Research Insights - Medicaid Managed Care Organizations: Considerations in Calculating Margin in Rate Setting
This podcast discusses the recently released report by The Society of Actuaries that describes the components of margin for calculating capitation rates in a Medicaid context along with a description of practical issues that may be encountered by MCO’s. The report includes observations from interviews with MCO executives as well as financial results analysis of MCOs nationwide. The material was authored by Sara Teppema, Jeff Goldman, Luke Smith, and Steve Tutewohl from Valence Health.