Rate Setting and Actuarial Soundness in Medicaid Managed Care
January 2006
Association for Community Affiliated Plans; Medicaid Health Plans of America
Lewin contact: Lisa Chimento
The Association for Community Affiliated Plans and the Medicaid Health Plans of America retained The Lewin Group to conduct a study of the ways that states have implemented rules from the Balanced Budget Act of 1997 regarding actuarial soundness, in order to identify both best practices and continuing areas of concern. Lewin developed a survey to gather information from states and health plans on current rate-setting practices. This report presents the results of the survey.