Davis Burge

Davis’s experience has primarily focused on supporting Medicaid State Agencies, including Hawai’i, Idaho, Nevada, Utah, and Washington. His actuarial work includes Medicaid analyses, risk-adjusted capitation rates, cost-effectiveness documentation, and reports for Medicaid-managed care rate-settings. Recent projects include:

• Medicaid rate support for the behavioral health and retail pharmacy components of a fully integrated physical and behavioral health statewide program
• Medicaid rate support for dental capitation rates
• Actuarial, strategic, and risk adjustment support for a Medicaid risk sharing value-based purchasing program where the state contracts directly with provider organizations
• Actuarial support for Medicaid managed care capitation rate withholds, incentive payment evaluations, and program integrity monitoring and tracking
• Internal research using nationwide Medicaid datasets that will lead to potentially valuable benchmark information