Medicaid Credibility Analysis

Medicaid actuaries frequently have a need to assess credibility of Medicaid experience; whether it be assigning credibility to data for purposes of projecting expenses for bidding state rates, forecasting costs internally, or for understanding PMPM trends. Generally, actuaries will blend one estimate E based on a small set of experience data, with another estimate M based on a larger, but less relevant set of manual data. Read entire article here.

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