Description: Renal disease is a very heterogenous medical condition whose end state is dialysis, a recurring cost intensive medical condition. Dialysis cost is one of the major medical cost drivers in USA. Insufficient and improper care management in the early stages of CKD (chronic kidney disease) leads to early incidence of end stage renal disease (ESRD) among CKD patients which not only leads to high medical costs, but also reflects poor health quality.

Description: Come learn from a panel of LTC industry professionals as they discuss setting goals for LTC wellness, measuring success of the programs, and integrating them with other LTC process (e.g. assumption setting) in an effort to create sustainable programs.

Description: Learn about business Analytics in Insurance - Practical case studies and implementation.

Description: In *From Distress to Distinction*, Chris Droussiotis explores a novel approach to valuing distressed companies using option pricing theory, drawing parallels to the financial challenges faced by startups. With over 30 years in banking and startup advising, he emphasizes that both distressed firms and early-stage ventures endure periods of negative cash flow but retain potential for recovery. He combines Discounted Cash Flow (DCF) and the Black-Scholes Option Pricing Model to evaluate distressed firms’ recovery prospects and debt sustainability. A case study on Spirit Airlines illustrates this approach: though its current equity value is negative, projected future cash flows suggest significant potential recovery. Droussiotis concludes that strategic valuation, using trend, peer, and expected analysis, can reveal hidden value in distressed companies, guiding effective investment and restructuring decisions.

Description: Learn from panelists from different companies as they come together to discuss their experiences.

Description: Guidance and a model for actuaries to use when performing their professional services related to Medicaid (Title XIX) and Children’s Health Insurance Program (CHIP or Title XXI) managed care capitation rate setting.

Description: Private LTC insurers are paving the way for value-based care through working to implement care management programs that improve the lives of their policyholders before and during a claim. However, measuring the effectiveness of these new programs is a challenging task. In this article, we will explore powerful tools that can enhance traditional effectiveness studies and address some of their existing weaknesses.

Description: CMS has required hospitals to publish their chargemaster rates, cash discounts and negotiated rates as of January 1, 2021. Our panel is comprised of a data strategist, an executive from a large hospital system and an actuary.

Description: Article discussing how geospatial imagery and high-resolution image technology are transforming property insurance.

Description: This session will examine bias from a social science perspective. It will discuss the three types of systemic biases using the National Institute of Standards and Technology (NIST) model. The NIST model details the three types as historical bias, societal bias, and institutionalbias. The session will also provide several examples of each type to provide a framework for identifying the social structure of bias.