Description: In this video led by Mitchell Momanyi, FSA, MAAA, the types of Medicare products available is discussed. This two major types are traditional Medicare and Medicare Advantage. It discusses how traditional Medicare encompasses Parts A and B, covering various inpatient and outpatient services but not long-term care or prescription drugs, which fall under Part D. The video details deductibles, cost-sharing structures, and options like Medigap plans that assist with Traditional Medicare’s out-of-pocket expenses. Mitchell emphasizes clarity and understanding while sharing his expertise in this comprehensive overview.

Description: Networking—love it or hate it, it’s essential for career success.Having a strong network requires conscious effort to maintain connections and build new relationships.Now that our world and workplace is increasingly virtual, how can we successfully build and maintain our networks virtually? At the conclusion of this session, you’ll be able to: · Use practical exercises to improve your virtual networking skills. · Understand the importance of networking formally and informally. · Effectively participate in or host team building within your organization.

Description: Web3, Crypto, and Generative AI are no longer just buzzwords as they reshape the tech landscape. Viewed by many as unconventional technologies, their potential to now revolutionize the insurance industry cannot be ignored. Join us for an enlightening session that delves into the transformative power of these technologies and their current applications within the insurance sector, as well as discover how forward-thinking insurance companies are embracing these tools to unlock innovation and challenge the insurance status quo.

Description: In late 2021, U.S. Congress passed the Consolidated Appropriations Act (CCA), which requires group health plans and health insurers to submit information regarding the costs of prescription drug costs and other health care services each year to the federal government. Learn how this data can be useful to anyone responsible for forecasting and budgeting.

Description: In this video Scott Allen, FSA, MAAA discusses the Medicare Advantage Part C bid template. The template helps Medicare Advantage plans estimate costs and premiums, comparing their bids to CMS benchmarks. It’s a complex process involving worksheets that project costs, calculate revenue requirements, and determine rebates, ultimately influencing the plan’s benefits, premiums, and competitiveness in the market. Contributors: Scott Allen, FSA, MAAA, Eric Milner, ASA, MAAA, Danica Turner, FSA, MAAA, Jon Forster ASA, MAAA

Description: Health Insurers commonly face challenges regarding data including: Limited knowledge of how to handle large datasets Lack of a common language to discuss data challenge Limited understanding of how to use data and analytics to inform and facilitate decision-making We are seeing a turn in the market to use data and analytics to cultivate an insights-driven culture. But we are noticing a disconnect between the actuaries that are able to glean these insights and the new technologies required to handle the amount of data available to them. During this session you will look at moving from MS Excel to more advanced data handling and modeling tools (e.g., Alteryx), visualization tools (e.g., Power BI & Tableau) and expanding utilization of these tools and analytics. By attending this session, you will: • Understand data and analytics (D&A) concepts, methods, and fundamentals to help drive value. • Gain an appreciation for data privacy, protection protocols, and related ethical considerations when working with data. • Be able to identify of how to use data and analytics to inform and facilitate decision-making.

Description: Actuaries historically modeled new launches in pharmaceuticals by anticipating the expected change to the market basket. This became more complicated with the recent launches of gene and cell therapies as they address rare diseases. Rare conditions have low total member volume to study and some do not currently have a diagnosis code to identify them within claims data. Addressing this modeling challenge has been growing more important in the recent years with the number of therapies launching. What has the health care industry, and more specifically health care, done to enhance modeling and how should this be altered for the future? Additionally, historic modeling has sometimes incorporated a level of direct medical treatment cost offsets where studies have shown lower treatment costs are achievable. Can gene and cell financial modeling include cost offsets as well? And if so, what are suggested precautions or limitations to this effort?

Description: Observe how design thinking can be used to address emerging uncertainty in insurance. (Design thinking is a non-linear, iterative process teams use to understand users, challenge assumptions, redefine problems and create innovative solutions to prototype and test.) According to Fostering Innovation: A Guide for the Actuarial Profession, there is a need for more innovation in the actuarial profession. “A benefit of working in large, well-established organizations is that these workplaces have many problems to solve, but offer many resources, as well as a network of people for collaboration. However, it is interesting to note that the stability and predictability of cyclic work may also be seen as a negative by workplace employees, especially concerning creativity and innovation.

Description: Modeling teams are getting larger to deal with more complex models and to support more enhancement requests from business and actuarial teams. Actuarial modeling teams can adapt tools and techniques used in the broader IT industry to be more efficient, handle large number of requests while maintaining their quality of work. Explore DevOps tools to track requests, progress made, work assignment and version control systems. See Azure DevOps in action as presenters use it as an illustrative tool to showcase these activities and how they can be beneficial to an actuarial modeling team (regardless of their preferred actuarial modeling system).

Description: There exists profound health and access disparities among people from different demographics and socioeconomic backgrounds. Health equity is now a central policy directive for the U.S. government and CMS. Speakers representing policy, health care delivery and actuarial spaces will help you discover what health equity policy directions may look like, the challenges health care providers are facing and how actuaries can contribute to the effort in bridging the health equity divides.