Description: After the bid process, desk review, rebate reallocation, an “enjoyable” audit, and open enrollment; the Medicare plan year starts. Throughout the year, organizations find it pertinent to get an accurate picture of their Part D liability as reinsurance, LICS (Low Income Cost-Sharing) subsidy, and risk corridors are accrued. Attendees will learn about the basics of Part D accruals, how future accrual amounts are estimated based on patterns in the data, and how bid assumptions versus actual results impact plan sponsor profitability. We will also discuss financial statement treatment of these items. Real-life examples from bids to outcomes will be provided to enhance the discussion. Ultimately, attendees will come away with a deeper understanding how their bid assumptions play out, and how they can use Part D accruals to plan for future bid development.

Description: More and more providers are desiring risk-based contracts instead of traditional FFS-based contracts. This session is intended to outline some of the actuarial best practices in risk-based contracting related to the many flavors of the CMS ACO programs, as well as Commercial risk-based contracts.

Description: Artificial intelligence (AI) and Machine Learning (ML) are accelerating us into the fourth industrial revolution. In the next few years technological change and innovation will be rapid. The implications of AI on the actuarial profession are real and game changing. This session will help health actuaries understand what to expect from AI, how to begin using AI, and how AI will dramatically enhance the actuarial profession in the near future.

Description: Court is in session and you are the jury! Follow along as challenging aspects of actuarial professionalism are explored in a court-like setting. Deliberate based on what you already know from your own experience as well as based on what you learn in this session and then deliver your verdict accordingly. Who says learning about actuarial professionalism can't also be fun?

Description: This session will cover the latest developments of the Medicaid Final Rule proposed changes and their implications going forward.

Description: February 2010 Syllabus for Exam FM.

Description: Entry in the Speculative Fiction Contest 2019

Description: Entry in the Speculative Fiction Contest 2019

Description: View the Probability Exam—January 2020 syllabus.