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

Pharmacy Update

2025 Drug Trend & Pipeline

Our annual review of projected pharmacy trend highlights for 2025 and beyond.

https://www.mercer-government.mercer.com/content/mercer-sites/mercer-government/global/en/our-insights/2025-Drug-Trend-and-Pipeline.htmlRead the review

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 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.htmlRead the review

CMS Final Rule

Access & quality

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

/content/mercer-sites/mercer-government/global/en/our-insights/Managed-Care-Final-Rule-Access-and-Quality.htmlRead the review

CMS Final Rule

Financial requirements

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

/content/mercer-sites/mercer-government/global/en/our-insights/Managed-Care-Final-Rule-Financial.htmlRead the review

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

A balancing act

Pharmacy Consulting

https://www.mercer-government.mercer.com/content/dam/mercer-subdomains/us-government/attachments/New/Pharmacy%20Management%20Consulting_FS.pdfRead the review

Tackling the high-cost challenge

Specialty Drug Management

/content/dam/mercer-subdomains/us-government/attachments/New/Specialty-Drug-Management_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/content/dam/mercer-subdomains/us-government/attachments/New/Beyond%20988_Challenges%20and%20Strategies_FS.pdf Beyond 988

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/New/Transforming%20Approach%20to%20SUD%20Care_FS.pdf Substance Use Disorder Care

/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

To download Mercer's presentations from the 2024 SOA Health Meeting, please complete the form below and click “Submit”. Your requested files will be sent to the provided email address.

Any information you provide will be used for internal purposes only.

Medicaid News & More our insights

In the Spotlight

FLASH News

Pharmacy Update

2025 Drug Trend & Pipeline

CGT Access Model

Notice of Funding for SCD

CMS Final Rule

Medicaid Drug Rebate Program

CMS Final Rule

FFS access & HCBS

CMS Final Rule

Access & quality

CMS Final Rule

Financial requirements

Historical Articles

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

Fact Sheets

A balancing act

Pharmacy Consulting

Tackling the high-cost challenge

Specialty Drug Management

Oversight and best practices

Managed care compliance

Breathe A Medicaid Story

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

Solutions

Insights

Other valuable links