Medicaid policy is at a crossroads, shaped by major federal actions including OBBBA/H.R.1, Trump-era rules and guidance, and the phased implementation of the 2024 Medicaid Managed Care Final Rule. Together, these changes are redefining Medicaid financing, provider payment policy, eligibility, and oversight expectations for states, plans, and providers. As federal priorities continue to shift, states and other stakeholders are facing growing pressure to interpret new requirements, assess operational and financial impacts, and respond in a rapidly evolving environment.
The webcast will focus on three critical areas across the Medicaid landscape:
- Provider payment impacts, including changes affecting state directed payments under the 2024 Final Rule, H.R.1, and the proposed rule released May 22, 2026, along with implications for value-based purchasing, rural health transformation, and provider tax moratorium and phase-downs
- Eligibility changes under H.R.1, including work requirements, more frequent redeterminations, and changes affecting certain non-citizen populations
- Heightened focus on program integrity, including evolving federal and state activity related to fraud, waste, and abuse
For each topic, speakers will outline the relevant policy and regulatory framework and examine the implications and considerations for actuarial analysis, rate development, and the design of risk mitigation approaches. The discussion will highlight how these policy changes may affect assumptions, financial projections, program operations, and strategic decision-making for states and managed care organizations. Speakers will also leave room to address other timely Medicaid policy developments that may emerge before the webcast.
We highly recommend registering at least one day in advance of the webcast to ensure you receive the access instructions. A confirmation with access instructions is provided shortly after registering, along with a reminder the day before and 1 hour before the webcast. If you do not receive instructions to access the webcast, please email pd@soa.org.
Please note that attendees may not record this meeting or use unauthorized recording or automated meeting tools, including AI note-taking assistants, recording bots, and similar technologies, unless expressly authorized by the event organizer. Registrants should not invite, authorize, or otherwise enable these tools to join on their behalf. Attendance is limited to registered participants only.
Participants who require assistive technology as a reasonable accommodation should contact the event organizer in advance so appropriate arrangements can be made.
Webcast Pricing
Our standard webcast pricing is the convenient way to access a single SOA webcast. Visit the webcast registration information page for details.
Presenter(s)/Moderator(s)
David Quinn, FSA, MAAA
Mercer
Presenter(s)
Julia Kraemer Lerche, FSA, MAAA
Charles Greenberg
Mercer
Dianne Heffron
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