Description: This article is the first in a four-part series about what actuaries see as ideal components of a health care reform package. This part covers health care reform ideas explored at the Conference of Consulting Actuaries’ CCA 2009 Annual Meeting in Tucson, Ariz.

Description: In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) assumption. This is unfortunate, given the margin assumption is one of the most critical components of the rate development in ensuring financial solvency of the Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the this assumption and will share working models that help actuaries quantify these components—including the cost of capital and risk (or contingency) margin. We expect a lively discussion as we “open the black box” and discuss these actuarial assumptions in the public for the first time.