Description: It’s well documented that oral health is correlated with overall health. An exciting array of new dental technologies is emerging, from virtual reality through AI to CRISPR. These ground-breaking advancements have the potential to revolutionize dentistry.

Description: Telehealth came to the forefront in a significant way during – 2020–2021, partially due to the pandemic. What is the reasonable expectation of future consumer use of telehealth? This virtual option has the ongoing potential to increase access to health care services to plausibly lower the cost of care. Furthermore, telehealth continues to evolve as a technology. Keeping current with advancements as well as consumer willingness to use this medium are important to the future of health insurance. By attending this session, you will learn about the latest advancements in telehealth as well as implications for cost of care due to consumer use.

Description: Informal caregiving is a major source of long-term care (LTC) and long-term supports and services (LTSS) more broadly. The benefit of informal caregiving is appreciated by those receiving it, and most caregivers find purpose in their work. The costs of caregiving fall on employers, other family members, the health care service sector, stakeholders in the LTSS system, and most importantly the caregivers themselves. Providing support to these caregivers can therefore benefit employers, employees, and their families, as well as the many payors of formal LTSS. Hear from three experts in caregiving who will provide their perspective about how to support information caregivers — operationally and financially — to help them succeed in their purpose. Understand benefits this support can have to the other stakeholders in today’s LTSS system. By attending this session, you will be able to: • Explain the importance of informal caregivers to stakeholders in the LTSS system, including the impact to payors and employers. • Describe the challenges informal caregivers face, and paths to success and avoiding burnout. • Discuss potential future financial solutions that may benefit caregivers, including employee programs and insurance opportunities.

Description: The rules governing the framework of Affordable Care Act (ACA) marketplaces continue to be refined at the state and federal level. The catalyst for such changes has been a desire to improve markets, which has been primarily informed by data and experience in the ACA's first decade. This session will feature a panel of consulting actuaries, a state policy advisor who has influenced ACA legislation, and an attorney deeply involved in ACA risk adjustment litigation. Discussion will include new federal proposals, efforts to strengthen enforcement of rating compliance, new actuarial insights from public data, and the anticipated future implications for ACA markets. By attending this session, you will be able to: • Understand what precipitated risk adjustment lawsuits and how proposed federal rules address these concerns. • Identify how state regulators are addressing premium misalignment between metal levels and shaping local policies. • Develop new insights on publicly available data. • Understand the implications these policy changes will have on the future of pricing health insurance benefits, consumer value and enrollment distributions in ACA marketplaces. • Understand the primary factors leading to ACA market success.

Description: Long-term care has been changed as a result of the pandemic. The consumer cost for home health care services of facility services have changed. Explore the drivers of these changes and how it affects long-term care insurers. By attending this session, you will leave with an understanding of the key considerations when setting a long-term view on cost of care, publicly available data resources to support an assumption and leading indicators within claim data.

Description: This webcast will focus on recently published health research which examines the impacts of social determinants of health on oral health outcomes as well as on chronic kidney disease progression. Participants will gain insights on how different aspects of social determinants of health can impact how healthcare is delivered as well as the impact on health care costs.

Description: Introducing Random Effects into Risk Score Models

Description: Wellness programs are being piloted across the long-term care industry. Review what types of programs exist, when they are deployed, and how to measure their success. By attending this session, you will be able to navigate the hurdles faced by insurers in implementing a successful intervention program for long-term care insurers.

Description: Medicare and Medicaid finance more than half of American health care. Medicare and Medicaid are at the forefront of nearly every major change in U.S. health care payments, from DRGs in the 1980s to today’s value-based care. Listen to a conversation with Bruce Pyenson, FSA, MAAA, who recently completed six years as a Medicare Payment Advisory Commission (MedPAC) commissioner and Stacey Lampkin, FSA, MAAA, who recently completed six years as a Medicaid and CHIP Payment and Access Commission (MACPAC) commissioner. Hear about programs’ current challenges, what changes the ex-Commissioners anticipate over the next few years, and how these changes might impact Medicare and Medicaid managed care plans, and spillover into employer-sponsored and individual commercial insurance. By attending this session, you will be able to appreciate the role of Medicare and Medicaid as health care payment change agents and foresee future health care payment changes.

Description: This session will discuss: • What is social insurance and advantages of financing LTSS that way • Design decision points for an LTSS program • Existing examples of programs in the US and Abroad • Challenges and differences in pricing state-based LTSS financial reform.