm

Harbage Consulting is a national health policy consulting firm with expertise in public programs and delivery system innovation. With a focus on increasing quality and value in health care delivery, we help our clients understand, navigate, and succeed in implementing a wide range of health policies and programs. Through a highly collaborative approach, we leverage broad experience working with diverse stakeholders to drive solutions for our clients. Our core expertise is in public and safety-net programs and system integration, including Medicaid, Medicare and the Children’s Health Insurance Program, behavioral health and long-term services and supports.

Who we are

Established in 2005, Harbage Consulting is a mission-driven national health policy and communications consulting firm with deep policy, operational and outreach expertise in public programs. We help our clients navigate, develop and implement a wide range of health policies related to Medicaid, the Children’s Health Insurance Program (CHIP), Medicare, and the Health Insurance Marketplace. Our clients span state Medicaid agencies, county health services departments, state and national health care foundations, consumer advocacy organizations, hospitals, health systems, trade associations, and labor unions. Our mission is to promote access to affordable, high quality health coverage and care and we pursue clients that enable our firm to stay true to that mission.

The Harbage Consulting team possesses over twenty years of public and private sector experience at the federal, state, and community levels. Our consultants have held federal leadership positions implementing the Affordable Care Act; federal public affairs and communications positions; state and county leadership roles developing policies and operationalizing programs; senior trade association positions; clinical psychology roles; and other positions supporting a range of public and private clients.

What we do

Our consultants are published subject matter experts on a wide array of health care topics and leverage a diversity of backgrounds to help clients develop creative, achievable solutions. With a collaborative and innovative approach to health system improvement, some of the services we provide include:

Our Core Policy Areas

We have broad expertise across a wide range of health care policy issues. Core policy work areas include but are not limited to the following:

  • Medicaid/CHIP/Marketplace eligibility and enrollment
  • Behavioral health integration
  • Medicaid section 1115 waivers
  • Care coordination for Medicare/Medicaid dual eligibles
  • Maternal and child health
  • Delivery System Reform Incentive Payment (DSRIP) programs
  • Long-Term services and supports
  • Workforce
  • Outreach and stakeholder engagement

Harbage Consulting specializes in assisting clients by providing strategic advice, analyzing and interpreting complex federal regulations and policies and applying them to states and localities to help them improve their public health care programs. We excel at translating policy information into digestible, tailored materials for a wide range of audiences.

Where we work

Based in Sacramento, California, Harbage Consulting is rooted in the firm’s extensive experience in California, including working closely with the nation’s largest Medicaid program and the second largest municipal health system, Los Angeles County.

In 2014, we expanded our team and hired staff members based in New York and Washington, DC. We work nationally on Medicaid policy and programmatic issues in several states and with local governments, foundations and community organizations. Our consultants have worked on national health reform implementation, assisted several states with Medicaid waiver development, implemented a coordinated care initiative, and facilitated behavioral health integration at the county and local level.

Our Services

We work with health care leaders on solutions that promote health coverage, access to high quality care, and improved quality of life. We work with clients to conduct research and analysis and develop strategic positions to advance value-based health care initiatives. We support clients in writing policy for new programs and translating that policy into operations. We specialize in translating stakeholder input into policy change and communicating those changes clearly and succinctly.

Our Expertise

The Harbage Consulting team possesses over twenty years of public and private sector experience at the federal, state, and community levels. Our consultants have held federal leadership positions implementing the Affordable Care Act; federal public affairs and communications positions; state and county leadership roles developing policies and operationalizing programs; senior trade association positions; clinical psychology roles; and other positions supporting a range of public and private clients.