Description: An attorney and a statistician will discuss the latest on GenAI, the AI regulation and litigation affecting the use of AI in insurance. Some of the topics that will be covered include: How generative AI works, Risks of generative AI systems, Use cases for AI, Regulatory trends, Litigation trends

Description: Article reviews the data a year into the unwinding of continuous coverage provisions in Medicaid, the impact on enrollment counts, how capitation rates have been adjusted, and compares those results to what has been modeled with the SOA Mediciad Unwinding model.

Description: This document is a Request for Proposals (RFP) outlining a proposal request on the impact of the U.S. drug abuse epidemic on mortality, focusing on opioids. It provides details on the background, purpose, research objectives, proposal requirements, selection process, and conditions for submitting a proposal.

Description: A news release announcing the winners of the 2024 Student Research Case Study Challenge.

Description: This article attempts to make a modest contribution to the dialogue on the potential and risks associated with novel treatments such as cell & gene therapies. With a fast-expanding roster of what are believed to be one-time treatments at ever increasing price points aimed at curing a wider swatch of the population, they are as much a source of relief for patients stuck in medical limbo, as they are a source of anxiety for payers.

Description: Leveraging advanced technologies like Generative AI is essential for insurers looking to compete and drive business growth. In this high-level webcast, we discuss the transformative potential of Generative AI in actuarial work and how it empowers actuaries to become more efficient and effective.

Description: Presents a step-by-step methodology for calculating confidence intervals for IBNR estimates derived using the Averaqe PMPM method. It is a companion article to the January 2023 Health Watch article presenting the Average PMPM method for generating point estimates of IBNR with zero claims runout.

Description: There will be inflection points in the value of an instrument when interest rates change. These inflection points could materially impact the approximation of value change using ALM metrics. In this part of the seven-part series, I will highlight: • How to identify the inflection points; • the range of rate changes where ALM metrics may be relied upon i.e., the “validity” range, outside of which recalculation of the ALM metrics is required and the potential that one needs to rebalance the portfolio; • a technique to improve on the approximation of value change beyond the validity range; and • a technique to convert non-linear change on the yield curve to be used with duration and convexity.

Description: Until recently, the placement of healthcare coverage risk in captives was rare, and those captives that carried healthcare risk were generally in Bermuda, Cayman or other traditional offshore captive domiciles. In recent years, more and more entities taking risk on healthcare costs have been exploring the value of placing portions of that risk into a captive insurer or reinsurer, including employers, insurers, and healthcare providers. The increased utilization of healthcare insurance/reinsurance captives (“healthcare captives”) has also expanded the breadth of captive domiciles, with many of these captives being formed in U.S. onshore domiciles. The purpose of this research is to examine the evolution of the use of healthcare captives for managing risk, how the landscape for healthcare captives is changing, captive structures utilized, and methodology for evaluating and selecting a jurisdiction. In addition to providing a resource to help healthcare insurers and other entities manage risk, the research can be used by policymakers to assess the impact of healthcare captives to existing insurance industry regulation and requirements

Description: This session is designed to inform you about the current state of mental health and mental health care in the United States, as well as future trajectories. By exploring topics such as plan design, provider network, provider reimbursement, and other relevant channels, this session aims to enlighten everyone on existing challenges and the strategies being employed to tackle them. Notably, this will include and highlight proposed changes to the mental health parity. Additionally, attendees will hear from a mental health provider/academic on these topics to gain a non-actuarial perspective.