Description: After a decade of traditional actuarial work in health care, David Sotelo was seeking a new kind of opportunity to make an impact. He found it at Collective Health, where he works with a team of actuaries and data scientists that use analytics to streamline health insurance.

Description: Actuaries should understand the economic considerations involved in the formulary drug decision-making process, and the presence of actuarial input in the process could improve it, especially by tying it to overall decision making for the health plan. From Prescription Drugs Monograph, M-HB04-1.

Description: The article discusses the sustainability of the ACA individual market from a public entitlement standpoint. A key point of measuring sustainability is the reliance on market forces rather than federal budget constraints. The article explains why an actuarial viewpoint of sustainability is necessary to a greater extent than other public assistance and social insurance programs. The article challenges actuaries to be a bold, objective voice in a space that is full of opinionated but often uninformed viewpoints.

Description: Career changes typically follow a major milestone—a promotion, a job offer, a new degree, maybe a cross-country move. For Patrick Getzen, exposure to some new perspectives ignited a shift.

Description: A summary of concerns about the Community Living Assistance Services and Supports Act, including flaws in the underlying premises, opportunism, inadequate sales incentives, insufficient benefits, adverse selection, and cashflow and solvency issues.

Description: An “eligible combined plan”allows the promise, funding and delivery of both pension benefits funded by the employer and salary deferrals funded by the employees

Description: The SOA continues to support actuaries working with predictive analytics, from insurance companies and healthcare providers to financial service firms.

Description: Twenty years ago Steve Tutewohl’s clients were taking bold risks with limited information, little analytical support and hardly any data. As an actuary working on the provider side, Tutewohl started out in a traditional role in an untraditional environment. In his early years at Valence Health he was focused on educating, informing and bringing knowledge to providers so they could level the playing field with payers when they were negotiating and managing risks. Today Tutewohl’s clients have “data that is above and beyond what the payer has.”

Description: question and look for ways to make improvements on things by making them more efficient and intuitive. Mehmud did not study actuarial science in school. He earned a degree in mathematics and physics while taking courses like Asian history and skeptical thinking. In retrospect, he said, his exposure to a liberal arts education allowed him to view problems with a multifaceted perspective.

Description: Ways of closing the mortality protection gap, by leveraging some of the new technology, data and analytics to reduce the friction in the buying process.