Policy Analysis

Harbage Consulting has deep expertise in policy analysis and program implementation at the federal, state and local levels. We specialize in translating complex regulations and legislation into comprehensible language tailored to our clients’ needs. We work closely with our clients to ensure that they have the support and information they need for effective decision making.

In our work with states, we conduct research and analysis on particular policy issues and provide recommendations and options for consideration. This work often involves providing policy analysis and strategic advice on the development of Medicaid section 1115 waivers. Harbage Consulting also frequently develops policy papers for publication. See Our Publications for more information.

Medi-Cal 2020 Section 1115 Waiver


In 2015, we assisted the California Department of Health Care Services in designing and negotiating their Medicaid section 1115 waiver renewal, known as Medi-Cal 2020. In this role, Harbage Consulting:


  • Conducted policy analysis on behalf of the state and provided instructive examples from our work on New York’s Delivery System Reform Incentive Payment (DSRIP) waiver.
  • Supported the state throughout the waiver development process and during its complex negotiations with the federal Centers for Medicare & Medicaid Services.

Maternal and Child Health in Baltimore


At the local level, Harbage Consulting is supporting the Baltimore City Health Department on two initiatives designed to promote maternal and child health and reduce infant mortality rates in Baltimore. In this capacity, Harbage Consulting:


  • Conducted in-depth policy analysis on Medicaid billing options for services provided under the B’More for Healthy Babies initiative and the Baltimore Infants and Toddlers Program.
  • Provided recommendations to the health department and to the State of Maryland on opportunities to improve program effectiveness.

Louisiana Medicaid Expansion


As the State of Louisiana prepared to implement the Affordable Care Act’s Medicaid expansion in July 2016, Harbage Consulting conducted an analysis of the state’s eligibility system and program rules and provided a set of recommendations for ensuring that individuals who now have Medicaid coverage in Louisiana can stay enrolled for as long as they are eligible. We provided the Louisiana Association of Health Plans with a memo that provided options and recommendations that the Medicaid health plans and the state Department of Health and Hospitals could adopt in order to achieve an effective eligibility renewal process for Medicaid.

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