Serious Strategy for Rural Health Leaders
Executive-level insights on Medicaid finance, legislative movement, and the policy decisions driving access and sustainability across Texas.
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The Briefing
Weekly analysis of Texas Medicaid policy, funding changes, and regulatory shifts delivered straight to your inbox.
Executive Access
Deeper breakdowns, funding models, and policy analysis designed for strategy and internal planning.
Closed Door Sessions
Private Q&A sessions with candid insight on what’s coming next and what it means for your organization.
NICE TO MEET YOU
I'm Brittani Bilse
With more than two decades in Texas health policy, I’ve worked at the highest levels of state government and alongside industry leaders navigating Medicaid, hospital finance, and regulatory strategy.
As the former 1115 Strategic Director at the Texas Health and Human Services Commission, I helped secure over $400 billion in Medicaid funding through 2030. In private practice, I advise providers, health plans, and policymakers on funding models, compliance, and long-term sustainability for rural health systems.
"Brittani doesn’t just understand the policy. She understands the politics, the budget, and how decisions actually get made."
- Legislative Staffer
"When we needed clarity on funding strategy, Brittani gave us a roadmap we could execute immediately."
-Â Health System Executive
"She brings context that most consultants simply don’t have. That perspective changed how we approached our advocacy."
-Â Association Leader
THEÂ INTELLIGENCE BRIEF
Serious policy intelligence for serious leaders.
Latest analysis on Texas budget strategy, Medicaid funding, and health care legislation.Â
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