Description: The intention of this piece is to introduce the general premise of ERM to those of you who are just now starting to hear about it.

Description: This Q&A article discusses the use of machine learning to analyze unstructured data. Supriya Ramachandra, a data scientist at SIKKA, explains how her team uses natural language processing techniques, technical aspects of neural networks, LSTM modeling, and natural language processing. Machine learning allows for the classification of large amounts of unorganized data, providing actionable information for actuaries.

Description: Savings from biosimilars have accelerated significantly in the past few years. There has been a number of relatively recent biosimilar launches that can help to shape our expectations of the financial impact that could result from this year’s big event. Savings from biosimilars have accelerated significantly in the past few years. There has been a number of relatively recent biosimilar launches that can help to shape our expectations of the financial impact that could result from this year’s big event.

Description: Summary of lessons learned from Health Insurer Chief Actuaries' prior economic recession experience and suggestions for those leading Health insurers through future recessions

Description: MACRA not only impact providers, it will impact the entire healthcare market. MACRA published studies and commentary to date have primarily focused on providers, with the majority of the information addressing the impacts to clinicians. However, our investigation indicates MACRA has far reaching impacts to payers as well as providers. MACRA is impacting each geographic market and line of business in a unique way, and health payers will have multiple strategic decisions to consider given the changing market dynamics.

Description: Summary of Report examining issues affecting the cost of Medicare supplement insurance policies high trend, high outpatient hospital costs, new prospective payment methods. Issue No. 39.

Description: NAIC Health Update by Rowen B. Bell from Health Section News, June 2002, Issue No. 46.

Description: Review of reimbursement methodologies APGs, APCs, Medicare ASC, discount on charges, commercial hybrid, methods and trends in contracting, impact on trent, benchmarking. Issue No. 44.

Description: Evaluating the success of Disease Management Programs by looking at ROI and the risk management economic model. Issue No. 46.

Description: Overview of the June 2020 SOA Health Virtual meeting focusing on healthcare actuarial topics.