Description: This session explores the far-reaching changes to how clinical data will be sourced, processed and consumed in many payer use cases including risk adjustment, quality measurement, care management, claims adjudication, prior authorizations, and other payer functions. Robust, interoperable data exchange is a prerequisite for value-based care. Clinical data will be increasingly accessible to augment administrative (claims) data via standardized Fast Health Interoperability Resources (FHIR, pronounced 'fire'), at a fraction of the cost of a accessing a traditional medical record and in real-time. On May 1, 2020, HHS issued a final rule implementing interoperability and the patient access provisions of the 21st Century Cures Act of 2016, although enforcement has been delayed into 2021 because of the COVID-19 pandemic. The new regulations promote, “HHS’s vision and strategy for achieving a health information ecosystem within which all individuals, their personal representatives, their health care providers, and their payers are able to send, receive, find, and use electronic health information in a manner that is appropriate, secure, timely, and reliable to support the health and wellness of individuals through informed, shared decision-making, as well as to support consumer choice of payers and providers.”Once enforcement begins, CMS and the Office of the National Coordinator for Health Information Technology (ONC), have the authority to mandate adoption of interoperability requirements, and also penalize payers and providers for non-compliance or the delay and withholding of data.This ‘digital transformation’ of the clinical data ecosystem has far-reaching implications for enabling technologies including Natural Language Processing (NLP) and entire segments of services and vendors. It will eliminate many departmental barriers, duplication and error sources for health plans and impact every department and the underlying economics of delivering and managing care.

Description: 2021 ImpACT Conference - Session 6B: A Courtroom Case: Data Democratization to Drive Analytics? 10.27.21 Recording

Description: Implementing the new data and system requirements related to LDTI bring a renewed focus on the partnership between actuarial and IT teams. This session will discuss common challenges encountered in the past couple of years of LDTI implementation and propose ways on how to ensure a strong partnership between actuarial and IT teams to implement the necessary changes for LDTI.

Description: 2021 ImpACT Conference - Session 4D: Risk Neutral ESGs for LDTI Market Risk Benefits 10.26.21 Recording

Description: 2021 ImpACT Conference - Session 4C: Technological Barbarians at the Gate: Learning from Upheaval in Other Industries 10.26.21 Recording

Description: The famous 80/20 rule in data science states that only 20% of your time working with data is spent driving insightful business analytics. The rest of your time is spent trying to query, clean and organize your data. Even with this knowledge, the majority of actuarial training/focus is on the 20 percent. This session takes a different approach, focusing solely on speeding up your work on the other 80 percent. Practical examples will be part of a code walkthrough in R.

Description: 2021 ImpACT Conference - Session 2D Value-Based Models for Home-Based Care and Digital Health 10.25.21 Recording

Description: Actuarial Process Optimization (APO) is a technology-focused methodology for bringing together actuarial and technology teams to critically examine and optimize actuarial processes, specifically targeting processes that are most time consuming and have the highest risk of failure. From claims analytics to valuation and experience analysis, modern technology can help actuaries optimize their time and focus their attention on higher value tasks. In this session, we will explore opportunities for APO in the Health insurance industry and demonstrate how technology can be used to improve the actuarial process using an agile and targeted approach.

Description: 2021 ImpACT Conference -Session 9C: ABCs of Data Governance 10.28.21 Recording

Description: 2021 ImpACT Conference - Session 10B: Keeping Customers Engaged with Proactive Recommendation of Insurance Portfolio 10.28.21 Recording