Recently we have heard from community associated plans and large national for-profit plans a consistent message of inadequate rates in 2024 leading to concerns around actuarial soundness of 2025 rates. Wakely has conducted a survey of acuity adjustments and other approaches to mitigate uncertainty during the Medicaid unwinding. This second paper in our series focuses on approaches taken by actuaries in 27 states to address additional emerging trends beyond changes in acuity related to the unwinding.
