Description: Learn about key actuarial and analytic tools and methodologies used by commercial health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful and low-value ones) and risks. Use case scenarios in which these tools and methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases, managed care contracting, insurance market reform, provider payment reform, etc., will also be covered. Experience from the U.S., China and other parts of the world will be shared.

Description: The prospects for China's health insurance has increased significantly in 2018, incentivized by a series of favorable government policies to support the development of commercial health insurance. However, the market still lacks relatively mature products and services. Overall there is a common understanding in the industry that good coverage plus service is the foundation for health insurance future development, and product innovation plus care management is key for an insurance company to maintain sustainable development in the competition. In this presentation, Dr. Yang will discuss the market trend both at home and abroad with respect to health management as well as its impact on product design, pricing and cost control. With the development of internet and big data, today’s health actuary has a special role in taking advantage of the digital transformation and achieving a high-quality and efficient health care service model.

Description: James Glickman delivers his general session speech at the SOA 2019 SOA Annual Meeting & Exhibit in Toronto.

Description: This teaching session, number 37TS, was presented at the 2000 Annual Meeting of the Society of Actuaries, held October 15-18 in Chicago. The instructors ask: “Are you responsible for the completion of work that requires the assistance of people you have no authority over? How do you get things done if you're not in charge and can't do it all yourself? Do you have peers, project team members, and at least one boss who impacts the results you are able to achieve? To be more effective, how can you enlist the help of others who do not report to you?” Discussion from participants is included. From Record of Society of Actuaries, Volume 26, No. 3.

Description: Andy Rallis delivers his speech at the presidential luncheon of the SOA 2019 SOA Annual Meeting & Exhibit in Toronto.

Description: From a session at a meeting of the Society of Actuaries held in San Diego, CA, June 22-23, 2000 The instructor led participants in a discussion of examples of inappropriate communications and the impact on individuals and organizations. A model showing the relationship between perception and intent was demonstrated.