Description: With a decade of experience, mature Affordable Care Act (ACA) marketplaces continue to undergo significant changes amidst record enrollment levels. State activity has ramped up and similar themes have emerged. For example, an increasing number of states have either established or are considering operating their own exchange.

Description: Learn about the health care cost and utilization impacts of provider consolidation and shortages in the U.S. You will get an overview from a recent SOA research paper of the recent trends of, reasons for, and impacts of consolidation and shortages, as well an overview of the involvement of private equity's role in consolidation and shortages.

Description: Welcome and Opening General Session Keynote

Description: Session 3C: Disability Insurance and Behavioral Health

Description: Session 5B: The Evolving World of Biosimilars

Description: Session 6G: Stop Loss Market Trends

Description: Patients with chronic conditions such as musculoskeletal pain, diabetes, and hypertension impact 50% of the US healthcare population, consume more than 85% of healthcare costs, and often require a higher volume of care, expensive imaging, testing, and emergency procedures, and long-term high-cost drugs. Managing these conditions through innovative digital health interventions provides a significant opportunity for higher-touch and more-effective management that will result in lower costs.

Description: America’s healthcare results are lackluster and worsening despite enormous effort and investment over many decades. Spending, affordability, health, coverage, access, quality, and healthcare workforce results are suboptimal or poor. Too many are suffering, and the system is financially unsustainable. We need a new approach, a new way of thinking about healthcare financing and delivery.

Description: If you are a pricing actuary, you have probably been there. A new blockbuster drug has been introduced and the manufacturer is claiming that the value of the drug will offset the higher cost of the drug. But how do you know? In this session, presenters will discuss techniques for measuring the impact of a prescription drug on the total cost of care, including the benefits and limitations of each method.

Description: Recording for ACA Challenges in a More Robust Enrollment Environment