Description: Description of SOA's initiative in predictive analytics

Description: Summary of the first annual predictive analytics (PA) symposium specifically targeted to help actuaries get into PA & to take it to the next level of expertise.

Description: This dissertation by Tia Sawhney will help you understand this issue and start measuring it, or start promoting equitable public policy.

Description: Risk adjustment is widely used by public and private payers in value-based contracting and other risk-sharing arrangements aimed at addressing population health. Addressing social determinants of health (SDOH) and improving equitable outcomes is one of the aims of population health. Could SDOH be incorporated into risk adjustment? If so, how and how effectively? What implications might this have for market participants? In this session, Joan Barret, FSA, MAAA, from Axene Health Partners will begin by presenting background and findings from the 2022 SOA research report 'How Does Where you Live Impact Your Health?.' This is a question addressed through deep literature review and quantitative analysis, followed by an exploration of strategic approaches and barriers for payers and providers that wish to address SDOH inequities. Then, Rong Yi, FSA, MAAA, and Jeff Milton-Hall, FSA, MAAA, from Milliman will present their new SOA-sponsored analysis regarding integration of SDOH factors into Medicaid managed care risk adjustment. They will cover risk adjustment design considerations, policy and operational considerations for actuaries and states that wish to integrate SDOH into risk adjustment, simulated variation in financial outcomes for risk-bearing organizations when such integration occurs, and variation in the relationship of SDOH factors and morbidity to modeled risk across programs and populations. At the conclusion of the session, attendees will leave equipped to think critically and act effectively with respect to SDOH in their own work, from measurement and analysis design to actuarial interventions.

Description: Risk adjustment (RA) is a key component for CMS Medicare Advantage program and California Medicaid Managed Care program. While both RA programs follow generally accepted basic principles at a high level, their underlying methodologies and assumptions are also quite different. Due to recent events such as COVID-19 Public Health Emergency and Medicaid redetermination delay and restart, it adds complexity to Risk Adjustment. This is a hot topic in the industry and has significant impact to health plans. Keeping current with risk adjustment program changes and understanding the commonalities and differences of these two government risk adjustment programs is important to our health actuaries. Compare these two risk adjustment programs so you can learn key elements of a risk adjustment program, similarities and differences in methodology and assumptions , as well as special considerations due to serving different populations.

Description: What is bias? How do you recognize it? What to do if you see it? This webcast will help respond to these questions and provide initial guidance on how to deal with these thorny issues. Please join us with your questions and we will have a nice conversation.

Description: As a film major in college with a dream to shoot movies, it’s safe to say Michael had a nontraditional start to his career in predictive analytics.

Description: After a decade of traditional actuarial work in health care, David Sotelo was seeking a new kind of opportunity to make an impact. He found it at Collective Health, where he works with a team of actuaries and data scientists that use analytics to streamline health insurance.

Description: Come check out opportunities and challenges associated with using predictive analytics for LTC. You'll learn how carriers are using predictive analytics to support a range of business functions, including: - Pricing - accelerate underwriting without jeopardizing the risk profile for your new products - Experience studies - enhance your understanding of block performance and capture more granular experience trends in your assumptions with less subjectivity - In-force management - facilitate insight-driven interactions that improve policyholder satisfaction and optimize operational costs Expect panelists to discuss the infrastructure required to deploy predictive analytics and the ways in which predictive analytics can help drive key outcomes, including, improved market competitiveness, enhanced understanding, improved efficiency, and better policyholder outcomes. They will also talk about key hurdles to adoption, and considerations for overcoming these hurdles.

Description: Can you answer the question, 'What are the chances we will lose more than $1 million?' without saying, 'It depends'? If you miss a projection, can you estimate the chances that the miss was due to random variation versus an incorrect projection? Listen in as presenters demonstrate how to answer these questions and others using total risk analysis. Total risk analysis includes quantifying both the random variation risk and the projection risk associated with actuarial functions like pricing and reserving. After attending this session, you will be able to describe total risk analysis and to apply to many health actuarial functions.