Description: Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by age/gender, geography, and population type and will assist plans in benchmarking the effectiveness of their own diagnosis code capture efforts.

Description: Mindful data visualizations show the end users the end way in how to analyze and interpret your data. More importantly, they can then use this data they see to drive decisions and modeling going forward.

Description: Read the October 2020 issue of Actuarial Technology Today published by the Technology Section. Newsletters provide practical information for the working actuary, articles on trends that impact sections and news about section activities.

Description: The following case study walks through the steps of a predictive modeling exercise to illustrate one way analytics can streamline the underwriting paradigm.

Description: This session will cover assumption determination for annuities under VM-21 with emphasis on contract holder behavior assumptions, prudent estimate mortality assumptions and measuring credibility.

Description: Maintaining solid financial performance is a KPI for senior management. With the advancement of technology, the management can leverage new techniques to improve their decision making and focus on higher value activities in a timely manner. This presentation sets out the use of 1. correlation analysis to draw relationship between financial metrics and 2. smart analytics techniques, including text mining and analytics, to identify trends and drivers that impact the valuation of a company. We will also assess how the results of a comprehensive financial analysis could influence risk management considerations, including business steering and risk strategy.

Description: This chapter focuses on creating practical models that aid in the prediction of the risk of readmission to a specific hospital within 30 days of discharge for Medicare patients, to aid in the identification and stratification of at-risk patients for hospitals considering building an intervention program in a cost-effective manner. For readers who wish to develop their own predictive model, a dataset is provided on the Actexmadriver.com website, and R code is provided in the appendix to this chapter.

Description: Predictive modeling continues to gain traction in the life insurance industry with the rapid growth of available data and maturity of open source tools. New methods and technology in predictive analytics have enabled the evaluation of extremely large data more quickly and allow us to incorporate features previously not considered. The presenters will provide background on predictive modeling tools and algorithms utilized by actuaries and data scientists for life insurance, highlighting applications from marketing to underwriting.

Description: As the insurance industry continues to evolve due to a pandemic and rapidly changing economic and regulatory conditions, the role of data scientists and actuaries has become increasingly important. In an interview with the Atidot data science and actuarial team, we discuss what it is like to work at an InsurTech, how data scientists and actuaries can collaborate, and look at some concrete technical examples of where the innovation is having an impact. This article explores what collaboration can look like and how the role of data science and actuary may evolve in the InsurTech industry in the future.

Description: This article is a brief overview of what digital health is, how it is regulated, and who some of the big unicorns are.