Jill’s areas of expertise include managed healthcare programs, including Medicaid and Long Term Care (LTC) insurance.
Examples of recent projects include:
- Calculating and certifying actuarially sound capitation rates for the managed Medicaid LTC populations
- Calculating and certifying actuarially sound capitation rates for acute care services for SSI, Pregnant Women, TANF, Newborn, and other high-cost populations for managed Medicaid populations
- Developing and implementing risk adjustment processes for acute care and managed LTC Medicaid populations
- Developing Medicaid cost projections for purposes of creating fiscal year budgets and state appropriations
- Reviewing Medicaid capitation rates on behalf of Medicaid managed care organizations, health plan associations, and other state agencies
- Developing Medicaid HCBS and behavioral health fee schedules
- Modeling and evaluating various reform strategies to provide coverage for future LTC needs in the United States
- Evaluating the adequacy of active life reserves and claim reserves for LTC insurance companies
- Assisting LTC insurance companies to file rate increases, including conducting morbidity and persistency experience analyses, projecting future experience, calculating needed rate increase amounts, and completing filing materials
- Assisting LTC insurance companies with their annual Statement of Actuarial Opinion regarding their statutory liabilities
