2015 Health Meeting

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Tuesday, June 16
6:00 - 8:00 a.m.

Start your morning with a scenic 5K Fun Run/Walk of the Big Peach!  Taking off on the sidewalks at the Atlanta Marriott Marquis, this custom route will take you through the heart of downtown Atlanta.  Each participant is provided a custom route map. Signage and directional cones will keep you on track.  Yes, the city of Atlanta has its share of hills, but elevation changes are generally fairly gentle. 

The nonrefundable fee of $20 per person.  Sign up when you register.

 

7:00 - 5:00 p.m.

Registration is open for all meeting attendees.

7:30 - 8:45 a.m.

A continental breakfast buffet is available for all meeting attendees. 

Session Sponsor(s): Health Section

Moderator(s): Daniel D. Skwire, FSA, MAAA

Presenter(s): Daniel D. Skwire, FSA, MAAA

Join the Health Section for a hot breakfast and an update of the activities of the Disability Special Interest Group and opportunity for actuaries interested in disability insurance to network with their colleagues.

This breakfast is open to all meeting attendees. There is a nonrefundable fee of $20 per person for Health Section members and $30 per person for all others. Please include the additional fee with your registration. 

 

Session Coordinator(s): Daniel D. Skwire, FSA, MAAA

Session Sponsor(s): Education & Research Section

Moderator(s): Charles S. Fuhrer, FSA, MAAA, FCA

Presenter(s): TBD

Join the Education & Research Section for network opportunities with other section members and an opportunity to interact with section council members.  There will be an opportunity to learn what the council is doing and have your views heard.

This breakfast is open to all meeting attendees at no charge. Please be sure to register in order to receive a ticket. 

 

Session Coordinator(s): Sarah L. M. Christiansen, FSA, MAAA

7:30 - 8:30 a.m.

Presentation(s): View Presentation

Session Sponsor(s): Management & Personal Development Section

Moderator(s): Sarah C. Osborne, FSA, FCA, MAAA

Presenter(s): Sarah C. Osborne, FSA, FCA, MAAA; Brian Edward Pauley FSA, MAAA

Of the many of leadership books available, which ones have been impactful to your peers? In this session, actuaries will review several leadership books that have added value to them and share relevant lessons with the audience. An overview of recent Management & Personal Development Section activities and initiatives will also be presented.

At the conclusion of the session, attendees will be able to:

  1. Identify key leadership principles from presented books
  2. Identify ways that presented information can add value to them
  3. Evaluate ways in which specific leadership principles can improve individual and team performance.

This breakfast is open to all meeting attendees at no charge. Please be sure to register in order to receive a ticket. 

Session Coordinator(s): Sarah C. Osborne, FSA, FCA, MAAA

8:30 - 10:30 a.m.

Credits: 1.80 CPD

Session Sponsor(s): Management & Personal Development Section, Entrepreneurial Actuaries Section and Actuary of the Future Section

Moderator(s): Margaret Resce Milkint

Presenter(s): LoriAnn V. Lowery-Biggers; Olga T. Jacobs, FSA, MAAA; Margaret Resce Milkint; Alice Rosenblatt, FSA, CERA, MAAA; Darryl G. Wagner, FSA, MAAA

The Actuary of the Future (AOF), Entrepreneurial Actuaries (EAS), and Management & Personal Development (MPD) Sections, in affiliation with the Women's Insurance Networking Group (WING), presents the Women's Leadership Forum.

In this forum you will have an opportunity to hear from an acclaimed female insurance leader, LoriAnn Lowery-Biggers, President of Field Operations and CMO, The Navigators Group, Inc., and a panel discussion focused on authentic leadership and bridging the gap in female and male success.

We welcome all genders to join us for this engaging, thought-provoking discussion.

Refreshments provided courtesy of Milliman.

Session Coordinator(s): Olga T. Jacobs, FSA, MAAA

9:00 - 10:30 a.m.

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Professional values

Moderator(s): Brian Michael Mackintosh, FSA, MAAA

Presenter(s): Pedro Luis Alcocer FSA, MAAA; Brian Michael Mackintosh, FSA, MAAA;

You can never know too much about the Precepts of the Code of Conduct.  In this session, presenters will review the Precepts and detail adverse situations that actuaries find themselves in with respect to the Code.

At the conclusion of the session, attendees will be able to ensure they understand the Precepts of the Code of Conduct and familiarize themselves with common/recent situations that impact actuaries with respect to the Code.

 

Experience Level: All Levels of Experience

Session Coordinator(s): Brian Michael Mackintosh, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section, Group Life and Disability Subgroup

Competency: Technical Skills & Analytical Problem Solving

Moderator(s): Leo D. Tinkham

Presenter(s): John A. Bettano, FSA, MAAA; Amy Suzanne Whinnett, FSA, MAAA

The SOA Group Life Committee recently published its reports addressing waivers and mortality improvement.  The session will present highlights of the two publications.  This session will explore the results of the 2014 Group Life Mortality Study, with a focus on waiver of premium and mortality improvement.  We will share the results of the study in terms of waiver incidence/disability rates and provide segmented views of waiver incidence, including demographic drivers and group characteristics such as industry.  The total financial impact of waiver of premium will be discussed, including the cost of waiver reflected in manual and experience rates.  We will discuss the impact of linking LTD and waiver claims and the implications of these results.

At the conclusion of the session, attendees will be able to:

  1. Evaluate variations in the loss cost of waiver by demographics and group characteristics
  2. Determine how the linking of waiver claim adjudication with LTD claim adjudication affects the experience of both products
  3. Explain changes in the group life mortality rates compared to the 2006 SOA study

 

Experience Level: Intermediate

Session Coordinator(s): Leo D. Tinkham

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Long Term Care Insurance Section

Competency: Strategic Insight and Integration

Moderator(s): James M. Glickman, FSA, MAAA, FCA

Presenter(s): Stephen Douglas Forman; James M. Glickman, FSA, MAAA, FCA; Roger Loomis, FSA, MAAA

Presentation of key findings from the recent LTC Section Pricing Study, examining the pricing assumptions and margins around the LTCi products of 2000, 2007, and 2014, with an emphasis on each era's ability to absorb adverse experience without needing rate increases.

At the conclusion of the session, attendees will be able to understand what the industry has learned over the past fifteen years about LTCi product pricing.

 

Experience Level: All Levels of Experience

Session Coordinator(s): Rachel Marie Brewster, FSA, CERA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Forecasting & Futurism Section, Health Section

Competency: Technical Skills & Analytical Problem Solving

Moderator(s): David L. Snell, ASA, MAAA

Presenter(s): Brian D. Holland; FSA, MAAA; Dihui Lai, Ph.D.; Sheamus Kee Parkes, FSA, MAAA

This will be a panel session discussing the newer, free tools available now for advanced analytics. Attendees will hear from experts about how to solve actuarial problems at lower cost with better support and with repeatability. The world is changing and the paradigm for predictive modeling is changing along with it.

At the conclusion of the session, attendees will be able to: 

  1. Recognize applications that can benefit from the newer tools
  2. Understand the benefits and limitations of various tool sets
  3. Learn where to get training and reference information
  4. Save time and angst in the choice of what new technology tools to use.

 

Experience Level: All Levels of Experience

Session Coordinator(s): David L. Snell, ASA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Strategic Insight and Integration

Moderator(s): Matthew P. Chamblee, FSA, MAAA, CERA

Presenter(s): Puneet Budhiraja, ASA, MAAA; Matthew P. Chamblee, FSA, MAAA, CERA

This session will cover a plan's Medicare Advantage experience and how actuaries should take this into account in the coming year. It will include risk scores (cohort analysis, etc.), durational analysis, competitive analysis of plan designs, etc., as well as a discussion of what experience studies would be good to add to your MA analytics portfolio.

At the conclusion of the session, attendees will be able to evaluate what tools should they consider adding to their MA analytics portfolio.  They will learn how to design risk score cohort studies, durational analyses, etc and how to consider these when developing next year's bids.

 

Experience Level: Intermediate

Session Coordinator(s): Matthew P. Chamblee, FSA, MAAA, CERA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Julia Kraemer Lerche, FSA, MAAA, MSPH

Presenter(s): Michael Kolber; Linda Sheppard; Frederick S. Busch, FSA, MAAA

With 2016 rates and plans expected to be under review by state and federal regulators and exchanges, this session will cover lessons learned from, and results of, the 2015 public exchange open enrollment season, and expectations for 2016 open enrollment. The session will cover any late breaking news on public exchanges and will address the opportunities and challenges ahead.

At the conclusion of the session, attendees will be able to explain the current state of public exchanges, demonstrate knowledge of the current regulatory environment, and identify some of the key opportunities and challenges public exchanges will face in the future.

 

Experience Level: Intermediate

Session Coordinator(s): Julia Kraemer Lerche, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Jennifer L. Gerstorff, FSA, MAAA

Presenter(s): Christopher John Truffer FSA,MAAA; Robert Michael Damler FSA,MAAA

In recent years, we have seen an increasing amount of guidance related to Medicaid capitation rates from the Centers for Medicare and Medicaid Services (CMS) in addition to the brand new ASOP. This session features two experts in the area representing multiple perspectives. The speakers will discuss the evolution of guidance over the years, and facilitate a broad discussion of the capitation rate setting environment in 2015 and beyond. Topics will include previous sources of guidance as well as the new Medicaid capitation rate setting ASOP, new guidance from CMS related to rate setting, and the potential for an updated CMS checklist for capitation rate setting.

At the conclusion of the session, attendees will be able to: 

  1. Evaluate the changes to capitation rate-setting guidance over the past 20 years; 
  2. Describe the capitation rate setting environment for 2015 and beyond; 
  3. Discuss the influence of new guidance on actuarial methods and documentation - both those already observed and those that are anticipated.

 

Experience Level: All Levels of Experience

Session Coordinator(s): Jennifer L. Gerstorff, FSA, MAAA

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Jennifer Lynn DeVree, FSA, MAAA

Presenter(s): Jennifer Lynn DeVree, FSA, MAAA; Eric P. Goetsch, FSA, MAAA

We intend to reach out to attendees in advance of the session to solicit questions and discussion topics.  At a minimum, we will cover MA payment reform, recent CMS guidance, and major changes that occurred for the 2016 bid cycle.

At the conclusion of the session, attendees will be able to:

  1. Explain key issues affecting the Medicare Advantage and Prescription Drug Plan market,
  2. Identify and evaluate the impact of regulatory changes, and
  3. Apply this new knowledge to better inform competitive strategy in future years.

 

Experience Level: Intermediate

Session Coordinator(s): Jennifer Lynn DeVree, FSA, MAAA

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Entrepreneurial Actuaries Section

Competency: Communication

Moderator(s): Lina S. Chan, FSA, MAAA

Presenter(s): Michael S. Miele, FSA, MAAA; Lina S. Chan, FSA, MAAA

This session will be an interactive session with initial presentations regarding tips and ideas for networking.  This can be used as a medium for you to learn how to network for business purposes and develop techniques to improve your communication skills.

At the conclusion of the session, attendees will be able to communicate, network and have fun!

 

Experience Level: Beginner

Session Coordinator(s): Shasha Huang, ASA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Ian G. Duncan, FSA, FIA, FCIA, MAAA

Presenter(s): Jorge A. Alvidrez, ASA, MAAA; Ian G. Duncan, FSA, FIA, FCIA, MAAA; Jeremiah D. Reuter, ASA, MAAA

The international opportunities for health actuaries is very broad. Come learn about different aspects of the international environment, specific issues other countries are facing, and the opportunities for health actuaries

At the conclusion of the session, attendees will be able to compare and contrast international and US market, understand how actuaries can impact international markets.

 

Experience Level: All Levels of Experience

Session Coordinator(s): Daniel S. Pribe, FSA, MAAA

10:30 - 11:00 a.m.

A refreshment break is available for all meeting attendees.

11:00 - 12:15 p.m.

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Technical Skills & Analytical Problem Solving

Moderator(s): TBD

Presenter(s): Mark J. Costello, FSA, MAAA; Curt Zepeda

Medical and financial underwriting are crucial risk management tools for individual disability insurance, and they are used in special situations for group life and disability insurance as well.  The speakers in this session discuss a variety of underwriting topics specific to these products, including routine requirements, pharmacy and other database tools, alternate offers, and best practices.

At the conclusion of the session, attendees will be able to understand the medical and financial underwriting process for disability and group life insurance and identify recent developments of interest to their companies.

 

Experience Level: Intermediate

Session Coordinator(s): Daniel D. Skwire, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Entrepreneurial Actuaries Section

Competency: Leadership

Moderator(s): Matthew P. Collins, MAAA, FCAS

Presenter(s): Carlos A. Sanchez-Fuentes, FSA, MAAA, FCA, MBA; Thomas Maki

The session is divided in two parts.  In the first, the presenters describe how strategy originated in Classical Athens and how, for thousands of years, it remained the domain of military thinking.  The presenters emphasize the historical link between strategy and leadership, and discuss the evolution of military strategy as well as its influence on business managers who, with varying degrees of success, have attempted to adopt certain military ideas to business contexts.  The presenters discuss the nature of strategic problems, the goals of strategic tools, and the limitations of strategic thinking.  In the second part the presenters focus on selected strategic techniques created to tackle complex business problems.  They describe each technique, give examples of how it has been applied, and comment on its practical value

At the conclusion of the session, attendees will be able to:

  1. Develop a broad understanding of business strategy
  2. Become acquainted with techniques that actuaries seldom use
  3. Understand the limitations of strategic thinking

 

Experience Level: All Levels

Session Coordinator(s): Shasha Huang, ASA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): John W. Robinson, FSA, MAAA, FCA

Presenter(s): Prof. Thomas Getzen; Robert L. Schmidt, FSA, MAAA, EA

The Society of Actuaries' Pension Section and Health Section Research teams commissioned Professor Thomas E. Getzen of Temple University to construct a resource model for the projection of long term healthcare cost trends. The motivation for creation of the model was driven by its potential usage as a resource for the estimation of reportable liabilities for retiree healthcare benefits as specified under FAS 106 and GASB 45 accounting statements. This session will review the development methodology, results and applications of the model. Come listen to Professor Getzen and other industry experts regarding the use of this model.

At the conclusion of the session, attendees will be able to:

  1. Understand the methodology used to develop the model
  2. Name more significant and less significant drivers of trend
  3. Know potential applications of the model
  4. Understand how the model development might be applicable to other long term trend development studies

 

Experience Level: All Levels of Experience

Session Coordinator(s): Julia S. Lambert, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Technology Section

Competency: Strategic Insight and Integration

Moderator(s): Henning Chiv, FSA, MAAA

Presenter(s): Henning Chiv, FSA, MAAA

The purpose of the session will be to discuss trends and relevant uses of data analytics as they apply to health insurance.

At the conclusion of the session, attendees will be able to:

  1. Describe some uses of analytics for health insurers
  2. Apply their learning from the session to identify opportunities at their own company.

 

Experience Level: All Levels of Experience

Session Coordinator(s): Paul C. Ramirez, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Teresa Russ Winer, FSA, MAAA

Presenter(s): Thomas Carswell, FLMI; Stacy Koron, JD, CLU, FLMI; Stephen Rook, FSA, MAAA; Teresa Russ Winer, FSA, MAAA

This session will review where we are with regard to supplemental health products after passage of the ACA.  Sub-topics will include:

  1. ACA's impact on product design
  2. ACA's impact on product filings
  3. ACA's impact on market entry, competition, and product positioning
  4. Possible future developments

At the conclusion of the session, attendees will be able to:

  1. Identify the impact of the ACA on the supplemental market
  2. Identify future changes that may be possible as a result of the ACA
  3. Explain changes to product features as a result of the passage of the ACA.

 

Experience Level: Beginner

Session Coordinator(s): Ashlee Mouton Borcan, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Gregory Vincent Sgrosso, FSA, MAAA

Presenter(s): Douglas T. Norris, FSA, MAAA; Andrew Ryan Large, FSA, CERA, MAAA; Zachary Miller Davis, FSA, MAAA; Gregory Vincent Sgrosso, FSA, MAAA

With two filing seasons behind us and another coming to a close, what have we learned and what uncertainties remain? This session will delve into the issues faced so far and discuss moving trends among players in the market. Topics relevant to traditional insurers and Co-Ops will be discussed. Impacts of ever-evolving regulations will be explored with the intent of bringing clarity to the rate filing environment, including product and network development strategies. Experts will discuss techniques that can be used in various scenarios through real-life examples. Future opportunities and challenges will be highlighted as we look toward 2017.  There will be an opportunity for the audience to ask questions.

At the conclusion of the session, attendees will be able to:

  1. Understand current and emerging trends in ACA pricing in the Commercial and CO-OP markets
  2. Identify opportunities and challenges for 2016 ACA pricing
  3. Understand the post ACA marketplace and recognize current trends in pricing and population

 

Experience Level: Advanced

Session Coordinator(s): Gregory Vincent Sgrosso, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Jennifer L. Gerstorff, FSA, MAAA

Presenter(s): Steve Cline, DDS, MPH; Mike Randol, MBA

Under ACA Section 2703, CMS is offering enhanced federal match to states which provide health home services to Medicaid beneficiaries with chronic conditions are affected by a serious and persistent mental health condition. CMS requirements for health home programs authorized under the state plan option are designed to promote a "whole-person" philosophy and include: comprehensive care management, care coordination, health promotion, comprehensive transitional care, individual and family support services, and referral to community and social support services. This session will provide overview of the new CMS support and funding to develop health home programs as an innovative model of care. Case studies will be presented to include:

  • a new program that is part of a total Medicaid delivery system redesign, engaging community-based providers which have shown significant promise in improving care and achieving savings.
  • a mature program which has been so successful with its patient centered medical home (PCMH) model that the state has the 3 rd highest volume of PCMH certified practices in the US, even though North Carolina is only the 10 th largest state by population.

At the conclusion of the session, attendees will be able to: 

  1. Define ACA section 2703 and how it impacts state Medicaid program options.
  2. Understand how the health home approach drives quality, improves patient outcomes, and bends the cost curve down.
  3. Compare multiple states' programs at different stages in development.  

 

Experience Level: All Levels of Experience

Session Coordinator(s): Jennifer L. Gerstorff, FSA, MAAA; Chin-Mei Yvonne Chueh, ASA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Strategic Insight and Integration

Moderator(s): Brent Lee Greenwood, ASA, MAAA

Presenter(s): Paul Douglas Erickson, FSA, MAAA; Doug Proebsting, FSA, MAAA

The Part D program and products continue to evolve, challenging even the most knowledgeable actuaries. To understand where the market is heading, we need to understand how the market arrived at its current position. This session will summarize key findings from the 2015 enrollment and illustrate what products were successful and how that may have influenced 2016 product offerings. The panel will then summarize key procedural changes and operational requirements that influenced 2016 as introduced in the CMS call letter. Lastly, the panel will discuss emerging issues impacting pharmacy cost trends, such as preferred networks, the continual introduction of high cost specialty drugs, demographic differences between PD and stand-alone PDP, potential regional implications of dual demonstration projects and MTM impact.  At the conclusion attendees should have a greater appreciation for the issues faced by actuaries involved in the 2016 bid projections.

At the conclusion of the session, attendees will be able to:

  1. Understand what Part D products have been successful to date based on enrollment.
  2. Understand key procedural, cost and operational issues unique to the 2016 bid process
  3. Gain an appreciation for the complexity associated with the projection of Part D costs in developing the 2016 Part D bids.

 

Experience Level: Intermediate

Session Coordinator(s): Brent Lee Greenwood, ASA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Theresa Shouldis Bauer, FSA, MAAA

Presenter(s): Theresa Shouldis Bauer, FSA, MAAA; Margaret Aline Chance, FSA, MAAA; Thomas Daniel Murawski, ASA, MAAA

The first year of ACA exchanges is complete, and we are halfway through the second. How have the Exchanges performed -- what states have been successful and which ones have stumbled? How have consumers and employers reacted to them -- who has enrolled, what has their risk profile and utilization of healthcare looked like, have employers eliminated coverage and sent large numbers of consumers to the exchanges? And how has that emerging experience changed rating and rate filing -- when we first filed exchanges we had no experience. Now we have some. Did we use it and how? How was it suitable and not? And how did we all manage under the accelerated timelines for 2016 filing?

At the conclusion of the session, attendees will be able to:

  1. Understand which state exchanges have over vs underperformed and what factors may have contributed to that difference in performance
  2. Outline how exchange membership is behaving
  3. Discuss the filing process for exchanges and how experience has been used in rate development

 

Experience Level: All Levels of Experience

Session Coordinator(s): Theresa Shouldis Bauer, FSA, MAAA

12:30 - 2:00 p.m.

cloud-henry

Keynote Speaker - Henry Cloud, Psychologist, Author, and Radio Co-Host

Dr. Henry Cloud is an acclaimed leadership expert, psychologist and best-selling author.  He draws on his extensive experience in business, leadership consulting and clinical psychology, to impart practical and effective advice for improving leadership skills and business performance.

Dr. Cloud has written or co-written many books, which have sold over 10 million copies. His leadership book, Integrity , was dubbed by the New York Times as "the best book in the bunch." In 2011, Necessary Endings was called "the most important book you read all year." His book Boundaries for Leaders was named by CEO Reads in the top five leadership books of its year. Dr. Cloud's work has been featured and reviewed by the New York Times, Wall Street Journal, Boston Globe, Publisher's Weekly, Los Angeles Times and many other publications. Success Magazine named Dr. Cloud one of 2014's 25 most influential leaders in personal growth and development. He is a frequent contributor to CNN, Fox News Channel and other national media outlets.

In his leadership consulting practice, Dr. Cloud works with Fortune 500 companies and smaller private businesses alike.  He has an extensive executive coaching background, and experience as leadership consultant, devoting the majority of his time working with CEO's, leadership teams and executives to improve performance, leadership skills and culture.

His experience includes three decades as a consultant. As an entrepreneur, he started and grew a successful chain of treatment centers in over 40 cities across the western United States. His experience running a business of this magnitude lends credibility to his expertise on leadership matters in the companies with which he works.

As a speaker, Dr. Cloud has shared the stage with many business and global leaders and experts, such as Tony Blair, Jack Welch, Condoleezza Rice, Jack Welch, Desmond Tutu, Marcus Buckingham and others.

Dr. Cloud is a graduate of Southern Methodist University, with a B.S. in psychology. He completed his Ph.D. in clinical psychology at Biola University and his clinical internship at Los Angeles County Department of Mental Health. His philanthropic interests lie in homelessness in the inner city as well as missions in the developing world. He lives in Los Angeles with his wife Tori and their two daughters Olivia and Lucy. He enjoys golf, scuba diving, boating and fishing.

This is your opportunity to network with your peers during lunch. And don't forget to make new professional connections and explore fresh opportunities!

The luncheon is included in your registration fee. You may register your guest(s) for the luncheon by including $75 per person with your registration fee. Admission tickets are available for purchase at the meeting as space permits. Refunds will not be given.

 

2:15 - 3:45 p.m.

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Results-Oriented Solutions

Moderator(s): Michael F. Vassar

Presenter(s): Nathan Kyle Berggoetz, ASA, MAAA

Group disability insurance is a complex product with a variety of actuarial and underwriting challenges. This session provides experienced practitioners with the chance to participate in a moderated discussion on topics of current interest, ranging from claim experience, to pricing and underwriting, to reserving and financial reporting.

At the conclusion of the session, attendees will be able to identify topics of current interest in the group disability market and understand the importance of these issues in their own work.

 

Experience Level: Advanced

Session Coordinator(s): Leo D. Tinkham

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Edward C Cymerys, FSA, MAAA

Presenter(s): Michael Taitel, PhD; Dale H. Yamamoto, MAAA, EA, FCA; Sean Duffy

New types of care management programs are being designed in the digital health space.  This session will cover examples of these programs and tools - how they are designed, what outcomes they drive, and how their effectiveness is evaluated.

At the conclusion of the session, attendees will be able to:

  1. Describe digital health examples of care management programs or tools;
  2. Explain challenges in evaluating the effectivness of these tools;
  3. Discuss opportunities for actuaries to address these challenges

 

Experience Level: Beginner

Session Coordinator(s): Kara L. Clark, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Forecasting & Futurism Section, Health Section

Competency: Technical Skills & Analytical Problem Solving

Moderator(s): David L. Snell, ASA, MAAA

Presenter(s): Brian D. Holland, FSA, MAAA; Qichun Xu, FSA, Ph.D.

This will be a panel session discussing the ways PM is used in actual insurance settings. It will touch upon techniques that go beyond the basics, and discuss machine learning and other more advanced topics.

At the conclusion of the session, attendees will be able to:

  1. Choose 'next steps' beyond the basics in PM
  2. Compare and contrast various popular PM extensions and spin-offs
  3. Learn where to get more education to come up to speed on more sophisticated techniques.

 

Experience Level: Intermediate and Advanced

Session Coordinator(s): David L. Snell, ASA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): American Academy of Actuaries

Competency: External Forces & Industry Knowledge

Moderator(s): Audrey L. Halvorson, FSA, MAAA

Presenter(s): Cori E. Uccello, FSA, MAAA, FCA; Thomas F. Wildsmith IV, FSA, MAAA; Catherine M. Murphy-Barron, FSA, MAAA

Academy volunteers will present examples of past and ongoing efforts to be a resource to legislative and regulatory policymakers. These will include published issue briefs, comment letters, hearing testimony, hill briefings, and meetings with staff. Panelists will also discuss behind the scenes activities and will comment on how the Academy's work has influenced public policy. This session is meant for those interested in policy work to learn how the American Academy of Actuaries works on Capitol Hill and beyond

At the conclusion of the session, attendees will be able to:

  1. Monitor and get access to AAA policy work:
  2. Describe the kinds of policy work the Academy gets involved with;
  3. Develop an interest in policy work.

 

Experience Level: All Levels of Experience

Session Coordinator(s): Audrey L. Halvorson FSA, MAAA

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Ashlee Mouton Borcan, FSA, MAAA

Presenter(s): Stephen Rowley; Ashlee Mouton Borcan, FSA, MAAA

This session looks at supplemental insurance in the voluntary market including issues related to selling multiple products together, reduced or guaranteed issue underwriting, product flexibility and premium rating structure.

At the conclusion of the session, attendees will be able to describe the evolving supplemental health insurance market as well as describe the actuarial impact and risks of changes in the supplemental health insurance market. 

 

Experience Level: Intermediate

Session Coordinator(s): Ashlee Mouton Borcan, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Professional values

Moderator(s): Brian Michael Mackintosh, FSA, MAAA

Presenter(s): D. Joeff Williams, FSA, MAAA

You can never know too much about the Precepts of the Code of Conduct.  In this session, presenters will review the Precepts and detail adverse situations that actuaries find themselves in with respect to the Code.

At the conclusion of the session, attendees will be able to ensure they understand the Precepts of the Code of Conduct and familiarize themselves with common/recent situations that impact actuaries with respect to the code.

Experience Level: All Levels of Experience

Session Coordinator(s): Brian Michael Mackintosh, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Strategic Insight and Integration

Moderator(s): Douglas A. Proebsting, FSA, MAAA

Presenter(s): Christopher Lynn Andrews, FSA, MAAA; Adam J. Barnhart, FSA, MAAA

This is a strategic and technical session targeted specifically to actuaries familiar with the Medicare Advantage or PDP market.  Each year plans must estimate the National Average Medicare Part D bid values compiled by CMS from actual bids to use in their own Part D (PD) and stand alone prescription drug plan (PDP).  These values directly impact the Part D premium and, in the case of MA-PD plans that have a target premium in mind, create extra recalibration work in August once all bids are approved through desk review.  This session will first explore the complexity of estimating the Part D subsidies and then outline key strategies for plans to consider when the estimate is not close enough.

At the conclusion of the session, attendees will be able to better understand the complexity and inputs that drive the Part D national average values, see the historical patterns through 2015, and understand how to react to surprises with respect to the MA-PD bid resubmissions in August.

 

Experience Level: Advanced

Session Coordinator(s): Eric P. Goetsch, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Social Insurance & Public Finance Section, Long-Term Care Insurance Section

Competency: External Forces & Industry Knowledge

Moderator(s): Steven W. Schoonveld, FSA, MAAA

Presenter(s): Steven W. Schoonveld, FSA, MAAA; Eileen Tell; Robert K. Yee, FSA, MAAA

There is no unanimity regarding the role that the public sector - Federal and State governments - should play in the financing and provision of long-term care services and support (LTSS) for individuals who need it.  The session panelists will discuss some potential approaches as well as pros & cons, and other key considerations from different perspectives associated with each.

At the conclusion of the session, attendees will be able to obtain a basic understanding of the key issues and possible solutions related to the public financing for the LTSS.

 

Experience Level: All Levels of Experience

Session Coordinator(s): Jianhua Yu, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): TBD

Presenter(s): James T. O'Connor, FSA, MAAA

Panelists will focus on surplus issues that insurance companies will now face and how insurance comapnies will have to deal with the issues with respect to the 3R settlements. This includes a discussion on the variability and uncertainty in risk adjustment estimates, the potential lack of funding for the risk corridor provision and the resulting impact on insurers' financial adequacy.

At the conclusion of the session, attendees will be able to understand surplus considerations due to the 3R settlements.

 

Experience Level: Intermediate

Session Coordinator(s): Valerie F. Nelson, FSA, MAAA

Credits: 1.80 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Margaret Aline Chance, FSA, MAAA

Presenter(s): Margaret Aline Chance, FSA, MAAA

The individual medical market is a rapidly changing and increasingly challenging market that is further complicated by the intended and unintended consequences of healthcare reform. In this workshop, you will drive the agenda and actively participate in a discussion on the current headlines in the individual market. Topics may include innovative benefit plan design, premium and rate filings, the impact and measurement of the 3Rs, Exchanges and QHP Certification, and federal and state regulatory challenges. This session is participatory, and attendees should come prepared to share their recent experiences and current concerns.  The moderator will guide the discussion and manage the topics, but the majority of the information to be presented will be provided by the participants. This workshop offers a rare opportunity to discuss issues with other actuaries working in this market.  As with all sessions, the boundaries of anti-trust rules will be followed through monitoring the session's topics and discussions.

At the conclusion of the session, attendees will be able to:

  1. Understand the current state and various challenges of the individual market
  2. Generate ideas for dealing with those challenges
  3. Take back a high level understanding of how competitors and consumers themselves view the market

 

Experience Level: Intermediate

Session Coordinator(s): Theresa Shouldis Bauer, FSA, MAAA

3:45 - 4:15 p.m.

A refreshment break is available for all meeting attendees.

4:15 - 5:30 p.m.

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section, Disability and Group Life Subsection

Competency: External Forces & Industry Knowledge

Moderator(s): TBD

Presenter(s): Warren M. Cohen, FSA, MAAA; Stacy Koron, JD, CLU, FLMI

Voluntary and supplemental life insurance products are increasingly popular with employers and employees as a means to allow greater employee choice while controlling employer costs. The adverse selection inherent in these products poses a variety of risk and pricing challenges for insurers.  This session explores the development and growth of voluntary and supplemental life products focusing on what insurers have learned about the risk management of this type of business; including the impact of participation rates, guaranteed issue limits, and open enrolments.

At the conclusion of the session, attendees will be able to:

  1. Identify risk management issues specific to voluntary and supplemental life.
  2. Identify opportunities to improve pricing and performance of voluntary life business.
  3. Identify opportunities to improve pricing and performance of ported life business.

 

Experience Level: Intermediate

Session Coordinator(s): Leo D. Tinkham

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Education & Research Section, Health Section

Competency: Technical Skills & Analytical Problem Solving

Moderator(s): Ian G. Duncan, FSA, FIA, FCIA, MAAA

Presenter(s): Ian G. Duncan, FSA, FIA, FCIA, MAAA; Kara L. Clark, FSA, MAAA; Bradley Bruce Armstrong, ASA, MAAA

Clinical principles (managing and evaluating healthcare intervention programs), credibility theory, and Markov models have been part of the ASA and group health FSA syllabus for several years.  In this session, several FSAs that studied this material as part of their credentialing process will discuss how they have applied these principles in the context of their work.

At the conclusion of the session, attendees will be able to know how practitioners apply principles learned for the exams.  They will identify appropriate uses of Markov models and be able to  interpret credibility.

 

Experience Level: Intermediate

Session Coordinator(s): Ian G. Duncan, FSA, FIA, FCIA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Strategic Insight and Integration

Moderator(s): Julia S. Lambert, FSA, MAAA

Presenter(s): Kelsey Leigh Stevens FSA, MAAA; Julia S. Lambert, FSA, MAAA

The distribution of payments under the risk adjustment mechanism in the ACA depend on the payment transfer formula.  If you have attempted to understand the payment transfer formula, only to come up frustrated and lost in the acronyms of PLRS, ARF, IDF, and GCF, this session is for you.  In this session, we will dive into the calculations of the payment transfer formula to understand how it mitigates risk and distributes risk adjustment dollars.  Please bring a PC laptop to this class so that you can individually perform the class exercises with your own version of the excel spreadsheet.

At the conclusion of the session, attendees will be able to:

 

  1. Explain what the payment transfer formula is doing
  2. Define the various terms in the payment transfer formula
  3. Calculate the distribution of the dollars for a illustrative example

 

Experience Level: Intermediate

Session Coordinator(s): Julia S. Lambert, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Management & Personal Development Section

Competency: Leadership

Moderator(s): Anthony Travis Kovac, ASA, MAAA

Presenter(s): Joanne Ryan, FSA, MAAA, CPC, ELI-MP

Is there something you have always wanted that you've stopped pursuing?  Do you keep saying, "One day I'm going to do this," and that day never seems to come?  Are you settling for mediocrity?  Do you feel things are good enough but not great?  Are you feeling stuck or unfulfilled in some aspect of your life?  In this interactive and hands-on session, participants will learn what's really stopping them from going after what they truly want and living the life of their dreams.  We will explore both inner and outer blocks and develop a plan to get moving.

At the conclusion of the session, attendees will be able to: 

  1. Understand what prevents us from going after what we really want
  2. Figure out strategies to move forward
  3. Take action steps to get moving

Experience Level: All Levels of Experience

Session Coordinator(s): Sarah C. Osborne, FSA, MAAA, FCA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: External Forces & Industry Knowledge

Moderator(s): Barry Jordan Jr.

Presenter(s): Jennifer L. Gerstorff, FSA, MAAA; Zachary Christian Aters ASA, MAAA; David DeHommel; Barry Jordan Jr.

As experience emerges for newly-covered low-income adults in the Medicaid program, every changing state program is facing its own unique variety of unforeseen challenges. This session will include discussion using the most recently available information related to: states that have expanded traditionally to date; states that have chosen or are pursuing an alternative expansion; states that are still in the decision-making process and what influences those decisions; how the November 2014 governor elections shook things up; and how actual experience varies from what we previously expected. Prior to the expansion, data were limited for our use in projecting enrollment and medical claims cost for this population of primarily childless adults. We will cover assumptions that were made (and how they have panned out) across a range of states related to demographic profiles, enrollment take-up, expected benefit utilization, pent-up demand, and morbidity relative to traditional Medicaid populations.

At the conclusion of the session, attendees will be able to:

 

  1. Discuss how Medicaid expansion has impacted various state Medicaid programs. 
  2. Demonstrate an understanding of the impact of recent governor elections on Medicaid expansion decisions. 
  3. Compare the actual to expected enrollment levels and medical cost of expansion programs for multiple states.

 

Experience Level: Intermediate

Session Coordinator(s): Jennifer L. Gerstorff, FSA, MAAA

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Results-Oriented Solutions

Moderator(s): Jen Christensen, CNN – Medical Unit

Presenter(s): James Douglas Fullam, ASA, AIR Worldwide; Martin Meltzer, M.S., Ph.D., Center for Disease Control and Prevention (CDC); Lauren Meyers, Ph.D., The University of Texas at Austin; Sita Ranchod-Nilsson, Ph.D., Emory University

As the recent outbreak of Ebola heightened attention to the risk pandemics pose, continued threat of the global flu pandemic, SARS and the possible resurgence of both tuberculosis and polio, the need exists to further assess the full-spectrum of risks and how they affect public health systems. Health professionals, actuaries, legal experts and economists convene to discuss the following topics as they relate to pandemics and the public health system:

  • Modelling approaches for estimating risks and whether the models in place during the Ebola outbreak held up
  • Vaccinations as central to controlling outbreaks, and mapping vaccination needs on a global scale
  • Discussing the differences in modeling risk and public health needs in developing vs. developed countries
  • The intersection between public health and the economy, and where gaps exist creating systemic risk and vulnerabilities 
  • The dichotomy between upholding civil liberties and maintaining public health

At the conclusion of the session, attendees will be able to:

  1. Understand the latest techniques in pandemic  modelling by studying where models exposed risk during the Ebola crisis 
  2. Greater comprehension of the business and financial impact presented by major pandemics, and where breakdowns occur within the system
  3. Key learnings for decreasing pandemic risks on public health

 

Session Coordinator(s): Abbie PeGan

Presentation(s): View Presentation

Credits: 1.50 CPD; N/A EA

Session Sponsor(s): Health Section

Competency: Strategic Insight and Integration

Moderator(s): William T. O’Brien, FSA, FCA

Presenter(s): David V Axene, FSA, MAAA, FCA, CERA; Robert Anders Larson, FSA, MAAA; Jessica Marie Naber, FSA, MAAA

Having recently completed the first phase of transitioning to value-based care, hear about the pathway to success under value based payments. Then hear from actuaries and industry participants about the challenges involved in measuring savings and creating incentive arrangements aligned with program goals.

At the conclusion of the session, attendees will be able to:

  1. Describe the challenges providers face in implementing value based payments
  2. Understand provider measurement of clinical savings and the impacts to program financial results
  3. Design value based programs that incorporate provider issues around implementation and measurement of savings.

 

Experience Level: Advanced

Session Coordinator(s): William T. O’Brien, FSA, FCA

Back

Legend

Communication

Demonstrating the listening, writing and speaking skills required to effectively address diverse technical and nontechnical audiences in both formal and informal settings.

Professional Values

Adhering to standards of professional conduct and practice where all business interactions are based on a foundation of integrity, honesty and impartiality.

External Forces & Industry Knowledge

Identifying and incorporating the implications of economic, social, regulatory, geo-political and business changes into the design and delivery of actuarial solutions.

Leadership

Initiating, innovating, inspiring, creating or otherwise acting to influence others regardless of level or role toward a common goal.

Relationship Management & Interpersonal Collaboration

Creating mutually beneficial relationships and work processes toward a common goal.

Technical Skills & Analytical Problem Solving

Applying the actuarial knowledge, skills and judgment required to provide value-added services.

Strategic Insight & Integration

Anticipating trends and strategically aligning actuarial practice with broader organizational business goals.

Results-Oriented Solutions

Providing effective problem solving that addresses relevant interests and needs.