Description: This article discusses the actuarial profession and its role and needed skill set development going forward in meeting the needs of businesses for risk management and capital management

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: 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: Lillian Dittrick’s strategic analytics team at UnityPoint Health® has developed an application to automatically cull unstructured doctors’ notes in electronic medical records. Dittrick’s team is part of a strategic analytics department that did not exist three years ago. UnityPoint Health®, one of the nation’s largest nonprofit health systems, has assembled a team of people who use advanced analytics to build more complete patient risk stratification models by mining claims, clinical and social determinant data in new ways.

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: The SOA released a report titled Massachusetts Health Insurance Reform, which looks at the impact on insurance markets, pricing and profitability.

Description: The SOA provides information about the actuarial career path in health care and predictive analytics. Throughout 2016, we will share more about actuaries who are tackling some of the industry's biggest challenges and hear from top employers in healthcare analytics.

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: If anyone is a paradigm of the notion that learning never stops, it’s Head of Actuarial Modeling and Experience Study for Munich RE Winnie Liu. Winnie set her sights on new horizons after almost 20 years in the insurance industry. Her interest in cutting-edge predictive analytics had been budding for years, and in 2017, she set out to earn her Predictive Analytics (PA) Certificate from the Society of Actuaries (SOA).

Description: The SOA released a report titled Massachusetts Health Insurance Reform, which looks at the impact on insurance markets, pricing and profitability.