Description: In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) assumption. This is unfortunate, given the margin assumption is one of the most critical components of the rate development in ensuring financial solvency of the Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the this assumption and will share working models that help actuaries quantify these components—including the cost of capital and risk (or contingency) margin. We expect a lively discussion as we “open the black box” and discuss these actuarial assumptions in the public for the first time.

Description: Learn about business Analytics in Insurance - Practical case studies and implementation.

Description: You’ve built or updated a predictive model. Is it any good? How can you interpret and understand its predictions? How does it compare to alternative models? This session will look at traditional and non-traditional ways of validating predictive models, with examples from case studies.

Description: This session will explore the various methods of determining the credibility levels that are given to various size employer groups and Medicare plans. The background and theory of the methods that have commonly been used will be explained and then some new data-driven research in the area and possible alternatives will be discussed.

Description: An overview of the articles in the November 2019 issue of The Modeling Platform, and a plea for submissions! Please! Send us articles!

Description: The Product Development Section, the Financial Reporting Section, the Modeling Section and the Committee on Life Insurance Research are pleased to present new research on modeling and forecasting cause-of-death mortality. Authored by a Milliman team led by Alexandre Boumezoued, the report develops a framework for forecasting cause specific death rates. Included also is a Cause of Deaths Forecasting Tool and a user guide for the tool.

Description: According to the Actuarial Standards Board’s Actuarial Standard of Practice No. 49 (ASOP 49), actuarially sound Medicaid managed care capitation rates will include a provision for underwriting gain in order to provide compensation for the risks assumed by an MCO. However, there is no generally accepted method for quantifying underwriting gain in managed Medicaid capitation rates. This article discusses a new model developed to address this void and calculate underwriting gain. The model was developed by researching existing financial literature and performing a statistical analysis of industry data to build out a framework that can be leveraged to estimate underwriting gain.

Description: Basic feature engineering uses input data to create dummy variables, log transforms, and other single-value transformations. This talk builds upon these univariate transformations and presents several strategies for creating complex multivariate features that can enhance your model's lift. Topics such as target encoding, dimension reduction/projection, row/column, and other feature engineering topics will be covered.

Description: Python is the leading programming language for data science. Python programming is one skill that actuaries should acquire. It facilitates analytic work, and the available visualization tools help to communicate ideas. In this article, I use a traditional actuarial problem, mortality modeling, as an example.