Common use of Actuary’s assessment Clause in Contracts

Actuary’s assessment. As required by Actuarial Standard of Practice (ASOP) No. 23, Data Quality, we disclose that Milliman has relied upon certain data and information provided by the ODM and its vendors, primarily the MCOPs. The values presented in this letter are dependent upon this reliance. We find the encounter data used as the base data source for the development of the 2022 capitation rates to be of appropriate quality and suitable for the purpose of developing actuarially sound rates (subject to the data concerns and resolutions indicated in the Data concerns section below). The resulting base data PMPM expenditures for CY 2019, after the application of the adjustments, is within approximately 1.3% of the MCOP survey updated CY 2019 experience PMPM expenditures. The encounter data additionally appears reasonable in relation to Medicaid dual eligible managed care industry experience.

Actuary’s assessment. As required by Actuarial Standard of Practice (ASOP) No. 23, Data Quality, we disclose that Milliman has relied upon certain data and information provided by the ODM and its vendors, primarily the MCOPs. The values presented in this letter are dependent upon this reliance. We find the encounter cost report data used as the base data source for the development of the 2022 2018 capitation rates to be of appropriate quality and suitable for the purpose of developing actuarially sound rates (subject to the data concerns and resolutions indicated in the Data concerns section below). The resulting base data PMPM expenditures for CY 20192016, after the application of the adjustments, is within approximately 1.3% of greater than the MCOP survey updated CY 2019 experience PMPM expendituresexpenditures submitted by the MCOPs. The encounter cost report data additionally appears reasonable in relation to Medicaid dual eligible managed care industry experience.

Actuary’s assessment. As required by Actuarial Standard of Practice (ASOP) No. 23, Data Quality, we disclose that Milliman has relied upon certain data and information provided by the ODM and its vendors, primarily the MCOPs. The values presented in this letter are dependent upon this reliance. We find the encounter data used as the base data source for the development of the 2022 2021 capitation rates to be of appropriate quality and suitable for the purpose of developing actuarially sound rates (subject to the data concerns and resolutions indicated in the Data concerns section below). The resulting base data PMPM expenditures for CY 2019, after the application of the adjustments, is within approximately 1.31.0% of the MCOP survey updated CY 2019 experience cost report PMPM expenditures. The encounter data additionally appears reasonable in relation to Medicaid dual eligible managed care industry experience.