Description: It happens every year: hurricanes, wildfires, and floods destroy property, interrupt routine care, and exacerbate chronic conditions. Clearly, general insurance and health actuaries need to reflect these conditions in their pricing projections even though there are lots of unanswered questions about the frequency, intensity, and location of significant events. In this session, the presenters will discuss how to reflect the impact of climate change in the day-to-day work of health and general insurance actuaries. After this session, attendees will be able to: - Describe the impact of climate change on property damage and healthcare - Identify relevant data sources and methods needed to reflect the impact of climate change for use in the day-to-day work of health and general insurance actuaries - Discuss the risk associated with climate change

Description: A panel of leading reinsurance executives will provide an overview of the health reinsurance market that explores existing reinsurance transactions reported under Schedule S, large claim research drawing insight from the latest five-year Merative Commercial MarketScan Research Database, stop-loss reinsurance options for Accountable Care Organizations (ACOs), and other reinsurance applications being seen in the market.

Description: Ask all your questions related to value-based care to a panel of experts. How do we handle a tough negotiation? How do you measure impact in a value contract? What analytics should be considered for specific contract evaluation? What are current trends in value-based care in Medicare, commercial, and Medicaid? We've got a panel of experts to help you get answers.

Description: Value-based care (VBC) arrangements have grown exponentially in recent years with an expectation that this shift will only continue across the health care industry. CMS has set the goal of having 100% of traditional Medicare and the vast majority of Medicaid beneficiaries in accountable care relationships by 2030.

Description: The presenters will discuss market impacts of Affordable Care Act (ACA) risk adjustment results with a focus on recently released 2024 results. Their discussion will include the challenges of a single risk adjustment model and the growing state variations that impact risk dynamics.

Description: Dive into a summary focused on the discussion from the Health Section's Pharmacy Partnership Forum in March 2023 entitled 'Reimagining Pharmacy Financing' where a multi-disciplinary group of clinicians, health economists, academics, and actuaries met and discussed the following questions: - How do we define the value of prescription drugs? - How do we measure the value of prescription drugs? - How do we scalably and meaningfully apply the answers?

Description: Explore SOA-sponsored research on Social Determinants of Health (SDOH) during the How Does Where You Live Impact Your Health webcast. Dive into SDOH data and modeling that will focus on cluster analysis. This will help determine the overall impact of your area's affect on your health and life. This webcast also covers an overview of the existing SDOH-related programs that may affect or intersect with health plan or provider SDOH initiatives. Discover the importance of the place you live and future impact of your overall health.

Description: Tailored for newly minted ASAs/FSAs or those venturing into the realm of reserving, as well as seasoned actuaries in need of a recap, this session is a gateway to the mysteries of IBNR reserving, unraveling various methods and assumptions. Embark on a journey through the construction of claims triangles and the crafting of completion factors, delving into the enigmatic realms of seasonality, trend analysis, and outlier claims.

Description: The Patient Protection and Affordable Care Act (ACA) begins its second decade in a presidential election year. With a decade of experience, opinions on the law's policy efficacy are now rooted in data rather than forecasts. Hear two highly regarded policy experts discuss and debate various policy considerations related to the ACA and other current policy concerns in an actuary-moderated debate-style discussion.

Description: Four healthcare actuaries will share their personal stories of transitioning from pure actuarial roles to business leaders and how they’re putting their actuarial skills to work. All are experts within self-insured stop loss and medical reinsurance so they’ll discuss how their actuarial backgrounds supports the work they do today within this dynamic niche of healthcare.