V74 – Public Health: More Important Now Than EverV74 – Public Health: More Important Now Than Ever Public health is a rich and vast field that ... vast field that seeks to improve health and health care for all members of society. Actuaries can learn ...
Description: Public health is a rich and vast field that seeks to improve health and health care for all members of society. Actuaries can learn much from public health activities to enhance our practice. Members of the SOA health section public health task, including public health professionals and actuaries, will review initiatives that can connect public health activities to the actuarial profession.Hide
- Authors: Society of Actuaries, John Mange, Sara Teppema, Jason McKinley, Lisa Macon Harrison
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Public Policy
Advanced Commercial Pricing Boot Camp for Health ActuariesAdvanced Commercial Pricing Boot Camp for Health Actuaries The recent changes and regulations ... to consider what was done prior to the Affordable Care Act (ACA) in recent years since the start of most ...
Description: The recent changes and regulations have required changes in the ways actuaries price commercial products, specifically in the Individual and small group market. We will consider what we did prior to the ACA, in the recent years since the start of most provisions, and then how to use this recent experience to project premiums into the future periods. New approaches and tools are needed to price policies in this new environment. Pricing will need to consider risk adjustment, guaranteed issue, risk selection and limitations on factors allowed in pricing. Rate filing requirements are different as well. This session will also discuss recent changes in the marketplace, solvency requirements, and recent changes in regulation. For large group rating, we will review topics such as minimum value, Cadillac tax issues, expanding coverage to workers with less than 40 hours, high deductible health plan designs and their impact to selection and cost savings. We will also compare and contrast fully insured, self-funded, and level funded coverage. This boot camp will also include an hour focused on relevant ASOPs and professionalism issues. This program will be a technically advanced program focused specifically on pricing.Hide
- Authors: Mary Kindel Van der Heijde
- Date: Nov 2018
- Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy