Description: Virtual - Session 8D: An Application of Clustering Approaches in Value-Based Care

Description: Virtual - Session 8B: The Future of Transplantation and Risk Management

Description: Virtual - Session 6D: Beyond the Price Tag - Specialty Drug Administration Considerations

Description: Virtual - Session 7A: What Happens When ACOs Get SAHS-sy?

Description: Virtual - Session 8C: Climate Change - Are We at Risk Yet?

Description: The health insurance industry has historically used several factors to develop premium rates. Many of these, e.g. gender rating, have been largely eliminated from health insurance rating practices by regulations as the Patient Protection and Affordable Care Act (ACA) because they were determined as inequitable. However, several other factors still remain as differentiators in premium rates charged to individuals and groups. In conjunction with the SOA, researchers studied whether there could be ‘ghost’ rating factors, like race, ethnicity, or socioeconomic status, that are inherently included in some of these remaining allowable factors. Review results and opportunities for future research. By attending this webcast, you will be challenged to think about traditional rating factors in a different way. Rather than focusing on whether certain factors are sound based on the underlying claims cost, this session will focus on whether or not these factors are impacting certain socioeconomic or racial/ethnic groups disparately.

Description: Assumptions have been a critical component of actuarial work since the rise of the profession hundreds of years ago. Without well-developed, credible assumptions, reliable financial projections are an impossibility. Yet in 2023, there is still a wide range of assumption processes and governance practices in place throughout the life industry. Follow assumption and governance experts from Oliver Wyman to dig deep into results from our 2023 assumption process and governance survey. Examine what we're seeing currently practiced throughout the industry and offer insights into what we're doing well, as well as where we have opportunities to improve. Explore topics, such as assumption governance frameworks, governance costs, development and review, approval processes, implementation and usage, monitoring, and challenges.Gain a better understanding of how your own assumption processes compare against others in the industry, and learn best practices that can be implemented to improve assumption processes.

Description: Open source programming languages have become a common part of the actuarial toolkit over the years. Using tools like R and Python, highly technical actuaries can automate onerous processes, easily work with massive amounts of data, create models and generate reports. Although these tools excel at turbo-charging analysts, it can be difficult for benefits to inure to the rest of the organization given the learning curve (“Can’t you just put this in Excel?”), control risks (“So your entire process could break overnight if some random person in Nebraska changes something?”), and internal IT environments. Listen in on a panel discussion where presenters share their personal stories of working with open source in a production setting. Hear about real world business problems, how open source tools were used, what risks were present, how they were overcome and the final business result.

Description: Health care continues to move from a fee-for-service model to a value-based care model. Hear from our expert panel on how actuaries can play a key role in the design and contracting of value-based agreements, monitoring experience and driving results, as well as measurement of value. The discussion will cover different structures currently in use, types of services covered (total cost of care, claim service lines, specialties, condition based, pharmacy products, etc), as well as nuances by market (Medicare FFS, MA, Commercial, Medicaid). The panel will discuss latest innovations in the value-based care space, as well as how COVID-19 has impacted these contracts. This interactive session will also allow you to ask your questions to our diverse group of panelists.

Description: Dive into the challenges of practitioners working across components that make up the Risk Management infrastructure with a variety of health, life and P&C insurers in this panel discussion webcast. Panelists will highlight how these insurers operate with the data and tools available to them and the existing challenges in interactions with an organization's leadership. Be part of this webcast that delves into the interplay between first- and second-line defense and how high levels of independence and professionalism can be achieved in a fast-moving, multi-discipline cross functional ERM role.