Ann Marie’s experience in the government health care industry began in 1998, where she worked for a managed care support contractor in the Department of Defense TRICARE program
Ann Marie directs actuarial consulting for state Medicaid programs and partners with states in developing solutions for Medicaid programs. She specializes in capitation rate development, with strength in providing strategic advice and options for her clients and Mercer’s consulting teams on all project facets. She is able to guide her clients to becoming more efficient and prudent purchasers of health care by balancing their financial efficiencies with their clinical strategies and targets.
Ann Marie’s areas of specialization include rate development, analysis of health plan financial statements, and incurred but not reported (IBNR) liability. She has been instrumental in reviews of Medicaid managed care organizations’ financial, clinical and operational components to assess and validate areas of strength and weakness, as well as the effectiveness of the plan. Some of her responsibilities include facilitation of conferences with the plans, strategic advice, encounter data analysis, evaluation criteria design, capitation rate adjustments and presentation to the health plans.