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Our Services, Your Solutions


READY FOR NEXT

Together...We are Ready for What Comes Next

We help ready our clients for what’s next: the next policy, the next budget, the next administration, the next opportunity. We deliver an individualized focus, powered by industry-leading experience, integrated capabilities and passionate people. We help clients achieve better outcomes, develop and deploy defensible strategies, and reshape the delivery of health care.

Customized to your needs, geographic location and budget, we will help you streamline and maximize the benefits of your health and welfare services.

Actuarial/Financial

Creating Solutions

For our clients, we are developing and reviewing rates, setting policy and methodology for future rate setting, and performing a range of financial and actuarial analyses, including risk adjustment. State, county, and local governments face numerous challenges as they work to continue providing quality health care to more people while dealing with tightly constrained budgets.

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Informatics

Putting Your Data To Work

We understand the critical role health care data plays in key decisions around measuring, reporting, and policy-making wthin Medicaid and other health care programs. Today’s health care leaders are often data-rich but information-poor, and laboring under tight time constraints. Accurate analysis and use of health care data can ensure effective policy design and program management.

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Pharmacy

Slowing Spending

With budgetary issues facing most states, cost-saving strategies are a priority for managing health care expenditures. Pharmaceuticals are one of the primary cost drivers in health care today. The Managed Pharmacy practice at Mercer focuses on pharmacy issues pertinent to publicly funded programs across the country.

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Clinical & Behavioral Health

Deliverying High-Quality, Cost-Effective Health Care Solutions

Our team is implementing unique strategies to improve program performance, contain costs, and enhance quality of care and services. State governments are facing increasingly complex budgetary, clinical and regulatory challenges in the provision of behavioral healthcare to vulnerable populations.

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Policy & Operations

Bringing Vast Experience

State and local governments face numerous challenges as they provide innovative, cost-effective, high-quality health care, particularly within a rapidly changing regulatory health care environment. States are responding to the changes brought by ACA, but are also leading the way in program innovation. We bring vast policy and operational experience, including leadership at the state and federal levels, and understand the barriers and opportunities faced by those involved is systematic change.

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Health Care Reform

Helping Goverments Shape Tomorrow's Health Programs

Mercer is following congressional developments closely and can help state Medicaid programs understand the implications of various proposal or alternatives that might emerge through the legislative process.

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Long-Term Care

Helping Governments Shape Tomorrow's Health Programs

With an interdisciplinary team of policy consultants, actuaries, accountants, clinicians, information technology experts, 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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Uncertain Times

ACA Repeal & Replace

After a dramatic journey through the House and the Senate, Congressional efforts to repeal and replace the Affordable Care Act are now stalled...

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Increasing Access

Overcoming the VBP Challenge

How will you maximize your Medicaid dollar while increasing access and quality in an uncertain healthcare environment?

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Medicaid/CHIP

Parity Compliance

States with Medicaid managed care organizations, alternative benefit plans, and separate CHIP programs are...

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Accuracy is Critical

Quality Encounter Data

Quality encounter data can seem like an elusive unicorn in the health care world. However, having complete, accurate...

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MLR

Not as Bad as it Seems

New medical loss ratio requirements play a prominent role in the Centers for Medicare and Medicaid Services...

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Pharmacy

Management of Specialty Drug Trend

Specialty drugs are generally considered to be high cost drugs that are used to treat complex, chronic, or rare medical...

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Substance Abuse

NAMD/Mercer Study

NAMD Publishes Mercer Study on Prevention of Abuse and Overdose of Prescription Drugs Mercer developed the report for the National Association of Medicaid Directors providing guidance to reduce prescription drug abuse and overdose risks. It discusses the epidemic and the effect on Medicaid recipients and provides recommendations to help states.

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Our Lines of Business


 

Our business sectors include pharmacists, clinicians, actuaries, policy and operations specialists, informatics experts, analysts, and CPAs.  Many of our state relationships are a combination of these business sectors.

Actuarial & Financial Services

Arizona, California, Connecticut, District of Columbia, Delaware, Florida, Idaho, Kansas, Louisiana, Maine, Massachusetts, Missouri, Montana, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Wisconsin

Clinical and Behavioral Health Services

Arizona, California, Connecticut, District of Columbia, Delaware, Florida, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Missouri,  New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Texas

Informatics Services

Arizona, California, Connecticut, District of Columbia, Delaware, Kansas, Louisiana, Maine, Massachusetts, Missouri, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Texas and Utah

Pharmacy Services

Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Kansas, Louisiana, Massachusetts, Missouri, Montana, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Wisconsin

Policy and Operations Services

Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Idaho, Kansas, Louisiana, Massachusetts, Minnesota, Missouri, New Jersey, New Mexico, North Carolina, Ohio, Pennsylvania, South Carolina, Texas, Virgin Islands

Long Term Care Services

California, Connecticut, District of Columbia, Delaware, Kansas, Louisiana, Massachusetts, Missouri, New Jersey, New Mexico, North Carolina, Ohio, Pennsylvania and South Carolina