Description: The proposed session will introduce Outcome Based Risk Sharing Arrangements (“OBRSA”) between health insurance payers (“payers”, including insurance companies, health plans, sponsored employers, and government programs) and pharmaceutical manufacturers (“pharma”), and it’s intended to meet the needs of actuaries who focus on pharmacy benefits and risk sharing arrangements. The covered content will include (1) the background of OBRSAs, definitions, stakeholders, and OBRSA’s role in shifting the system from volume-based toward value-based; (2) conflicting perspectives about OBRSAs between payers and pharma (cultural and methodological); (3) identification of incentive gaps between payers and pharma, and incentive alignment between them; (4) barriers to implement OBRSAs; (5) limitations and considerations of OBRSA implementation; and (5) hypothetic OBRSA examples.

Description: This second session in the series examines responses to the changing workplace landscape from outside the insurance industry. Using a question-and-answer approach with our panelists, this session focuses on practical approaches to identifying new opportunities, and ways in which traditional products and sales channels are changing to meet emerging needs. Compared with other vertical financial services, the life insurance industry has a very low level of 'touch' with its customers. Communication with customers is often limited to the annual mailing of premium invoices. Wellness platforms offer life insurers a means to increase customer engagement, building stronger brand affinity and improving persistency. Life insurers can also leverage customer data collected through the wellness platform to streamline the underwriting process for cross-sales, increasing volume and efficiency.

Description: Digital is the main reason over half of the companies on the Fortune 500 have disappeared since 2000." (CEO Accenture). We cannot be sure how global technology megatrends will disrupt the life insurance industry, but we can be certain that the future will not look like today. As large quantities of available data are no longer owned by insurance companies and statistical techniques become more accessible to non-statisticians, the pressure to keep up with technological advancement increases. Life actuaries must think critically about and be prepared for the coming changes and position themselves as leaders in an industry lagging behind in new technology adoption.

Description: Presented at June 1986 Spring Meeting. This session discussion is about the National Association Of Insurance Commissioners' Early Warning System, A.M. Best Company ratios, Conning and Company solvency ratios, and California Department of Insurance Empirical ratios.

Description: Many new and innovative companies are leveraging technology to improve the effectiveness of the care provided to patients. They are employing better tools to identify patients who can benefit from specific programs that best meet the patient's need. They are also dramatically increasing the use of these programs by guiding plan members through the maze of offerings to match them with the programs that will be most beneficial to them. Employers are making these third party programs available to their members and Medicare Plans are using these new tools to identify emerging health risks for early intervention and more accurate risk scoring. This session will explore some examples of these programs, how they are being effectively integrated into the operations of health plans and how the results of these programs are being measured.The speakers will be:Raj Behal, MD, MPH,Chief Quality Officer, One Medical. Raj leads the quality and safety, value and innovation, and data science teams at One Medical. One Medical is changing the way primary care is delivered with a concierge approach with technology seamlessly woven into their offering. This includes booking appointments on line, virtual face to face care, accessible medical records and health reminders.Mylea Charval,Ph.D., CEO and Founder, Savonix. Savonix is a next generation cognitive assessment platform that brings clinical, evidence-based, and all mobile digital assessment of cognitive and emotional function. These capabilities are critical for early identification of the onset of dementia and for the proper risk assessment of seniors enrolled in Medicare Advantage Plans.Ed Cymerys, FSA, Advisor. Ed will serve as moderator. Over the last six years Ed has served as an advisor to a number of early stage technology companies looking to improve the way health benefits are being delivered.Dave Sotelo, FSA, MAAA, Actuarial Manager, Collective Health, Inc. Collective Health is an integrated solution that allows self-funded employers to administer their health plans, control costs, and take care of their people -- all in one place. They have effectively integrated more than 70 distinct third party solutions for self-funded employers and are rigorously assessing the impact of these programs

Description: Technology is transforming the retirement space and more changes are expected in the future. Join a panel of experts to discuss what are the opportunities, trends and challenges associated with new technologies in the retirement landscape and how it is expected to impact consumers, if we can enable their successful integration.