Description: Read the November 14 2019 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

Description: Risk Appetite statements are often vague and qualitative, making it challenging to make the connection to day-to-day decision making. In this session, we discuss leading practices for defining risk appetite clearly and quantitatively, providing a direct and actionable line-of-sight to decision making.

Description: The U.S. health care industry has gone through a dramatic change during the past several years. The business model has moved from a risk selection model to a risk management model. People can shop online for their health care coverage. Everyone is welcome! Annual and lifetime dollar limits, underwriting and the pre-existing conditions exclusion are all in the history book now. Facing the challenges of the post-reform era, many health insurance carriers began using big data analytics on all aspects of their decision-making processes. The goal is to be able to compete on analytics in this quickly changing environment. However, becoming an analytics competitor is not easy. It requires the belief from the leadership and a group of dedicated analytical professionals to solve emergent business problems that existing strategies cannot address in an evolving market. These problems include marketing for acquisition and retention, coding accuracy, revenue growth, health care disparity, payment integrity, quality of care, health care cost reduction and, ultimately, personalized care management. In this section, audience will learn a basic understanding of the role of predictive analytics in US Healthcare marketplace.

Description: Read the October 2019 issues of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities. This is the second digital-only issue of the newsletter.

Description: This webcast will focus on the accounting changes for traditional products, including whole life, term, fixed annuities and long-term care (LTC). The presenters will discuss the accounting and methodology changes and comparing the income statement and balance sheet under the new standards. The target audience are actuaries and other professionals who develop and use financial reporting for these products.

Description: ACOs and payers have been engaged in shared savings agreements for several years now in an attempt to reduce the total cost of care. Often neither party has a complete view of the data with providers missing pharmacy data, and payers are often missing historic data on a provider group’s members when they were previously covered by other payers. Inconsistent data and black box predictive models have created friction that has become amplified given the continual increase in ACO membership and the dollars at stake. Learn how payers and providers are working through these challenges to find solutions that work better for both parties.

Description: The 2019 SOA Health Meeting is the premier event for actuaries working in the health industry. Attendees can expect engaging, educational sessions to gather valuable insight on the hottest issues facing health care today!

Description: This webcast will focus on the accounting changes for traditional products, including whole life, term, fixed annuities and long-term care (LTC). The presenters will discuss the accounting and methodology changes and comparing the income statement and balance sheet under the new standards. The target audience are actuaries and other professionals who develop and use financial reporting for these products.

Description: Read the June 2019 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

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.