The Chair reiterated that she had herself expressed the value and importance of more regular communications between the Director-General and herself, and that it was necessary to recall that these meetings of the three Heads could (and should) be triggered immediately on matters of such critical importance.
This means that they issue and redeem units or shares directly with investors on a regular basis, based on the net asset value of the units or shares on a particular day.
Exchange plans could be required to do separate actuarial value calculations: one for the regular Exchange population (using provider rates applicable to that population) and one for the Medicaid population (using the much lower rates typically used by Medicaid health plans).