Minimum MLRs and Rate Setting Requirements: Implications of the Proposed Medicaid Managed Care Regulations

Tuesday, June 16, 2015 at 3 p.m. EST — Among the most important changes in the proposed federal Medicaid managed care regulations released last month are those involving medical loss ratios and rate setting requirements for health plans in state-sponsored programs. The rules dramatically expand federal oversight of the entire rate setting process – including a shift to actuarial certification of specific rate cells and the establishment of an 85% MLR threshold. During this webinar, HMA experts will discuss the proposed changes to the rate setting process and the implications for states, Medicaid managed care plans, and other stakeholders.

Speakers:
Eileen Ellis, Managing Principal, HMA
Steve Schramm, Managing Director, Optumas

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