Description: This article provides an overview of the current Artificial Intelligence ("AI")/Machine Learning ("ML") regulatory landscape and governance considerations for insurers deploying AI/ML for their long-term care business.

Description: Adjusting GAAP reinsurance reserves to account for reinsurance protection against the events that trigger direct reserve constraints (such as NPR capping or LFPB flooring) can be a challenge any time. Ceding a block of business that is already in force increases the challenge—especially if one of those constraints was already present at inception of the reinsurance. This article builds on previous work (published in the July 2022 and June 2023 issues) to show how to measure initial reinsurance reserves in a way that complies with AICPA guidance and prepares for effective measurement of subsequent changes in the effects of the constraints.

Description: A typical course has some "hard" parts. These "hard" parts are the places where weaker students begin to fail, lose interest, and give up. The paper introduces a metric by which to evaluate each course topic. High metric values indicate "hard parts" of courses. The paper recommends spending more course time on hard parts and less course time on easy parts. The paper also recommends using disclosure: Tell students - this part of the course is "hard" and they may feel uncomfortable which is why more time is being spent on it." This approach to hard parts works! Failure rates are significantly reduced, while retention, satisfaction, and student scores improve.

Description: The chairperson for the marketing and distribution section discusses the section welcome call and outline future topics and themes for the year head.

Description: The momentum towards value-based care has increased focus on how payers attribute accountability for the cost and quality of member care to providers. The current landscape has a myriad of methodologies and accountable parties. Examine the ideal future state of attribution discussing trade-offs in goals (e.g., population coverage vs. member influence), accountable parties (e.g., should third-party vendors be involved?), and methodologies.

Description: "This video by Danika Turner is an introduction to Medicare Advantage revenue, specifically focusing on how Part C revenue works for individual Medicare Advantage plans. It explains how health plans participating in the Medicare Advantage program are paid by the Centers for Medicare and Medicaid Services (CMS), including the impact of Star ratings, risk adjustment, and county-level CMS benchmark rates on revenue. The session aims to simplify the main variables of the revenue calculation and uses conceptual examples for individual MA plans, excluding certain populations like Employer Group Waiver Plans and members with End-Stage Renal Disease or in hospice. The video also covers the basics of Medicare-covered services, mandatory and optional supplemental benefits, and the calculation steps for determining CMS Part C revenue per member per month.

Description: Reinsurance discussions around blocks of long-term care (LTC) have been going on for years without many deals being consummated. However, in 2023 the action picked up and we saw the largest inforce LTC reinsurance deal ever announced. Will this open the floodgates to more LTC deals? This webinar will provide background on legacy LTC blocks, the challenges they have faced, and why they may be now ripe for transactions. We will explore views from both buyers and sellers. The webinar will examine how sellers can best position their LTC blocks for a transaction. We will also look at the motivations of buyers and what might be drawing them to LTC blocks now.

Description: In this video Ben Keslowitz describes the differences in types of Annuities. Ben discusses that there are two main types: immediate annuities, which start payments right away, and deferred annuities, which delay payments. He then goes on to discuss immediate annuities include lifetime, certain only, certain and life, and joint and survivor annuities, each offering different payment structures and durations. He dives into these structures to give the viewer an intro level on options on annuities.

Description: 2024 Underwriting Innovations Symposium

Description: 2025 Board Member Candidate