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DC Department of Healthcare Finance

Academic, Operational & Administrative Performance Assessment (2013–2015)

Executive Summary

RBG stabilized and modernized DHCF’s records, data governance, and operational compliance environment, ensuring secure, auditable, and mission-critical information management across the agency.

The Challenge

The District of Columbia’s Department of Health Care Finance (DHCF) administers the Medicaid program and manages billions of dollars in federal and local healthcare funding. The agency faced:

  • Complex federal compliance and reporting requirements tied to Medicaid funding

  • Significant operational and financial management challenges

  • High risk exposure related to eligibility, claims processing, and provider payments

  • Data integrity, reporting, and audit-readiness gaps

  • Intense oversight from federal and District authorities

The District needed to strengthen governance, controls, and operational discipline across one of its most complex and scrutinized agencies.

Our Role

RBG was engaged to provide executive-level advisory, operational, and compliance support, including:

  • Supporting financial operations, reporting, and audit readiness for Medicaid programs

  • Strengthening governance, internal controls, and compliance frameworks

  • Supporting program integrity, data quality, and reporting improvements

  • Assisting with business process improvements across eligibility, claims, and provider payment functions

  • Providing strategic advisory support to agency leadership on operational and compliance matters

  • Supporting coordination between DHCF, CMS, and District oversight bodies

RBG’s work focused on ensuring that financial management, operations, and compliance functions operated as a unified, defensible system.

The Outcome

  • Strengthened Medicaid financial management, reporting, and compliance posture

  • Improved audit readiness and reduced operational and regulatory risk

  • Enhanced data quality, transparency, and management reporting

  • Improved governance and oversight across DHCF operations

  • Increased confidence among federal and District oversight bodies

  • Positioned the agency for more effective, sustainable administration of one of the District’s most critical programs

Capabilities Applied

  • Healthcare Finance & Program Administration

  • Compliance & Audit Readiness

  • Governance & Controls

  • Business Process Improvement

  • Data & Reporting Integrity

  • Public Sector Operations

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