Description: Risk adjustment (RA) is a key component for CMS Medicare Advantage program and California Medicaid Managed Care program. While both RA programs follow generally accepted basic principles at a high level, their underlying methodologies and assumptions are also quite different. Due to recent events such as COVID-19 Public Health Emergency and Medicaid redetermination delay and restart, it adds complexity to Risk Adjustment. This is a hot topic in the industry and has significant impact to health plans. Keeping current with risk adjustment program changes and understanding the commonalities and differences of these two government risk adjustment programs is important to our health actuaries. Compare these two risk adjustment programs so you can learn key elements of a risk adjustment program, similarities and differences in methodology and assumptions , as well as special considerations due to serving different populations.

Description: Come check out opportunities and challenges associated with using predictive analytics for LTC. You'll learn how carriers are using predictive analytics to support a range of business functions, including: - Pricing - accelerate underwriting without jeopardizing the risk profile for your new products - Experience studies - enhance your understanding of block performance and capture more granular experience trends in your assumptions with less subjectivity - In-force management - facilitate insight-driven interactions that improve policyholder satisfaction and optimize operational costs Expect panelists to discuss the infrastructure required to deploy predictive analytics and the ways in which predictive analytics can help drive key outcomes, including, improved market competitiveness, enhanced understanding, improved efficiency, and better policyholder outcomes. They will also talk about key hurdles to adoption, and considerations for overcoming these hurdles.

Description: Can you answer the question, 'What are the chances we will lose more than $1 million?' without saying, 'It depends'? If you miss a projection, can you estimate the chances that the miss was due to random variation versus an incorrect projection? Listen in as presenters demonstrate how to answer these questions and others using total risk analysis. Total risk analysis includes quantifying both the random variation risk and the projection risk associated with actuarial functions like pricing and reserving. After attending this session, you will be able to describe total risk analysis and to apply to many health actuarial functions.

Description: Join us for a lively discussion on how accelerated underwriting (AU) practices have evolved over time and specifically because of COVID-19.

Description: Hop into a panel discussion between InsurTech Advisory Council and a startup, followed by a demo of life event prediction and analyses with multiple applications across financial services. You will also learn about: the SOA office hours program and member participation, the startup ecosystem filled with incubators, company contests, opportunities and outcomes, how to build a data set providing additional insights for customization and enhanced user experience, and - actuaries' engagement with startup strategic advisory boards.

Description: What is bias? How do you recognize it? What to do if you see it? This webcast will help respond to these questions and provide initial guidance on how to deal with these thorny issues. Please join us with your questions and we will have a nice conversation.

Description: Artificial intelligence (AI) models have become increasingly popular in various industries, including finance. Such models can help lenders assess the risk of loan applicants, identify potential defaults and make better decisions about granting credit. However, the complexity of many machine-learning and, particularly, deep-learning models makes it difficult to understand how they arrive at their decisions. This lack of interpretability can be a significant problem in the legal and ethical realms, as it hinders transparency and accountability. Join us to learn interpretability techniques that are essential to address the challenges of using complex AI models in credit risk modeling. These techniques aim to provide a better understanding of how an AI model arrived at a particular decision or prediction. Techniques include surrogate models, which aim to provide a simpler model that approximates the behavior of the original model, and decision trees, which show the decision-making process in a more transparent way. However, applying interpretability techniques to AI models can be a challenging task. For example, some techniques can reduce the performance of the model, which can be unacceptable in applications where high accuracy is critical. Additionally, some techniques may only be effective for certain types of models or datasets, which limits their applicability. Despite these challenges, interpretability techniques are becoming increasingly important in the field of credit risk modeling. Financial regulators have recognized the importance of interpretability, and are starting to require financial institutions to use models that can be explained and validated. In addition, interpretability techniques can be used to improve the performance of credit risk models. By understanding how a model makes decisions, it is possible to identify areas where the model can be improved or where additional data may be needed.

Description: Expect to learn how recent advances in AI and Generative text technology can help unlock data from medical records to solve many key underwriting and actuarial challenges. Specific topics include the following: - What is NLP/AI/machine learning and how is it currently being used in underwriting? - What technological advancements have Insure Techs made in the use of AI and GPT, and how are carriers/reinsurers utilizing these enhancements? - How can you avoid some of the challenges with GPT such as Hallucinations and 'black box' outputs? - How can extraction of data from medical records assist actuaries with various pricing and analysis challenges? - What legal/compliance challenges should users be aware of and how to manage those risks?

Description: "A crucial importance in forecasting is to be able to distinguish cases when temporary slowdowns in health care utilization are followed by a “rebound” period of higher utilization. Come explore an analysis of a new mathematical model describing the return-of-care process. By means of simulation and case studies using the R programming language, the relationship between the visibility of these effects and the endogenous variance of the utilization time series is explored. After attending this session, you will be able to: Describe the parameters and mathematical form of the model Apply the model to real-world utilization data"

Description: This session will discuss essential theories and practical applications of deep learning for actuaries. Participants will gain insights on leveraging these cutting-edge techniques to enhance actuarial models and drive predictive accuracy.