Description: La comprensión y la proyección de la evolución futura de la mortalidad es crucial para decisiones en campos como la salud pública y la planificación de sistemas de seguridad social y pensiones.

Description: Read the March 2020 issue of In The Public Interest published by the Social Insurance & Public Finance Section. Newsletters provide practical information for the working actuary, articles on trends that impact sections and news about section activities.

Description: As we entered 2014, actuaries became familiar with three risk stabilizing mechanisms in the early years of the ACA marketplaces, colloquially known as 'the 3Rs'. As we enter 2024, there is renewed focus on rating compliance and risk adjustment. Speakers will highlight pricing considerations when determining cost-sharing reduction premium loads as well as related issues pertaining to risk adjustment and metal tier pricing.

Description: While states face a wide variety of circumstances and have implemented diverse approaches to the MOE phase-out, we revisit the conversation to discuss emerging experience across stakeholders as we examine the operationalization of the PHE unwinding as it relates to this major disruptor in the distribution of the healthcare enrollment.

Description: This document is from the Digest of Informal Discussion, Transactions of Society of Actuaries 1955 Volume 7, Number 17. It provides the names of the individuals contributing to the discussion along with a summary of their remarks. The discussion covers social security in Canada and the U.S., including principles underlying recent and prospective developments, inconsistency and overlapping among different systems, types of benefits and benefit levels, use of private carriers and self-administered plans, and types of plans and coverages.

Description: As the topic of affordable long-term care (LTC) insurance comes into focus in political conversations, we often find ourselves thinking, “What is going to happen to the private LTC insurance industry going forward?” The need for LTC in the United States is not going away, especially as the population continues to age. With this in mind, this article explores three possible future paths for LTC insurance funding and the associated implications for the private LTC industry.

Description: This panel discussion is from the 1991 Meeting of the Society of Actuaries, held June 3-5 in Colorado Springs. The panelists discuss current issues with respect to the Social Security, Medicare, and Medicaid programs, including controlling Medicare costs, Parts A and B, covering the uninsured under Medicaid, and the Social Security Old Age and Survivors and Disability Insurance, ‘OASDI,’ trust funds, and their relationship with the overall federal budget and whether trust fund build up can affect aggregate national savings. Long range projections and assumptions, and the recommendations of the OASDI Technical Panel are examined. From the Record of Society of Actuaries Vol. 17, No. 3B.

Description: Analyzing large quantities of raw complex data is often a challenge in the health care industry. During this webcast, there will be a demonstration of how unsupervised machine learning techniques can be applied to such data to help bring useful insights. This will include examples that use unsupervised learning techniques spanning dimensionality reduction, clustering and anomaly detection.

Description: "Risk adjustment (RA) is a key component for CMS Medicare Advantage program and California Medicaid Managed Care program. While both RA programs follow generally accepted basic principles at a high level, their underlying methodologies and assumptions are also quite different. Due to recent events such as COVID-19 Public Health Emergency and Medicaid redetermination delay and restart, it adds complexity to Risk Adjustment. This is a hot topic in the industry and has significant impact to health plans. Keeping current with risk adjustment program changes and understanding the commonalities and differences of these two government risk adjustment programs is important to our health actuaries. Compare these two risk adjustment programs so you can learn key elements of a risk adjustment program, similarities and differences in methodology and assumptions , as well as special considerations due to serving different populations."

Description: "Through both informed policy debate and opinionated social media, there are many current event health topics actively discussed and debated. The question remains... how does one separate out subjective information, seek objective analysis, and at the same time consider where there might be more research needed to come to conclusions? This session will use several current event topicsas examples and discover insights as to where research has been performed, what it may or may not cover, and also note where lines are still blurred and may need further details to be studied. Topics that may be discussed include: How valuable and exact is the use of risk-adjustment for Medicare Advantage What is the health and mortality impact of receiving COVID-19 vaccinations"