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  • Session 102: Medicaid Hot Topics
    Medicaid Actuary for WellCare Health Plans. • Health care for 20+ years. • Medicaid for 13 years - mostly ... Actuarial Standard of Practice on Medicaid Managed Care Rate Setting – ASOP 49. • Active with the Medicaid ...

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    • Authors: Sabrina Gibson, Edward M Mailander, Sudha Shenoy, Rylan Austin, Timothy W Caldwell , Michael E Nordstrom
    • Date: May 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Public Policy; Social Insurance>Medicaid
  • Session 169: Risk Adjustment in Medicaid: Recent Developments
    Consulting Group in 2012 • Principal in Denver Office – Primary focus on Government Programs with emphasis on ... allocate capitated payments between contracted managed care organizations Source: ResDAC Medicaid Risk Adjustment ...

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    • Authors: Edward M Mailander, Daniel Henry
    • Date: Feb 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy