Description: "Risk adjustment is an important aspect of establishing appropriate capitation rates. When a set of services is carved out for specific management under a sub-capitation, establishing appropriate adjustments for varying levels of underlying risk is more complicated. Dive into analytical and operational challenges and resolutions as presenters share more about developing a risk adjustment model specific to the carve-out of behavioral health services through a real-life case study. You will further explore a definition of the use case, availability of historical data sets, selection of the modeling approach, learnings from the iterative modeling process, and the potential application of the results. After attending this session, you will be able to: Understand why a behavioral health specific-risk adjustment model has business value Understand the unique challenges related to developing risk adjustment on member and cost subsegments Understand the impact of trade-offs between model complexity and interpretability in the context of implementation Increase awareness of data nuances and requirements unique to this type of project Describe analytic techniques that can be investigated for use in projects of similar business objectives"

Description: This article helps actuaries who may have excellent business ideas to take the first step of starting a business

Description: Learn how modernization of data, models, and technology are influencing workflows. This webcast will address how workflows are changing in response to new regulatory requirements and the impacts the changes have on modeling and end-to-end future state operating models. Industry leading actuaries will discuss: How team collaboration can increase quality and speed of reporting to internal and external stakeholders How to strengthen controls and compliance frameworks across finance and actuarial departments How to modernize actuarial input/output for strategic analysis and insights How to attract and retain top talent by improving opportunities for actuaries There will also be dedicated time to ask questions of those who have made the transition.

Description: Many life and health insurers are beginning to use Predictive Analytics (PA) for a variety of purposes. This article addresses the unique challenges and potential disruption PA brings to the risk manager, as well as the opportunities.

Description: Uncertainty of a predictive model is a fact of life that many insurers could be overlooking at their peril without a framework for assessing it. The article provides a framework to understand the prediction uncertainty, which can be critical for the insurance operations using predictive models. Coin toss example explains model uncertainty and randomness inherent in making predictions to the number of heads expected. A mortality analysis case study illustrates how the Bayesian methodology can be used to develop the prediction uncertainty. In particular, the article shows that the Bayesian framework is a way to combine historical data and actuarial judgment, and directly address the model uncertainty through its posterior distribution.

Description: Read the May 2020 issue of Actuarial Technology Today published by the Technology Section. Newsletters provide practical information for the working actuary, articles on trends that impact sections and news about section activities.

Description: Description of SOA's initiative in predictive analytics

Description: Summary of the first annual predictive analytics (PA) symposium specifically targeted to help actuaries get into PA & to take it to the next level of expertise.

Description: Results of a survey of healthcare organizations regarding use and plans for Predictive Analytics

Description: This dissertation by Tia Sawhney will help you understand this issue and start measuring it, or start promoting equitable public policy.