Description: Among the many impacts of the Inflation Reduction Act’s redesign of Medicare Part D will be a change in Part D cash flows. Plan sponsors have always had to balance the seasonality of prescription drug costs against reimbursement at various times from monthly subsidies, risk score true-up payments, rebates, manufacturer contributions, and CMS settlements, but the IRA is changing the pattern of cash flows in 2024, 2025, and beyond. Moreover, the risk-adjusted portion of CMS revenue is likely to grow in 2025, even as the Part D risk score model changes.

Description: Listen to pre-eminent healthcare actuaries present their pitch for how they'd fix US healthcare (whatever the pitch thinks 'fix' means) if they were supreme policy maker for a day. No idea is too big, and no healthcare actuary's dream is too small.

Description: Attendees will learn what the Health Equity Index is, how it will be calculated, how it affects quality and Star metrics for Medicare Advantage plans, and how this could change the industry as a whole moving forward.

Description: The session will provide attendees with a framework of what goals to think about when building and utilizing a predictive modeling framework in New Sales and Renewal Underwriting mid-market, level funding, balance funding, and self-funding group health business.

Description: Session 6D: Breaking Barriers - A Multidimensional Approach to Behavioral Healthcare Access

Description: Session 1B: Navigating the Future Pharmacy Pricing Trends for Actuaries

Description: Session 6F: Consumer Value - Can New Health Plan Designs Improve Cost, Quality and Transparency?

Description: Session 7G: The Battle for Small Groups

Description: Behavioral health is a leading concern for employers and employees, especially with increased needs and awareness in recent years. Expect to dive into the following questions: - How are disability carriers refining their offerings and approaches to meet this need for their clients? - How are carriers thinking about the psychosocial determinants of claim experience? - Where may there be linkages between mental health and physical disabilities? - How might new digital innovations in behavioral health care impact claims experience for disability insurance? - How can actuaries make a societal impact in helping to bring solutions to the mental health crisis? Join us for a panel discussion with group benefits carriers and industry experts to explore these and other questions on this important topic. You'll gain knowledge on the intersection of behavioral health and disability insurance and learn how carriers are exploring new approaches to improve outcomes for employers and employees.

Description: The regulatory and market dynamics of the ACA's second decade are more predicable than the first. Come hear the latest information from industry experts on the emerging trends in ACA marketplaces. You'll also discover an understanding about emerging federal and state policy that will have pricing and financial implications. Finally, you'll get to learn what actuaries need to know to be well prepared for actuarial practice in the ACA's second decade. Key learning objectives include: - Comprehending the historical dynamics in the ACA's first decade which will shape the future - Understanding the changing national premium landscape for 2024, the 11th year of ACA marketplaces - Having a strong grasp on how the ACA's second decade will differ from the first from an actuarial perspective