Description: This chapter focuses on creating practical models that aid in the prediction of the risk of readmission to a specific hospital within 30 days of discharge for Medicare patients, to aid in the identification and stratification of at-risk patients for hospitals considering building an intervention program in a cost-effective manner. For readers who wish to develop their own predictive model, a dataset is provided on the Actexmadriver.com website, and R code is provided in the appendix to this chapter.

Description: Reunite with members and non-members in the China actuarial community to discuss recent topics and related issues in areas such as macroeconomic sharing, IFRS 17, product strategy, cross-border communication and discussion, and more. Advance your career through learning and networking opportunities, and share your experiences in the finance and insurance industries, as well as other fields related to actuarial science.

Description: Artificial intelligence (“AI”) adoption in the insurance industry is increasing. One known risk as adoption of AI increases is the potential for unfair bias. Central to understanding where and how unfair bias may occur in AI systems is defining what unfair bias means and what constitutes fairness.

Description: View the Avoiding Unfair Bias in Insurance Applications of AI Models - Chinese

Description: Every patient leaving the hospital has personal life-context circumstances that impact their chances of successful recovery and complications can be costly. Complex care management impacts over 50 percent of health care spend, with the admitted commercial population driving 37 percent of spend or $177M per 100,000 lives and the Medicare population driving 53 percent of spend or $600 million per 100,000 lives. The stakes are high, but existing care management solutions are mostly clinical and navigation call centers provide fragmented and outdated patient management systems, and do not address individual life-context. Discharged patients therefore remain underengaged and undercompliant, leading to costly complications. Innovative technology can help enable and integrate systems and existing infrastructure to leverage evidence-based contextualized care that will enhance care management, improve efficiency, and drive a better experience and outcomes for patients. This technology helps codifies life context, dynamically stratifying and engaging members digitally and telephonically helping virtual care teams to be more effective and efficient. In a recent randomized clinical trial, this technology and approach has shown a 50 percent reduction in the total cost of care, cutting the average and total cost of readmission, increasing virtual care team impact and member engagement and trust.

Description: Digital savvy consumers are demanding a change in the way they engage with their insurance carriers. As smartphone owners utilize their devices for financial management more than ever, insurance carriers aim to create a similar seamless digital strategy, offering customers a personalized experience on multiple platforms. Cloud-based applications also enable productivity, accountability and innovation in the insurance industry. Discover avenues of customer engagement through digital platforms, including new technologies and products, and why the value of data and data science is critical for business, such as adaptability, marketing and insightful pricing. Presenters will also touch on: - managing retention and lapses through data-driven continuous improvement cycling - high-level system architectures illustrating how multiple applications (front/mid/back office systems) will integrate with each other and share connected data example data points being captured within various marketing systems - data collection within various digital platforms - data science applications that help with business growth, retention, lapsation, effectiveness and cross-sell/up-sell opportunities, and the implications to actuarial functions - value and risk to carriers in the new digital paradigm

Description: View the Avoiding Unfair Bias in Insurance Applications of AI Models

Description: 2021 Life Meeting - Session 3F: LDTI - Disclosure Production Deep Dive 8.30.21 Recording

Description: ReFocus is an annual global conference for senior-level life insurance and reinsurance executives hosted jointly by ACLI and the Society of Actuaries (SOA). This event features top-notch speakers, thought-provoking sessions, and superior networking opportunities.

Description: ReFocus is an annual global conference for senior-level life insurance and reinsurance executives hosted jointly by ACLI and the Society of Actuaries (SOA). This event features top-notch speakers, thought-provoking sessions, and superior networking opportunities.