Proposed updates to actuarial soundness: Creating flexibility and strengthening the requirements

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By Brad Armstrong, Marlene Howard, Christopher T. Pettit | 03 January 2019
The Centers for Medicare and Medicaid Services released proposed updates to Medicaid managed care regulations with the goal of easing some of the regulatory burdens while increasing the requirement for transparency. The most significant changes related to actuarial soundness under the proposed authority are the reintroduction of certifying rate ranges and the considerations that must be given to assumptions applicable to rates under different federal financial participation levels.