November 2025 Classic Edition - Medicaid Managed Care Organizations: Considerations in Calculating Margin in Rate Setting

November 2025 Classic Edition - Medicaid Managed Care Organizations: Considerations in Calculating Margin in Rate Setting

Author: Research Insights November 25, 2025 Duration: 11:48

Classic Replay: Medicaid Managed Care – Considerations in Calculating Margin

In recognition of National Family Caregivers Month, we're re-releasing this classic episode from June 26, 2017. Dale Hall, Managing Director of Research at the Society of Actuaries, is joined by Steve Siegel, SOA Research Actuary, and Sarah Tepema of Health Care Service Corporation. The conversation explores the SOA's report "Medicaid Managed Care Organizations: Considerations in Calculating Margin in Rate Setting."

Listeners will gain insight into how states structure capitation rates for MCOs, how margins are defined and used beyond just profit, and the real-world impacts these margins have on Medicaid programs—especially important for populations relying heavily on caregivers.

For more information on this report visit:  https://www.soa.org/resources/research-reports/2017/medicaid-margins/


Hosted by R. Dale Hall, FSA, MAAA, CERA, the Managing Director of the SOA Research Institute, Research Insights, a Society of Actuaries Podcast is a direct line to the critical studies shaping the actuarial field and related disciplines. This isn't just a summary of papers; it's a series of conversations that unpack the implications, methodologies, and real-world applications found within the Society of Actuaries Research Institute's extensive work. You'll hear discussions on recently released research reports, deep dives into studies featured at major SOA meetings, and explorations of other pivotal findings produced by the institute. Each episode is designed to translate complex data and sophisticated models into accessible insights, whether you're a practicing actuary, a professional in a related financial or risk management field, or simply someone with a keen interest in the science of uncertainty. The podcast serves as an essential audio companion for anyone looking to stay informed on the latest evidence-based approaches to insurance, retirement, finance, and health. By tuning in, you gain a clearer understanding of how rigorous research informs better business decisions and public policy. Occasional guest hosts bring additional perspectives, ensuring a well-rounded examination of each topic. For those committed to continuous learning and professional self-improvement, this series provides a thoughtful and substantive resource, naturally integrating detailed analysis with broader educational context.
Author: Language: English Episodes: 50

Research Insights, a Society of Actuaries Podcast
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