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New What we do Who we serve Our insights Who we are Managing Medicaid Challenges Together Keeping you informed Receive email updates on the critical news you need Subscribe here CMS Medicaid Managed Care Final Rule Updates Released May 2024 FFS Access & HCBS A review of CMS’ latest Final Rule aimed at enhancing access to and transparency of Medicaid services, including HCBS. This rule pairs with two other final rules published in April 2024 that focus on improving Medicaid eligibility https://www.mercer-government.mercer.com/our-insights/Managed-Care-Final-Rule-FFS-Access-and-HCBS.html Read the review Released April 2024 Access and Quality Requirements A thorough review of the complex CMS Medicaid Managed Care Final Rule - Access and Quality Requirements. This review focuses on regulatory changes impacting quality and access-related topics. https://www.mercer-government.mercer.com/our-insights/Managed-Care-Final-Rule-FFS-Access-and-HCBS.html Read the review Released April 2024 Financial Requirements A review of CMS’ Final Rule. This update focuses on the financial topics affected by the Rule, including ILOS, SDPs, MLRs and comparative rate analyses. References to MCOs include Prepaid Inpatient Health Plans and Prepaid Ambulatory Health Plans. https://www.mercer-government.mercer.com/content/mercer-sites/mercer-government/global/en/our-insights/Managed-Care-Final-Rule-Financial.html Read the review The CCBHC Demonstration CCBHCs provide valuable, timely, comprehensive outpatient behavioral healthcare to any individual who needs the services, regardless of income, and it can give payers and providers a more predictable and sustainable financing strategy. Learn more about CCBHCs and how CCBHCs and how we can support states at all stages of CCBHC implementation. https://author.www.marshinc.net/content/dam/mercer-subdomains/us-government/attachments/New/CCBHC-Demonstration_FS.pdf Download now 2024 Drug Trend and Pipeline Report The complex pharmacy marketplace continues to evolve as new products are introduced and treatment paradigms are updated. We monitor market and pipeline developments to incorporate real-time insights into our analyses. https://www.mercer-government.mercer.com/our-insights/2024_DrugTrendAndPipeline.html Download now Proud Sponsor of 21st Century Leaders’ Healthcare & IT Institute A week-long residential leadership development program for high school students taking place June 23-28 in Kennesaw, GA. The program aims to explore various career opportunities within the healthcare and healthcare IT industries. https://www.21stcenturyleaders.org/for-students/summer-leadership-institutes/healthcare-it-institute-hii/ Click here to learn more Pharmacy Insights & Trends MercerRx Government State Medicaid programs are obligated to provide the most recent drugs to beneficiaries while balancing the limited state budgets and the sky-rocketing cost of specialty drugs. https://www.mercer-government.mercer.com/mercerrx-government.html View the Rx site Medicaid News & More Keeping States Informed Insights and guidance on Medicaid news impacting the services and budgets you manage in the areas of actuarial, pharmacy, clinical and behavioral health, financial analytics, as well as policy and operations. https://www.mercer-government.mercer.com/our-insights.html Visit the site Join the Ride What’s New in Careers? Clients are best served when we enjoy our work and our environment - We prove that at Mercer. Click the link and search for "government". https://www.mercer.com/careers/mercer-careers/ Mercer careers This Video is unable to play due to Privacy Settings. Error Code: MEDIA_ERR_PRIVACY_SETTINGS Technical details : The Video could not be loaded because the privacy settings are disabled. Under the ’Manage Cookies’ option in the footer, accept the Functional cookies to allow the video to play. Session ID: 2022-03-11:54c8618b1429229616728ead Player Element ID: video4108f453fe1043c89acdd6685456dd4c We know experience matters 0 + Employees 0 States Served 0 Years of Government Experience 0 B Medicaid Dollars Managed 0 M Lives Touched Actuaries of Record The landscape of government-sponsored health care programs is changing. Our assistance to state Medicaid agencies and beyond is built on our actuarial expertise and the creativity to develop comprehensive solutions. What we do The Mercer team came together and produced a solid, comprehensible model design. - Director, Division of Health Services A Medicaid Story Medicaid serves almost 86 million Americans. Hear one woman’s brave journey after a devastating disability and how Medicaid impacted that journey. A reminder of why we work to support states. Watch the video It’s been an honor to work alongside you all...very appreciative of your commitment to our programs. - Executive Director, Health Care Finance Subscribe to receive updates Complete the form below to have the latest Medicaid news & updates delivered to your inbox. 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