Our Insights

Policy Update - Mar 2023

CAA and Behavioral Health

The CAA includes multiple policies impacting Medicaid and the healthcare system more broadly

/content/mercer-sites/mercer-government/global/en/our-insights/CAAandBehavioralHealth.htmlView the report

MercerRx Government

Obesity Management Medications

Review of weight management medications and their impact on state Medicaid programs

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/flash/Mercer_Government_Flash_Obesity.pdfDownload the report

MercerRx Government

First Humira biosimilar

Our review of Amjevita, the first Humira biosimilar, the 2023 biosimilar pipeline, and the impact to Medicaid

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/flash/Mercer_Government_Flash_Amjevita_and_Biosimilar_Pipeline.pdfDownload the report

Presentation

New Drug Update - March 2023

Bethany Holderread, Pharm.D. discusses therapies approved by the FDA within the last year

/content/dam/mercer-subdomains/us-government/attachments/New/New_Drug_Update_Feb_2023.pdfDownload the presentation

Policy Update

Consolidated Appropriations Act

Learn how the Consolidated Appropriations Act, 2023 affects Medicaid and CHIP

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/flash/Mercer_Government_Flash_CAA_Medicaid_and_CHIP.pdf?mkt_tok=NTIxLURFVi01MTMAAAGJ_znWZmD_r1431b4KVaGs8hlEBHp-iR6xVtjzCdIoO6e6fdX9zaChEETOfVh4uOZ2KVBxpk4cAJqS8U6KbwfoDownload the report

Policy Update

CMS approves pre-release services

CMS approves amendment to California’s 1115 waiver to allow for pre-release services to incarcerated individuals

/content/dam/mercer-subdomains/us-government/attachments/flash/Mercer_Government_Flash_CMS_Approval_Pre-Release_Services_for_Incarcerated.pdfDownload the report

MercerRx Government

Digital Therapeutics and Medicaid

Digital Therapeutics present challenges and opportunities for Medicaid programs

/content/mercer-sites/mercer-government/global/en/our-insights.html?#contactFormDownload the report

Policy Update

New guidance for ILOS

CMS announces a new policy framework for managed care in-lieu-of-services

/content/dam/mercer-subdomains/us-government/attachments/flash/pdf-2023-mercer-government-flash-ilos.pdfDownload the report

MercerRx Pharmacy

2023 Drug Trend and Pipeline

Learn what's in store for 2023 and beyond

/content/dam/mercer-subdomains/us-government/attachments/flash/Flash_Drug%20Trend%20and%20Pipeline.pdfDownload the report

Download additional content on other critical Medicaid topics

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

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/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/Overcoming%20the%20VBP%20Challenge_FS.pdf Overcoming VBP Challenges

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 CMS Reporting for MLR and the MCPAR

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/Advancing%20HCBS%20Programs_FS.pdf Advancing HCBS

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/mercerrx-government.html Pharmacy Solutions

/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 Medicaid Pharmacy Cost Savings

Working Together

Building Brighter Futures

Working together to build a brighter future for state Medicaid agencies. We are unique in our mission to support our state partners in helping the most vulnerable populations.

/content/dam/mercer-subdomains/us-government/videos/6012477-hb_mercer_government_22 sec video_clip_-_breathe_hd (1080p).mp4 View the video

A Medicaid Story

Why We Do This

Medicaid serves almost 86 million Americans. Hear one woman's brave journey after a devastating disability and how Medicaid impacted that journey. A reminder of why we work to support states.

https://www.youtube.com/watch?v=rZb65cnAnYo&list=PLx-3LFT3M4FxM0ueie8tO4CXKV9fZw3Ya&index=1 View the video

Gene and Cell Therapy

The Rise of Million Dollar Drugs

Novel categories of ultra-high cost drugs called gene and cell therapy are entering the market. Some of the recent entrants have a price tag of $2-3 million per treatment.

https://www.youtube.com/watch?v=1XwR1s3f5Co View the video

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Medicaid News & More our insights

Policy Update - Mar 2023

CAA and Behavioral Health

MercerRx Government

Obesity Management Medications

MercerRx Government

First Humira biosimilar

Presentation

New Drug Update - March 2023

Policy Update

Consolidated Appropriations Act

Policy Update

CMS approves pre-release services

MercerRx Government

Digital Therapeutics and Medicaid

Policy Update

New guidance for ILOS

MercerRx Pharmacy

2023 Drug Trend and Pipeline

Download additional content on other critical Medicaid topics

Building Brighter Futures

Why We Do This

The Rise of Million Dollar Drugs

We are just getting started Follow us on Twitter @MercerGHSC

Download reports and presentations

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Blogs

Videos

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