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: The COVID-19 pandemic initially caused some health care services to shift away from in-person transactions to a digital form, including telehealth, e-mails, remote patient monitoring and other forms of communication. If sustained, numerous effects and counter-effects both in the cost and quality of care as well as long-term outcomes for patient health may emerge.

Description: The Society of Actuaries (SOA) Research Institute hosted a virtual Open House on Wednesday, April 19, 2023, from 2:00 p.m. to 3:00 p.m. Central. The topic of this virtual Open House was the Institute’s Actuarial Innovation & Technology Strategic Research Program. There was a presentation and a question-and-answer session.

Description: We're introducing a new “cutting edge” wealth accumulation predictive framework, the predictive equity analytics (PEA) for life products (annuity, insurance, group employer benefits, retirement plan). PEA enables life insurers and policyholders to avoid market downturns and capture returns from equities (stocks, ETFs and mutual funds) predicted to increase in next one to three trade days via fund prediction advisory by insurers, additionally by individual policyholders. The capability does not exist in insurance markets nor in financial intermediary markets.

Description: Zero-Knowledge Proofs (ZKPs) represent an innovative suite of cryptographic algorithms that empower the insurance community to validate the accuracy of sensitive information without revealing the actual information itself. Mutation with the use of non-traditional data entering the insurance processes of customer acquisition and in-force management is currently taking place. A shift toward using non-traditional data in insurance customer acquisition and in-force management processes is currently taking place. This evolution is captured in the Australian market through surveys and interviews. Come and join us to learn about these two new research studies that open up the possibilities for the insurance industry to be more efficient in delivering its value to the society.

Description: Biases can creep up in models in numerous ways. After discussing various forms of bias, presenting a framework useful to manage bias in models, and contextualizing this effort in the current environment, this session will focus on practical issues faced by the industry.

Description: This session is an in-depth interview of two actuaries turned Artificial Intelligence (AI) experts. We aim to have a conversation that gleans into each of their journeys and what led them to the path they are now on. We will open up the last ten minutes for audience questions. At the conclusion of this session, attendees will know Eric and Joe much better, have an understanding of what AI/machine learning/data scientist work is like for actuaries, and, for those who are curious to get more involved with AI, some encouragement to pursue their interests.

Description: Actuarial transformation initiatives often require significant investment in time and resources. However, not all initiatives deliver the desired results. Complex integrations of new data and technology pose a significant challenge for business and technology teams to deliver on time and on budget. This challenge can be overcome if addressed thoughtfully with emerging technology and business-friendly tools which offer benefits to both actuarial business users and technology professionals. In recent years, low-code technology has emerged which empowers actuaries by providing capabilities for data analytics, self-service, and visualization without requiring extensive technical prowess. Pairing these tools with emerging cloud-based data management solutions allows actuaries to quickly manage and analyze large data sets along with enhanced governance and integration. By adopting these technologies, actuaries are empowered to deliver better outcomes for their organizations Come explore a panel of actuarial business and technology experts who will share their insights and experiences on how low-code technology solutions can empower actuaries with better access to data and analytics. The panelists will discuss real-world case studies to demonstrate the practical benefits of these tools and how they can be used to achieve better business outcomes.

Description: As the speed of technological innovation increases, actuarial leaders are trying to determine how to use emerging technologies to unlock more business value and improve competitive positioning. This includes enabling new capabilities, improving process efficiency, and increasing the effectiveness of human capital. The session will discuss what we are hearing from clients who are in the process of transforming their business, how they are approaching these transformations, and what they are focusing on. This will include different aspects of transformation, including visualization dashboards, data science applications, no-code platforms, automation, data, and the cloud. Find out how organizations are thinking of human capital and collaboration between actuaries, IT, and other professionals.

Description: Research demonstrates that agile companies have outperformed others in adapting to COVID-19. This presentation will establish the need for organizational agility to keep pace with industry changes and share research and tools related to psychological safety to help create behaviors that lead to organization agility. Hear the importance of company purpose to motivate, engage and empower a workforce and discuss execution structures that can be put in place to create effective test and learn innovation teams that are creative, efficient and results-oriented.