Common use of Required Elements Clause in Contracts

Required Elements. (i) Data The CY 2017 through May 2021 MCOP Opt-In and Opt-Out encounter data was the primary source for the development of estimated prospective trend rates. We also reviewed internal sources that are not publicly available, such as historical experience from other programs and trends used by other Milliman actuaries.

Appears in 2 contracts

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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Required Elements. (i) Data The CY 2017 January 2018 through May 2021 December 2022 MCOP Opt-In and Opt-Out encounter data was the primary source for the development of estimated prospective trend rates. In addition, we reviewed prospective trends as reported by the MCOPs in their Q2 2023 cost report submissions to consider experience emerging in CY 2023. We also reviewed internal sources that are not publicly available, such as historical experience from other programs and trends used by other Milliman Xxxxxxxx actuaries.

Appears in 1 contract

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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Required Elements. (i) Data The CY 2017 January 2018 through May 2021 December 2022 MCOP Opt-In and Opt-Out encounter data was the primary source for the development of estimated prospective trend rates. In addition, we reviewed prospective trends as reported by the MCOPs in their Q2 2023 cost report submissions to consider experience emerging in CY 2023. We also reviewed internal sources that are not publicly available, such as historical experience from other programs and trends used by other Milliman actuaries.

Appears in 1 contract

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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