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Talent. Health. Retirement. Investments

Solution: Clinical & Behavioral

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Mercer’s Government Human Services Consulting team provides consulting assistance built on actuarial knowledge, consulting experience, and creativity to develop comprehensive solutions for its clients.

Mercer has developed innovative tools to assess the performance of managed care organizations, managed behavioral health care organizations, specialty health care companies, and alternative delivery models (enhanced primary care case management and accountable care organizations). The tools address the areas of access to care, quality improvement, provider management, member services, grievances and appeals, and care management, including utilization review, case management and chronic care management.

Clinical and behavioral health services include

  • Behavioral Health (Mental Health and/or Substance Abuse)
  • Benefit and Eligibility Change Analysis
  • Child Welfare
  • Clinical Studies
  • Contractor Reporting and Monitoring (Financial, Quality, Operations)
  • Data Analysis and/or Benchmarking
  • Developmental Disabilities
  • Disease Management
  • Efficiency Analysis
  • EQRO and/or Quality Strategy
  • Health Plan Reviews and/or Compliance Audits
  • Long Term Care/Home and Community Based Services
  • Procurement/Solicitation Assistance
  • Program Implementation
  • Waiver and/or State Plan Assistance

View our Clinical Quality and Behavioral Health Fact Sheet