Description: CMS provides ACOs with monthly claims data for members, including their medical visits and ACO program eligibility. This data can be divided into Membership and Claims tables through the ETL process. However, when calculating PMPY at specific levels of detail using these tables, issues arise due to unrelated dimensions, leading to inaccurate and understated results. This article presents a solution to this problem by utilizing Tableau's data blending capabilities.

Description: James Dunseth's MBA journey at Yale’s School of Management and his startup internship taught him invaluable entrepreneurial lessons. Key takeaways include the importance of customer feedback, flexibility, technical skills, effective metrics, and achieving product-market fit. These insights emphasize customer-centric approaches, agile methodologies, technical understanding, and strategic metric use to guide business decisions and foster innovation.

Description: The momentum in value-based care has produced an opportunity for actuaries to become pioneers in health care

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: With coinsurance of an existing block of long-duration insurance contracts, there may be existing reinsurance that remains in force. The new coinsurance is typically net of such “inuring reinsurance.” In this article, we look at approaches that the new reinsurer might apply to account for the effects of inuring reinsurance.

Description: In the spring of 2019, Dr. Cai started to serve as the Actuarial Science Program coordinator at Salisbury University, a medium-sized public teaching school in Maryland. At that time, the program was small, with only two faculty members who focused on both statistics and actuarial science, with approximately 10 students. During the next five years, the program did make some achievements in curriculum development, student exam preparation, job placement, and recognition, but Dr. Cai continued to have a dream to make the program unique. Dr. Cai believed that the skill sets students learned, even from a small program, could enable them to compete with anyone on a global basis. In spring 2024, Dr. Cai advised a group of exceptional actuarial students to participate in the 2024 Society of Actuaries (SOA) Student Research Case Study Challenge (SRCSC), and the team won third place – —behind two teams from the University of New South Wales, Australia. This article is the story of the journey.

Description: Article describes accomplishments as Chair during the year. Four accomplishments are mentioned: i) Actuarial Research Conference ii) Early Career Award, iii) Establishment of Outstanding Educator Award, iv) Push to create surveys from the section containing a reservoir of ideas that can be used for webinars, podcasts, etc.

Description: Whole life insurance nonforfeiture options may be actuarially equivalent at the time premium payments end. When the entire remaining lifetime of the policy is fully considered; however, significant differences emerge in expenses between paying the cash surrender value, converting to reduced paid-up, or converting to extended term insurance. This article explores how a company might manage its existing nonforfeiture options and consider what to continue to offer after a product refiling with that entire lifetime in mind.

Description: There will be inflection points in the value of an instrument when interest rates change. These inflection points could materially impact the approximation of value change using ALM metrics. In this part of the seven-part series, I will highlight: • How to identify the inflection points; • the range of rate changes where ALM metrics may be relied upon i.e., the “validity” range, outside of which recalculation of the ALM metrics is required and the potential that one needs to rebalance the portfolio; • a technique to improve on the approximation of value change beyond the validity range; and • a technique to convert non-linear change on the yield curve to be used with duration and convexity.

Description: With more than 24 years of experience in the reinsurance market, Bruno Freire is the CEO and one of the co-founders of Austral Re, along with Vinci Partners, a private equity firm. Austral Re is a Brazilian- based multiline reinsurer which that writes business across Latin America. It has grown organically throughout the last 13 years, and had its credit rating upgraded to A- in 2023 by AM Best (it also has AAAbr from S&P). Before joining Austral, Bruno had been a reinsurance broker at Aon Re for more than 10 years, having witnessed the opening of the reinsurance market in Brazil. As we will be seen in his interview the following, he believes in a data driven analytic approach, client focused but with an underwriting mindset, as well as a strong support from actuaries and technology as key instruments to run a reinsurance company successfully.