Description: Explore a general introduction to uplift modeling, a relatively newer area in machine learning which has been successfully used in retail (Wayfair etc.). The concepts are parallel to the intervention programs in health care, where we are interested in measuring the treatment effects and ultimately directing the right members to the most effective programs, driving the highest value for the programs both from a financial and health outcomes perspective.

Description: Read this report, which is part of the series "Understanding and Managing Post-Retirement Risks", to learn more about the perspective of the individual with respects to long-term care, caregiving, and housing issues.

Description: Read the Simplified Chinese version of the report "Market Readiness of Long-Term Care Products in Asia Pacific Markets", which provides valuable insights and recommendations for insurance companies that are considering entering the market of commercial long-term care insurance (LTCI) in the Asia-Pacific markets.

Description: This report provides actuaries and other professionals working with risk, data and analytics or program evaluation in the health care space with considerations and frameworks related to the use of determinants of health (DOH) in data and actuarial work streams. Such frameworks can leverage new data sources to enrich health care data analysis to move beyond traditional data elements, such as age, gender, zip code or health diagnosis.

Description: The article explores how integrating AI into insurer apps can address critical challenges in healthcare, such as patient no-shows, medication adherence, and cost management. These non-disruptive approaches aim to increase the effectiveness of patient interventions and improve medication adherence.

Description: Prescription drug affordability remains a critical concern for consumers, payers and policymakers alike. This paper discusses an alternative to policy solutions: reimagining commercial pharmacy financing using a value-based reimbursement model to increase transparency, encourage pharmaceutical competition, align stakeholder incentives and mitigate total cost of care (TCOC) increases.

Description: View the report on Pharmacy Partnership Forum - Reimagining Pharmacy Finance

Description: In the evolving realm of healthcare actuarial practice, value-based contracts are reshaping the landscape. This article explores the pivotal role of AI-enhanced Electronic Medical Records (EMRs) in empowering actuaries to navigate this dynamic sector. Despite challenges in data standardization, AI-enhanced EMRs offer a solution by extracting and standardizing diverse medical records. The article delineates how AI-EMR integration benefits actuaries and provider organizations, enabling more accurate forecasting, earlier shared savings prepayments, and real-time quality metric aggregation. Moreover, it discusses how this fusion addresses historical data limitations, can help project catastrophic claims, and can help identify risk score capture opportunities. Ultimately, it indicates the transformative potential of AI-EMR synergy, positioning actuaries at the forefront of healthcare analytics with unprecedented precision and insight.

Description: Review this document to learn more about the 2021-2023 Fixed Indexed Annuity Contract Owner Behavior Experience Study Data Request

Description: This report explores the behavioral factors influencing insurance purchase among Gen Z and Millennials for forward-looking purposes, leveraging a rich dataset spanning 22 markets across six continents.