Description: This chapter focuses on creating practical models that aid in the prediction of the risk of readmission to a specific hospital within 30 days of discharge for Medicare patients, to aid in the identification and stratification of at-risk patients for hospitals considering building an intervention program in a cost-effective manner. For readers who wish to develop their own predictive model, a dataset is provided on the Actexmadriver.com website, and R code is provided in the appendix to this chapter.

Description: Techniques that have gained some traction in general (property/casualty) insurance will be highlighted with a particular focus on the linear mixed model. This model adds random effects to the more commonly seen fixed effects (for example, as used in GLMs).

Description: This article provides a brief overview of the current state of machine learning (ML) and artificial intelligence (AI) as they apply to actuarial science, including discussion around the integration of actuarial judgment with ML and AI. It concludes with an example of explainable ML through a python tool known as SHAP (SHapley Additive exPlanations), which is able to explain the key drivers behind individual ML or AI predictions.

Description: First article in a series that walks through the progression from developing LTC assumptions using traditional methods to doing so using predictive analytics.

Description: In this paper, we illustrate how to value American-style options using the Least-Squares Monte Carlo LSM approach proposed by Longstaff and Schwartz 2001 and investigate whether there exists an optimal regression complexity in the LSM framework for options pricing. In particular, we use the smoothing spline in the regression step, which allows us to control the regression complexity on a continuous scale with just one tuning parameter. Numerical results on American put options indicate that we need to use more than a linear regression, but as the regression becomes more complex, the accuracy of the LSM method quickly deteriorates. From 39th Actuarial Research Conference.

Description: This article compares three potential approaches to determining new coefficients for health-based risk scoring models: full recalibration, p-value credibility weighting, and penalized ridge regression.

Description: Reviewing a text covering multiple statistical modeling topics: e.g., generalized linear models, decision trees, clustering, using the statistical language R.

Description: This article offers a comprehensive approach for “lean” model risk management (MRM), i.e., the management of an MRM program with few or possibly one employee devoted to the role. It explores key objectives of an MRM program, essential process elements, tips for efficiency, and examine the use of artificial intelligence (AI) in the models themselves and as a tool to increase efficiency of the program.

Description: Regression to the mean is a phenomenon that arises when comparing sequential data points. It states that when an initial observation is extreme or an outlier, future observations will be closer to the average. Health care actuaries need to understand and be able to mitigate the effects of regression to the mean to avoid misapplying predictive models or misstating measurements of historical effects.

Description: Second article in a series on how to use predictive analytics to improve the development of long-term care projection assumptions.