Description: Every patient leaving the hospital has personal life-context circumstances that impact their chances of successful recovery and complications can be costly. Complex care management impacts over 50 percent of health care spend, with the admitted commercial population driving 37 percent of spend or $177M per 100,000 lives and the Medicare population driving 53 percent of spend or $600 million per 100,000 lives. The stakes are high, but existing care management solutions are mostly clinical and navigation call centers provide fragmented and outdated patient management systems, and do not address individual life-context. Discharged patients therefore remain underengaged and undercompliant, leading to costly complications. Innovative technology can help enable and integrate systems and existing infrastructure to leverage evidence-based contextualized care that will enhance care management, improve efficiency, and drive a better experience and outcomes for patients. This technology helps codifies life context, dynamically stratifying and engaging members digitally and telephonically helping virtual care teams to be more effective and efficient. In a recent randomized clinical trial, this technology and approach has shown a 50 percent reduction in the total cost of care, cutting the average and total cost of readmission, increasing virtual care team impact and member engagement and trust.

Description: In September 2017, the China Insurance Regulatory Commission (CIRC) issued the “C-ROSS Phase II project construction plan”, planned to be used across three years’ time, by perfecting the regulations, improving the operational mechanism and strengthening the regulatory cooperation.

Description: As the insurance industry continues to evolve due to a pandemic and rapidly changing economic and regulatory conditions, the role of data scientists and actuaries has become increasingly important. In an interview with the Atidot data science and actuarial team, we discuss what it is like to work at an InsurTech, how data scientists and actuaries can collaborate, and look at some concrete technical examples of where the innovation is having an impact. This article explores what collaboration can look like and how the role of data science and actuary may evolve in the InsurTech industry in the future.

Description: Recent and pending changes in financial reporting standards and regulations such as IFRS 17 and US GAAP Targeted Improvements are ramping up the performance pressures on actuarial models. New infrastructure technology in the cloud is driving modeling options that may well help actuaries successfully and economically meet these challenges and unlock even greater transformational change.

Description: The Society of Actuaries (SOA) Board of Directors (Board) gathered in Chicago March 16–17 for its first meeting of the year. Among key topics on the agenda were the FSA pathway evolution update, Board elections, strategic planning and the use of AI in the workforce.

Description: The key tasks of credit risk capital project under CROSS II mainly focus onL(1 )Adjustment of measurement framework; (2) Calibration of risk factors, including both credit spread risk and credit default risk;3)Introduction of concentration risk measurement; (4) Higher requirement on look-through rule.

Description: Electronic health records (EHRs) are one of the fastest-growing digital health data categories, with over 90% of carriers using or evaluating EHRs for underwriting, according to a recent Munich Re survey. This session brings you up to speed on the current (and future) state of EHRs.

Description: The actuarial profession is at a tipping point and a combination of disruptive technologies and external pressures are creating a unique opportunity to move from results producer to insightful adviser. For a prudent but forward-looking professional, this is exciting and scary in equal measure. The ability to process large masses of business data to make more accurate calculations has become one of the most sought-after skills for leaders across all industries, including insurance.<br><br>The presenters will introduce current data technologies used to manage, process and visualize data. They will cover solutions like Microsoft BI, Tableau, Amazon Redshift, Hadoop, Alteryx, Python, etc. and their applications in data, process improvement, automation, reporting and predictive analytics. In particular, they will explore management reporting and how it leverages data analytics to help business leaders with strategic decisions making, how to evaluate the effectiveness of management reporting structures, drivers of change and ways to improve them, and proposed steps toward entrenching this dynamic and insightful approach to management reporting in which insurance leaders can have confidence.

Description: This article describes one of the keys to successful marketing in the current environment - build a relational database that will help the agent communicate with a client in an organized way, so that we can educate, inform, present choices and help these clients navigate their financial future. This article provides the elements of such a database.

Description: View the Avoiding Unfair Bias in Insurance Applications of AI Models