Our Insights

Our Insights

Our Insights

Sharing Knowledge, Growing Perspectives

Our Insights

Our webinars, roundtables, presentations, newsletters and articles are developed to help keep states informed. We often work with our state clients to create these insights. Reach out for inquiries on specific topics. We can help.

Just the Facts

Medicaid Managed Long-Term Care

Mercer can help bring an entirely new managed care program to reality or assist states in expanding or improving existing programs.

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Managed Long-Term Services and Supports

States should build synergies to support quality processes that integrate the HCBS quality framework into broader Medicaid managed care quality requirements.

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LTSS Program Strategy and Design

Many states are seeking new and innovative ways to deliver, pay for and manage long-term services and support programs – but there is no one-size fits all solution.

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Mercer Government Newsletter

 

Mercer has been partnering with states and other stakeholder organizations for over 34 years to support health care programs for the low-income and most vulnerable populations in this country. We continue to face an unprecedented environment of uncertainty and change in the Medicaid and CHIP programs, and yet, there is a need to keep moving forward. This newsletter shares information you need to move your health programs forward.

 

ARTICLE: Medicaid Pharmacy Best Practices

State Medicaid programs commonly rely on contracted Managed Care Organizations and their subcontracted Pharmacy Benefit Managers to manage the prescription drug...

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ARTICLE: What Was The Cost of That Drug?

It’s no secret to anyone that pharmacy unit costs and utilization keep rising, driven in part by very high cost specialty drugs. The FDA approved a new specialty...

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ARTICLE: MLR Spread Pricing and Rebates

CMS takes a clear stance on how MCOs should treat vendor costs in MLR reporting, including PBM spread. After seeing the first few MLR reports required under the...

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ARTICLE: Integrating SDOH Into Medicaid/VBP

The recent focus and research on social determinants of health show that individuals with low incomes are more likely to be impacted by SDOH. Medicaid programs are..

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ARTICLE: The Power of Peers in Healthcare

As kids, most of us were probably warned not to give in to peer pressure. Clearly this reflects an appreciation for how we can be negatively influenced by...

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