A multi-state Medicaid MCO faced inconsistent pricing methodology across 7 state markets, with documentation gaps that had triggered state DOI questions in three of those jurisdictions. Lepton was engaged to rebuild the pricing framework from first principles — a unified methodology document, jurisdiction-specific calibration modules, and an audit trail covering every assumption. Outcome: Projected $42M in premium savings over three rate cycles and zero DOI methodology questions in the subsequent filing season.