Rate Methodology Design

AG’s staff and partners possesses decades of experience in providing comprehensive actuarial consulting services to state Medicaid programs. We have designed and set rates for Medicaid managed-care programs and served some of the most complex programs in the country. We have developed and implemented methodologies for pricing and risk adjusting for Medicaid managed-care programs. We can conduct risk assessments and devise risk-adjustment strategies for specific plans and populations. AG can provide economic modeling and develop actuarially sound rates that are in compliance with federal guidelines