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Marlene Howard

FSA, MAAA
Principal and Senior Consulting Actuary
Indianapolis, IN, US
Marlene is a consulting actuary with the Indianapolis office of Milliman. She joined the firm in 2008.
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Experience

Marlene is a key contributor to many aspects of actuarial consulting services that are provided to state Medicaid agencies. She has extensive experience with budget forecasting and associated fiscal impact analyses, risk scoring for managed care capitation rate-setting projects, capitation rate development for the dual demonstration, and review of capitation rate methodologies for various Medicaid populations. Her interaction with the different components of state Medicaid programs provides key insight and ensures consistency of program policy across various budget lines, particularly because many policy decisions impact the allocation of eligibility and expenditures throughout the various Medicaid delivery systems.

The following provide specific examples of Marlene's Medicaid experience:

  • Development of Medicaid capitation rates for traditional risk-based managed care programs (TANF and disabled populations)
  • Development of Medicaid capitation rates for dual demonstration programs (Community, Nursing Facility, Home & Community-based Waiver populations)
  • Preparation and management of semi-annual risk adjustment analysis for managed care plans
  • Preparation and management of quarterly forecasting analyses for Medicaid program budgets
  • Oversight of provider reimbursement analyses

Professional contributions

  • Volunteer, Society of Actuaries Education & Examinations Committee, 2012 to present
  • Speaker, Society of Actuaries Health Meeting, June 2015
  • Speaker, Society of Actuaries Health Meeting, June 2016
  • Speaker, Healthcare Education Associates' LTSS and Dual Eligible Beneficiaries Summit, August 2016
Publications

Read their latest work

Article

Navigating the Intersection of Medicare and Medicaid – Dual-Eligible Beneficiaries

12 April 2024 - by Zachary Fohl, Dean Johnson, Nick Gipe, Annie P Hallum, Jessica Bertolo, Marlene Howard, Nicholas Johnson
We provide an overview of the complexities surrounding the intersection of Medicare and Medicaid, and explore opportunities to better serve dual-eligible beneficiaries.
Article

COVID-19 vaccine administration options under Medicaid

12 January 2021 - by Marlene Howard, Jessica Bertolo, Clay Holman
Medicaid has an important role to play in ensuring coverage of and access to the COVID-19 vaccine.
Article

Proposed updates to actuarial soundness: Creating flexibility and strengthening the requirements

03 January 2019 - by Brad Armstrong, Marlene Howard, Christopher Pettit
The Centers for Medicare and Medicaid Services released proposed updates to Medicaid managed care regulations with the goal of easing some of the regulatory burdens while increasing the requirement for transparency.
Article

Overview of guidance related to actuarial soundness in final Medicaid managed care regulations

12 September 2016 - by Brad Armstrong, Marlene Howard, Christopher Pettit
This paper provides a summary of the final Medicaid managed care rule’s significant impacts on the development of actuarially sound capitation rates and required supporting documentation.
Article

Medicaid and the ACA

06 May 2015 - by Robert M. Damler, Marlene Howard
Many aspects of the Affordable Care Act (ACA) provide additional opportunities for eligibility and benefit changes that would interest key stakeholders and warrant consideration in actuarial budget forecasts.