Description: In late 2018, the Society of Actuaries held a long-term care medical symposium. This meeting assembled a small group of medical experts to discuss the key medical issues facing the aging population with a focus on their impact on long-term care insurance. This session will provide an overview of the symposium, key outcomes and next steps for future updates.

Description: Read the Society of Actuaries' latest update about how health care executives view the future of predictive analytics in the health care industry.

Description: The primary focus of this study was a comprehensive review of recent mortality experience of public retirement plans in the United States.

Description: Fact sheet about the monograph on Managing the Impact of Long-Term Care Needs and Expenses on Retirement Security.

Description: Unmet needs and implications for long-term care financing in Singapore.

Description: This is the conference report that documents the inaugural event for Initiative 18|11, which was held in Washington, DC, on March 7, 2018. Initiative 18|11 is a joint venture between the Society of Actuaries and the Kaiser Family Foundation. It is focused on determining action steps that can be taken to address the rising cost of health care in the United States.

Description: This report pulls together various findings on caregiving research from the 2017 Risks and Process in Retirement Survey as well as other SOA research.

Description: In May 2019, the Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin clarifying how payments to subcontracted vendors should be accounted for in the medical loss ratio (MLR) calculation required by 42 CFR §438.8 as established by the Medicaid and Children’s Health Insurance Program managed care final rule published in May 2016. In the bulletin, CMS focuses on the responsibilities of a subcontractor in providing data and the proper accounting of subcontractor payments for purposes of MLR reporting. While the provisions outlined in this bulletin apply to all subcontractor relationships, CMS specifically highlights pharmacy benefit manager arrangements that may include “spread pricing” and rebate retention.

Description: Discussion of the ways carriers can deliver a direct to consumer offering in a way that benefits, rather than alienates, the advisor channel.

Description: While there are many approaches currently being taken to transform health care, to be successful, we know that leading and planning for quality improvement is a science. Data is the common denominator as healthcare organizations establish best-practices, and ultimately overcome unintended variation through strong analytic systems. Health care leaders require specialized data analysis education and training to hone their skills in understanding and managing clinical variation. The problem with unexplained variation in healthcare is that it negatively impacts clinical outcomes, increases the cost of care, and diminishes value for patients. In this session, Dr. Ted James (BIDMC and Harvard Medical School Faculty) will explain how actuaries can offer practical solutions that provide insights into variations in clinical practice that cannot be explained by differences in medical conditions or patient preferences.