Description: 1. Overview of challenges with Managed Medicaid (MLTSS/Dual Medicaid) 2. Mechanisms to identify the business problem. 3. Predictive Model approach a. Understand / Define the business problem b. Determine the appropriate solution c. Model build (data manipulations/transformations) d. Model scoring & monitoring results 4. Case Study - Disenrollment predictive model a. Describe the problem b. Recommended model to solve the problem c. Results d. Monitor results e. Fine-tune / calibrate model

Description: Analysis of data from three Medicaid managed care plans examines enrollment and cost trends for newly eligible enrollees under the ACA's Medicaid expansion.

Description: This article is about the most significant issues and trends that may impact long-term care LTC risks, care delivery and protection in the future.

Description: In this article, the authors explore how the recession has impacted new member enrollment in the various state health care programs and the resulting impact on trend.

Description: Essay suggesting to fix the tax code, reform healthcare regulations, open the industry to competition and reform malpractice litigation.

Description: June 2013 issue of the Social Insurance & Public Finance Section newsletter, In The Public Interest.

Description: A proposal to reform current health care market, from a 'preferred payer' system, in which Medicare and Medicaid pay less than the true cost while others must then pay more, to a 'value for money' system. This would be achieved by requiring providers to bill all patients the same rate for the same services, with a standard bundling format to make all providers' rate differences transparent. Differences between billed charges and what Medicare pays would be made up by the Medicare patient, rather than subsidized by those outside of Medicare.

Description: Member benefit newsletter for the Social Insurance and Public Finance Section of the SOA.

Description: Budget concerns should not be allowed to override sound actuarial rate development in setting Medicaid capitation rates.

Description: This is the abstract for the paper, The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronic and Acute Conditions in the United States. The complete paper is not available online.