Texas Covered Event

Beyond Health Care: Prevention, Social Barriers & Population Health Improvement

October 20, 2020 11:50 AM

Enabling Sustainable Investment in Social Interventions: A Review of Medicaid Managed Care Rate-Setting Tools


Shelly is a Principal and Consulting Actuary with Milliman. Shelly's expertise is in managed Medicaid and Medicare programs, with over 25 years of consulting experience in these areas. She has led the capitation rate development and actuarial certification for Wisconsin's Medicaid managed acute care programs since 2015, and has experience developing and analyzing Medicaid rates in several other states. Shelly also advises the CMS Medicare-Medicaid Coordination Office on issues related to rate development for the Financial Alignment Initiative (also referred to as the Dual Demonstration).