Description: Four healthcare actuaries will share their personal stories of transitioning from pure actuarial roles to business leaders and how they’re putting their actuarial skills to work. All are experts within self-insured stop loss and medical reinsurance so they’ll discuss how their actuarial backgrounds supports the work they do today within this dynamic niche of healthcare.

Description: Do your interests stop at your actuarial responsibilities of risk analysis, trend and rate submission? Reach beyond your role as the actuary. Become a leader-manager within the Market Segment Team and a trusted advisor to the P&L leader. Choosing your approach to working with the P&L leader determines your influence and impact on segment sustainability and success

Description: Is 2024 the year you need to implement U.S. GAAP Long-Duration Targeted Improvements for individual health insurance products? In this session, we will discuss implementation and the importance of working with accountants and IT to ensure a successful implementation. Some requirements will be a surprise to health actuaries.

Description: How well can we predict ACA HHS Risk Adjustment Data Validation (HRADV) results? Put another way, how susceptible is the current HRADV process to small sample volatility? What potential remedies are there to the current model's shortcomings? Every plan, regardless of how many members they have above the 1000 minimum, count equally if they qualify for an HRADV with how the result is interpreted, and the subsequent HRADV risk transfer ($330M in 2023).

Description: Tailored for newly minted ASAs/FSAs or those venturing into the realm of reserving, as well as seasoned actuaries in need of a recap, this session is a gateway to the mysteries of IBNR reserving, unraveling various methods and assumptions. Embark on a journey through the construction of claims triangles and the crafting of completion factors, delving into the enigmatic realms of seasonality, trend analysis, and outlier claims.

Description: The Patient Protection and Affordable Care Act (ACA) begins its second decade in a presidential election year. With a decade of experience, opinions on the law's policy efficacy are now rooted in data rather than forecasts. Hear two highly regarded policy experts discuss and debate various policy considerations related to the ACA and other current policy concerns in an actuary-moderated debate-style discussion.

Description: A new wave of biosimilar launches is creating downward pressure on average sales prices (ASPs), disrupting reimbursement to providers, providing opportunities and challenges to payers and GPOs, and upending the gross-to-net math for manufacturers. In this session, we will explore the implications of the ASP death spiral on the drug supply chain and its interplay with price transparency efforts.

Description: Value-based care (VBC) arrangements have grown exponentially in recent years with an expectation that this shift will only continue across the health care industry. CMS has set the goal of having 100% of traditional Medicare and the vast majority of Medicaid beneficiaries in accountable care relationships by 2030.

Description: Court is in session and you are the jury! Follow along as challenging aspects of actuarial professionalism are explored in a court-like setting. Deliberate among your peers based on what you already know from your own experience as well as what you learn in this session, and then deliver your verdict accordingly.

Description: Explore the dynamic intersection of health insurance data and diverse industries beyond traditional health insurance providers. This session will delve into how life science companies, pharmaceutical manufacturers, device manufacturers, and others leverage health insurance data to drive innovation and decision-making.