Our Insights

In the Spotlight

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Kennedy-Forum-A4P-LN.pdf Learn more about our partnership

Member Spotlight - American Society of Actuaries' Contingencies Magazine

https://www.mercer-government.mercer.com/content/mercer-sites/mercer-government/global/en/resource-hub.html Check out our conference resources

FLASH News

CGT Access Model

Notice of Funding for SCD

A review of the details surrounding a NOFO related to the CGT Access Model for SCD gene therapies.

https://www.mercer-government.mercer.com/content/mercer-sites/mercer-government/global/en/our-insights/CGT-Access-Model_Prioritizing-SCD.htmlRead the review

CMS Final Rule

Medicaid Drug Rebate Program

A review of CMS' Final Rule that promotes the efficient operation of the Medicaid Drug Rebate Program.

https://www.mercer-government.mercer.com/content/mercer-sites/mercer-government/global/en/our-insights/Medicaid-Final-Rule_Drug-Rebate-Program.htmlRead the review

CMS Medicaid Managed Care Final Rule

FFS access & HCBS

A review of CMS' Final Rule aimed at enhancing access to and transparency of Medicaid services, including HCBS.

https://www.mercer-government.mercer.com/our-insights/Managed-Care-Final-Rule-FFS-Access-and-HCBS.htmlDownload

CMS Medicaid Managed Care Final Rule

Access & quality

Reviews the CMS Managed Care Final Rule focused on quality and access-related topics.

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CMS Medicaid Managed Care Final Rule

Financial requirements

Reviews the CMS Managed Care Final Rule focused on financial topics.

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Historical Articles

Pharmacy Update

2024 Drug Trend & Pipeline

A review of the projected pharmacy trend highlights for 2024 and beyond.

https://www.mercer-government.mercer.com/our-insights/2024_DrugTrendAndPipeline.htmlRead the review

Pharmacy Update

Cell & Gene Therapy Access Model

A review of the CGT Access Model and its role in prioritizing gene therapies for the treatment of sickle cell disease.

https://www.mercer-government.mercer.com/our-insights/CGTAccessModel.htmlRead the review

Pharmacy Update

New Therapies for Sickle Cell Disease

A review of two new gene therapies used to treat Sickle Cell Disease.

https://www.mercer-government.mercer.com/our-insights/SCDTherapies.htmlRead the report

FLASH Update

States Advancing AHEAD

Reviews CMS's new voluntary, state-based total cost of care model (AHEAD Model).

https://www.mercer-government.mercer.com/our-insights/StatesAdvancingAHEAD.htmlRead the report

Pharmacy Update

New Drug Update - February 2024

A review of notable therapies approved by the FDA within the last year.

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/Presentations/ADURS_NewDrugUpdate-February2024.pdfRead the review

Policy Update

The CCBHC Demonstration

An overview of CCBHCs, considerations for states, and how Mercer can help support state needs.

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/CCBHC-Demonstration_FS.pdfRead the report

Fact Sheets

Substance use disorder care

Transforming the approach

/content/dam/mercer-subdomains/us-government/attachments/New/Transforming%20Approach%20to%20SUD%20Care_FS.pdfRead the review

Challenges and strategies

Beyond 988

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Beyond%20988_Challenges%20and%20Strategies_FS.pdfRead the review

Oversight and best practices

Managed care compliance

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Oversight-of-ManagedCare_FS.pdfRead the review

https://www.mercer-government.mercer.com/our-insights.html#contactForm Evolution of PHE - Presentation

/content/dam/mercer-subdomains/us-government/attachments/Presentations/SOA_2023_Addressing_Inequities.pdf SDOH, HRSN and Health Inequities

https://www.mercer-government.mercer.com/our-insights/InterprofessionalConsultation.html Interprofessional Consultations

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/LTSS_Program%20Strategy%20and%20Design_FS.pdf LTSS Model & Design

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Oversight%20of%20ManagedCare_FS.pdf Managed Care Compliance

/content/mercer-sites/mercer-government/global/en/our-insights.html?#contactForm Expansion of CCBHC Demonstration

/content/mercer-sites/mercer-government/global/en/our-insights.html?#contactForm CMS Reporting for MLR and the MCPAR

/content/mercer-sites/mercer-government/global/en/our-insights.html?#contactForm Digital Therapeutics

/content/dam/mercer-subdomains/us-government/attachments/flash/pdf-2023-mercer-government-flash-ilos.pdf New Guidance for ILOS

https://www.mercer-government.mercer.com/our-insights.html#contactForm Undocumented Immigrants and Medicaid

/content/dam/mercer-subdomains/us-government/attachments/Presentations/JusticeInitiative_2023_HSFO_Presentation.pdf Justice-Involved Individuals - Presentation

https://www.mercer-government.mercer.com/our-insights/CMSGuidance_ManagedCareCapRates.html CMS Guidance for Medicaid Managed Care

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Advancing%20HCBS%20Programs_FS.pdf Advancing HCBS

/content/mercer-sites/mercer-government/global/en/our-insights.html?#contactForm Defining the Value in VBP

/content/mercer-sites/mercer-government/global/en/our-insights.html?#contactForm Inflation Reduction Act is Law

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Triennial%20Audits_Case%20Study_FS.pdf Triennial Audits Case Study

/content/dam/mercer-subdomains/us-government/attachments/flash/Mercer_Government_Flash_CMS_Approval_Pre-Release_Services_for_Incarcerated.pdf CMS Approves Pre-release Services

https://www.mercer-government.mercer.com/our-insights.html#contactForm Managing Large Actuarial Projects

/content/dam/mercer-subdomains/us-government/attachments/Presentations/Stratify_2023_HCBS_Presentation_Live.pdf Co-Occurring Disorder Rates - Presentation

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/Presentations/Stratify_2023_HCBS_Presentation_Live.pdf Sampling Stratification Strategy

/content/mercer-sites/mercer-government/global/en/our-insights/UnwindingPHE.html Unwinding the PHE

https://www.mercer-government.mercer.com/our-insights.html#contactForm Multi-payer VBP - Presentation

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/print-fact-sheets/FactSheetsUpdated100821/Leveraging%20Medicaid%20-%20Strategies%20for%20Efficient%20Use%20of%20Funds%202019%20PRINT.pdf Leveraging Medicaid

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Overcoming%20the%20VBP%20Challenge_FS.pdf Overcoming VBP Challenges

Gain access to Mercer's presentations from the 2024 SOA Health Meeting

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Medicaid News & More our insights

CGT Access Model

Notice of Funding for SCD

CMS Final Rule

Medicaid Drug Rebate Program

CMS Medicaid Managed Care Final Rule

FFS access & HCBS

CMS Medicaid Managed Care Final Rule

Access & quality

CMS Medicaid Managed Care Final Rule

Financial requirements

Pharmacy Update

2024 Drug Trend & Pipeline

Pharmacy Update

Cell & Gene Therapy Access Model

Pharmacy Update

New Therapies for Sickle Cell Disease

FLASH Update

States Advancing AHEAD

Pharmacy Update

New Drug Update - February 2024

Policy Update

The CCBHC Demonstration

Substance use disorder care

Transforming the approach

Challenges and strategies

Beyond 988

Oversight and best practices

Managed care compliance

Breathe A Medicaid Story

Gain access to Mercer's presentations from the 2024 SOA Health Meeting

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Insights

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