Before joining Mercer in 2002, Branch was with Arizona’s Medicaid program for more than 10 years and a senior auditor with KPMG.
As deputy director of a Medicaid agency, he was responsible for activities, such as procurement of and monitoring and oversight of full-risk managed care contracts, including the state’s behavioral health carve-out program, capitation rate and fee-for-service (FFS) rate development (including financial analysis of encounter and financial statement data used in capitation rate development), clinical policy development, quality management activities, member eligibility and program integrity (fraud and abuse).
Branch has worked extensively with the Centers for Medicare and Medicaid Services (CMS) throughout the years. Branch’s recent client work with Mercer includes:
- Client leader for California’s Department of Health Care Services, Medi-Cal program – Mercer provides a wide range of actuarial and financial analysis and support related to the Medi-Cal managed care program, including the development and certification of capitation rates for their Medi-Cal managed care program and risk adjustment analyses and application
- Client leader for the California Managed Risk Medical Insurance Board (MRMIB), the agency responsible for California’s CHIP program (HFP) – Mercer provides a wide range of actuarial and financial analysis and related support for MRMIB
- Client leader for the CMS – since 2003, Mercer has assisted CMS in the actuarial review and audit of MA and PDP bids
- Client leader for Arizona’s Children’s Rehabilitative Services (CRS) program, which provides for the health care needs of Medicaid eligible children with special health care needs - Mercer provides Medicaid capitation rate development and other financial analysis services for the CRS administration as well as comprehensive procurement assistance from RFP development to evaluation tool design and proposal scoring