Modernizing Federal Healthcare Operations
Leslie M. Newson, LLC
Compliance architecture, payment integrity, and modernization oversight for federal healthcare programs.
LEGAL OVERSIGHT
MHL‑driven compliance for high‑stakes healthcare law.
ECONOMIC COST ANALYSIS
Identifying the Well‑being Dividend through financial modeling.
FEDERAL WORKSTREAMS
Deep‑domain expertise across the 9+ core agency portfolios.
AI GOVERNANCE
Human‑in‑the‑loop oversight for automated FWA detection.
Core Operational Capabilities
Healthcare Economic Analysis
Evaluating total cost of care and the well‑being dividend across Commercial, Medicaid Managed Care, TRICARE, and IHS.
Pricing Analysis & Fair Market Value Strategy
Developing defensible reimbursement structures and FMV benchmarks for HHS, CMS, DHA, VA, and IHS.
Risk Mitigation & Audit‑Proof Payment Integrity
Designing oversight frameworks that reduce Medicare and Medicaid audit exposure, improper‑payment findings, and CAP risk.
Healthcare Financial Modeling
Building predictive models for claims exposure, budget impact analysis, MLR forecasting, and payer‑specific risk scoring.
IHS & TRICARE Ecosystem Expertise
Providing specialized expertise in tribal and military health systems to support modernization and reimbursement accuracy.
Revenue Optimization & Leakage Prevention
Identifying reimbursement leakage and capturing recoveries, including securing 100% FMAP for IHS/Medicaid patients.
Payer Operations Oversight
End‑to‑end management of payer lifecycles, reimbursement architecture, and administrative efficiency.
Dispute & Grievance Resolution
Expert mediation of provider disputes and escalations to reduce litigation risk and stabilize networks.
Medicaid, HHSC & CHIP Program Administration
Providing comprehensive oversight of state‑level program operations, including Medicaid, HHSC, and CHIP. Expertise includes eligibility alignment, reimbursement accuracy, managed‑care contract compliance, encounter integrity, and state–federal reporting requirements.
Payment Integrity & FWA Detection
Design and oversight of FWA programs, including AI‑powered detection with human‑in‑the‑loop governance.
Claims & Reimbursement Strategy
Advanced adjudication oversight ensuring compliance with ERISA, ACA, and state prompt‑pay statutes.
Commercial Payer Oversight & Reimbursement Integrity
Delivering end‑to‑end oversight of commercial payer operations, including claims management, reimbursement auditing, benefit‑design compliance, network integrity, and operational risk mitigation.
Leslie M. Newson, LLC
Leslie M. Newson, LLC (LMN, LLC) is a registered small business federal contractor specializing in compliance architecture and operational oversight for healthcare programs. Our work is aligned with the rigor and expectations of major federal primes such as Deloitte and KPMG, and the mission requirements of federal health agencies including DHA, VA, HHS, and CMS.
Lady Leslie M. Newson, MLS – Healthcare Law (University of Oklahoma), brings deep operational, regulatory, and reimbursement expertise shaped by prior roles within Commercial and Medicaid Managed Care payers, including Aetna, UnitedHealthcare, and Molina. Her background includes Texas HHSC programs such as SHARS and RAD, along with extensive experience in medical billing, coding, claims management, provider inquiries, disputes, grievances, and state‑level complaint resolution. She specializes in healthcare policy research, quality‑assurance metrics, and operational correction, executing swift, compliant adjustments to provider reimbursement, contracting, and network‑management issues across complex payer environments.
GovCon Fast-Track
Federal Identity and Readiness
Leslie M. Newson, LLC (LMN, LLC) is a Dallas-based federal consulting firm specializing in healthcare compliance architecture, payment integrity, and modernization oversight. LMN, LLC supports federal, state, and payer organizations with delegation oversight, program integrity, and reimbursement strategy, aligning operations with CMS, NIST, HIPAA, and payer requirements.
By integrating regulatory alignment, reimbursement logic, and governance into every engagement, LMN, LLC helps agencies and prime contractors remain audit-ready, reduce improper payments, and modernize complex healthcare insurance operations with confidence.
NAICS
541611, 541199, 541618, 524298, 524291
PSC Codes
Q201 (Primary), R499, R699, R799, D399
Capability Statement
Download LMN’s federal‑ready capability statement for rapid teaming and subcontracting.
UEI
KEKRQBD2DFE7
CAGE
214X8
Request a Federal Compliance Consultation
Discuss your architecture and modernization roadmap with our federal experts.
Multi-Payer Operations & Resilience.
Modernizing the backbone of federal healthcare systems through integrated compliance architecture and seamless multi-payer operational strategies.