Description: Over the last 10 years, Artificial Intelligence (AI) healthcare foundation models have made tremendous strides when it comes to delivering highly accurate predictive results when compared to traditional models. This is especially true for models developed and trained on the ‘language’ of healthcare. When trained on healthcare data sequences (claims, EHR, CPT, ICD, pharmacy, lab, etc.), these models deliver far more accurate results as to WHAT beneficiary-level health events will occur and even WHEN they will occur.

Description: How do social determinants of health (SDOH) affect health outcomes in the United States, how might SDOH factors be incorporated into financing and risk adjustment of Medicaid, and what implications might this have for market participants?

Description: Hear about some applications using quantile regression-derived individual and group claim distributions and how they may be used in various traditional health care modeling situations. The session will not focus on the technical use of quantile regression to obtain estimates of claim distributions, but more so is intended to focus on the uses of the distributions in actuarial modeling and the additive framework in assessing claims distributions. Presenters will show how actuaries can better assess risks by focusing on the individual- and group-specific claims distributions as opposed to traditional point-estimate-centric models.

Description: As data continues to become more robust and readily available, there has been a push in the actuarial field to transition away from Excel to SQL and Python native cloud-based platforms. While these platforms are widely used and powerful, they present challenges for the actuarial industry: Requiring processes to be production-ready from the onset, technical expertise for integration and robust documentation. Low-code tools provide a unique alternative solution, which works when the organization's operating model allows for actuarial and IT to work together, giving actuaries the flexibility they need while maintaining a level of control followed by the organization In this session, you will watch demonstrations that showcase low-code tools and their use case in the actuarial space. See how these low-barrier-to-entry tools can be leveraged to create robust processes. We will discuss solutions such as Alteryx and Dataiku and how low-code tools can integrate with coding languages such as Python to create more robust processes.

Description: The COVID-19 pandemic has been an acute reminder of the material impacts that pandemics can have on Life (re)insurance and society at large. Learn to describe the journey of a Life reinsurance practitioner to model and operationalize pandemic and infectious disease risk, why this is of importance to actuaries, and their risk management. It will consider how such models have been used, developments over time, and challenges in using and calibrating these models. The session will also provide perspectives from a pandemic model provider who will describe the fundamental metrics for pandemic loss distributions and how learnings from the COVID-19 pandemic can be used to quantify the potential impact of the next pandemic. Finally, dive into an outline of how biological principles can be applied to anticipating plausible pathogens causing the next pandemic.

Description: Driver-based forecasting is a powerful tool to predict and estimate future outcomes. In recent years, driver-based forecasting has gained significant attention as a technique for actuaries to forecast the financial performance of insurance companies. Often there can be frustration around the ability to use forecasts to manage the business. However the objective of a driver-based forecast is to break down historic and projected movement based on the key drivers which impact the results. The key is to understand what the key drivers are on forecasts and what is the relative level of impact and influence we have on the drivers. Listen in on a discussion on the core principles of driver-based forecasting, including how to identify key drivers, collect accurate data, and leverage the latest technology to generate forecasts that traditional models can't match. Explore with us the various driver-based models and how actuaries can leverage them to enhance their decision-making capabilities. Then join the conversation about the challenges actuaries face when implementing this technique and how to mitigate these problems.

Description: Pandemic modeling and its impact on the insurance and reinsurance business have been the subject of scrutiny during the COVID-19 pandemic. As the World Health Organization (WHO) has declared its end as a global health emergency, the focus of insurers and reinsurers turns to the possibility of future pandemics. Key to considering possible future pandemics is assessing what is needed to model pandemic risks. Our presentation will focus on providing you with the following: - The main principles around creating a well-established pandemic risk modeling framework, what they are and how you should build them into your model (As a reinsurer, this is core to our business, and we have unique global insights into performing it.) - A review of pandemic risk modeling strategies as well as an understanding of the inherent uncertainties of pandemic events - Lessons learned from COVID-19 and how we can apply them in assessing the possibility of future pandemics - An understanding of the link between future pandemic risk and the capital requirements

Description: Virtual - Session 2C: Innovative Care Models for Medicare & Medicaid Dually - Eligible Populations

Description: Insurers have long relied on scenario analysis to understand the long-term impacts of potential business decisions, but the advent of rapidly changing market environments and a growing desire to optimize capital has spurred business leaders to leverage new tools in order to explore potential options. Companies are beginning to explore new analytical solutions that trade-off accuracy for speed for a more robust approach to impact quantification. In particular, they are looking at the use of additional what-if scenario models, built from the top down, to support decision-making processes. Actuaries can help take charge in the development of these top-down analyses by leveraging data and actuarial techniques to supplement their existing models. In this way, business leaders can simultaneously rely on the actuarial rigor of typical standalone cash flow projection models, while also receiving support for real-time business decision-making. The potential of what-if scenario modeling can help actuaries unlock a powerful new approach to scenario analysis to enable more rapid decision-making. Learning objectives: In this session we will discuss the fundamental concepts of what-if scenario modeling in an actuarial context, including: - Core principles and components of what-if scenario modeling - Common challenges and considerations around the implementation of what-if scenario modeling - Potential solutions to challenges and their implications

Description: This session will discuss basic and advanced hedge modeling concepts. It will explain common hedge strategies used to support guarantees and options embedded within life and annuity products and the materiality of these products within the US. Attendees will learn how Machine Learning acts to reduce the computer processing needed to simulate the dynamic hedging of product liabilities projected in the future across many stochastic scenarios. Actuaries working in consulting, software development, and a large life insurance company will provide a wide range of hedging viewpoints ranging from a broad industry perspective to a hedging practitioner. Attendees will obtain a comprehensive understanding of a novel ML approach to modeling dynamic hedges and the hedge optimization opportunity it presents.