Mostly Medicaid Addresses Society of Actuaries on Key Aspects of New Medicaid Regulations

Mostly Medicaid experts assisted the Society of Actuaries in reviewing the new CMS Medicaid Managed Care regulations. The regulations are expected to have significant impact to the Medicaid industry, and Mostly Medicaid provides critical insights into how stakeholders can respond to the changing managed care landscape.

Birmingham, AL, August 13, 2015 –(PR.com)– Mostly Medicaid experts assisted the Society of Actuaries in reviewing the new CMS Medicaid Managed Care regulations. The regulations are expected to have significant impact to the Medicaid industry, and Mostly Medicaid provides critical insights into how stakeholders can respond to the changing managed care landscape.

Clay Farris from MostlyMedicaid.com served as a guest speaker to the Society of Actuaries on June 12th, 2015. His talk included review of key sections of the new 653 page proposed rule, as well as a review of the new CMS rate setting guidelines for 2016. Attendees provided additional insights during the discussion portion of the presentation.

When interviewed, Mr. Farris “was highly impressed with the group and their handle on Medicaid complexities.” Per, Mr. Farris, there are multiple opportunities for all stakeholders in the new regs, including: 1) states can benefit from standardization in multiple areas; 2) actuarial professionals now have an exponential increase in the number of rate cells that need to be certified; 3) auditing and consulting firms now have new scope related to state certification of Medicaid Managed Care Organization (MCO) activities and networks; 4) plan associations can now position themselves as an upstream certification entity; and 5) mental health providers can now shift to a more Medicaid-centric funding model with the removal of the IMD exclusion.

In addition to appearances like these, other indicators of Mostly Medicaid’s growing influence include large gains in the LinkedIn group it manages for industry professionals. According to one marketing analyst at the firm, the group “now includes nearly 6,000 key decision makers in the Medicaid industry. 45% of our members are in director level or above roles, suggesting the information they get from Mostly Medicaid on a daily basis is a part of important decisions being made in their organizations. And if you look out our growth curve since 2008, we have Mostly Medicaid become the most trusted source of industry information for the majority of the segments. We have folks from all segments, including hospital, consulting, finance, government, insurance, advocacy – just to name a few of the slices.”

MostlyMedicaid.com provides consulting and training services for both public and private sector clients in the Medicaid industry. The Mostly Medicaid publishing audience includes 10,000 Medicaid industry professionals, decision makers and influencers. Mostly Medicaid offers a unique value in the Medicaid industry by focusing on data-driven business perspectives rather than policy-only or advocacy-only positions. Mostly Medicaid was one of the first organizations to actually use the term “Medicaid industry.”

Company History
We began with one simple concept in mind – think of Medicaid as a massive industry. Besides the healthcare services provided to Medicaid enrollees, there are hundreds of thousands of people that process claims, build software, consult with hospitals – just to name a few segments.

Those people need services and products to help them do their jobs, increase their revenues and improve their skills.

And that’s where Mostly Medicaid comes in.

Because most publishers in the Medicaid industry don’t treat the industry like a business – and we do – we are uniquely positioned to reach your customers. We have built a brand those professionals trust to bring actionable counsel and advice to their business challenges.
Contact Information
Mostly Medicaid
Clay Farris
919-727-9231
Contact
mostlymedicaid.com