Description: This session will cover the latest developments of the Medicaid Final Rule proposed changes and their implications going forward.

Description: Essay stating accessibility, affordability and efficiency are the key to success in the future of healthcare.

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: This paper discusses the quality of healthcare verses the price of healthcare and puruses individuals and doctors making decisions for their own healthcare costs and services.

Description: A glossary of terms.

Description: Essay reforming healthcare where participants have a vested interest in reaching the best answer.

Description: Interview of people knowledgeable about risk adjustment and the use of social determinants of health with that context for Medicaid.

Description: Essay discussing cost, quality and access of healthcare and then describes the need for rationing.

Description: This article gives part of the testimony provided to a U.S. House Subcommittee about Medicaid abuse. Specifically, it explains how families with ample means are able to skirt the law and obtain Medicaid funding of nursing home care when private Long Term Care insurance should have been considered.

Description: The always popular Medicaid Hot Topics session is back with discussions from an expert panel on the most riveting Medicaid topics of the year. These could include the following: • Medicaid Fiscal Accountability Proposed Regulations• Tennessee's Block Grant Proposal• ACA court battles: What are the potential impacts on Medicaid? • Pass-through payments are converting to directed payments: What is changing?• And more current topics of interest to Medicaid actuariesMedicaid is dynamic and it is difficult to stay current on all of the changes. This session provides insightful discussion into the major changes that impact actuaries and their companies or state clients.