Mercer Government

Who we serve

Partnering with states

We share our experience and feedback from clients since 1985.

https://www.mercer-government.mercer.com/who-we-serve.html

Medicaid news and more

Our thought leadership

Insights and guidance on Medicaid news impacting the services and budgets you manage.

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

Looking for top talent

Search our careers

Explore the opportunities - click the arrow, search for "government".

https://www.mercer.com/careers/mercer-careers/

CMS Medicaid Managed Care 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.html

FFS Access and HCBS

A review of CMS' latest Final Rule aimed at enhancing access to and transparency of Medicaid services, including HCBS. This rule pairs with two other final rules published in April 2024 that focus on improving Medicaid eligibility.

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

Access and Quality Requirements

A thorough review of the complex CMS Medicaid Managed Care Final Rule - Access and Quality Requirements. This review focuses on regulatory changes impacting quality and access-related topics.

https://www.mercer-government.mercer.com/our-insights/Managed-Care-Final-Rule-Access-and-Quality.html

Financial Requirements

A review of CMS' Final Rule focused on the financial topics affected by the Rule, including ILOS, SDPs, MLRs and comparative rate analyses. References to MCOs include Prepaid Inpatient Health Plans and Prepaid Ambulatory Health Plans.

https://www.mercer-government.mercer.com/content/mercer-sites/mercer-government/global/en/our-insights/Managed-Care-Final-Rule-Financial.html

Featured Insights

CGT Access Model

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.html

The CCBHC Demonstrations

Learn more about CCBHCs and how we can support states at all stages of CCBHC implementation.

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

Drug Trend and Pipeline Report

The complex pharmacy marketplace continues to evolve as new products are introduced and treatment paradigms are updated.

https://www.mercer-government.mercer.com/our-insights/2024_DrugTrendAndPipeline.html

We know experience matters

Mercer Government Employees

States Served

Years of Government Experience

Medicaid Dollars Managed

Lives Touched

Actuaries of Record

The landscape of government-sponsored health care programs is changing. Our assistance to state Medicaid agencies and beyond is built on our actuarial expertise and the creativity to develop comprehensive solutions.

What we do

The Mercer team came together and produced a solid, comprehensible model design.

- Director, Division of Health Services

Subscribe to receive updates

Complete the form below to have the latest Medicaid news & updates delivered to your inbox. Any information you provide will be used for internal purposes only.

Mercer Government Managing Medicaid Challenges Together