Description: Many new and innovative companies are leveraging technology to improve the effectiveness of the care provided to patients. They are employing better tools to identify patients who can benefit from specific programs that best meet the patient's need. They are also dramatically increasing the use of these programs by guiding plan members through the maze of offerings to match them with the programs that will be most beneficial to them. Employers are making these third party programs available to their members and Medicare Plans are using these new tools to identify emerging health risks for early intervention and more accurate risk scoring. This session will explore some examples of these programs, how they are being effectively integrated into the operations of health plans and how the results of these programs are being measured.The speakers will be:Raj Behal, MD, MPH,Chief Quality Officer, One Medical. Raj leads the quality and safety, value and innovation, and data science teams at One Medical. One Medical is changing the way primary care is delivered with a concierge approach with technology seamlessly woven into their offering. This includes booking appointments on line, virtual face to face care, accessible medical records and health reminders.Mylea Charval,Ph.D., CEO and Founder, Savonix. Savonix is a next generation cognitive assessment platform that brings clinical, evidence-based, and all mobile digital assessment of cognitive and emotional function. These capabilities are critical for early identification of the onset of dementia and for the proper risk assessment of seniors enrolled in Medicare Advantage Plans.Ed Cymerys, FSA, Advisor. Ed will serve as moderator. Over the last six years Ed has served as an advisor to a number of early stage technology companies looking to improve the way health benefits are being delivered.Dave Sotelo, FSA, MAAA, Actuarial Manager, Collective Health, Inc. Collective Health is an integrated solution that allows self-funded employers to administer their health plans, control costs, and take care of their people -- all in one place. They have effectively integrated more than 70 distinct third party solutions for self-funded employers and are rigorously assessing the impact of these programs

Description: Join us for the Health Section Breakfast (for Lunch) where you will hear an update on the activities of the Health Section Council. Then, Mark Ishaug will discuss social determinants of health and its impact to actuaries and our work.

Description: This is a table from an article in The Actuary Magazine entitled A Strategic Analysis of the U.S. Life Insurance Industry Part II: Products.

Description: The Society of Actuaries (“SOA”) Research Institute is the research arm of the SOA, providing objective, data-driven research that brings together tried and true practices and future-focused approaches to address societal challenges and business needs. The Institute provides trusted knowledge, extensive experience and new technologies to help effectively identify, predict and manage risks.

Description: Predicting mortality (or longevity) and measuring the associated risk are the keys to the success of insurance business. Underwriting has been used for years for this purpose and approved effective. Currently, underwriting has been focusing on human physical conditions such as BMI, blood sample, medical history, and others, as well as severe mental diseases; occasionally, there are mental health assessments such as mental illness or cognitive testing that have been used in underwriting Life or Long-Term Care (LTC) business.

Description: The Health Care Cost Trends Strategic Research Committee is looking for a risk adjustment proposal that will examine the current risk adjustment landscape in the US and globally and the effect of increased complexity on risk adjustment accuracy.

Description: In recent years, Artificial Intelligence (AI) has taken an increasingly prominent role as a potential tool for improving processes from standard internet searches to its use in improving actuarial modeling through machine learning and other applications. The use of AI models and machine learning could lead additional and ongoing improvement of predictive capabilities in health care reserves resulting in potentially more accurate reserve estimates, financial statements and decreases in model variance.

Description: This document is a Request for Proposal (RFP) issued by the SOA Research Institute, seeking researchers to assess the impact of artificial intelligence on the insurance and healthcare industries in Asia, with specific research objectives, proposal requirements, selection process, submission guidelines, and appendix providing cost estimates.

Description: Actuarial Perspectives on COVID-19: June 10 Twitter Chat with the Society of Actuaries

Description: The Living to 100 monograph is composed of the papers, essays, panel discussions, teaching and keynote sessions presented at the symposium.