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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.

This paper provides a summary of the final Medicaid managed care rule’s significant impacts on the development of actuarially sound capitation rates and required supporting documentation.

Many aspects of the Affordable Care Act (ACA) provide additional opportunities for eligibility and benefit changes that would interest key stakeholders and warrant consideration in actuarial budget forecasts.