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

Description: Data is an essential component of financial analysis. In this session, the presenters will discuss data governance/management framework and how it can be applied to US GAAP LDTI and VM-51 regulations. This session will also discuss the important relationship between actuaries and IT and how they can work together towards best practices for extracting, managing and using data needed for various actuarial models. Real life case studies relevant for valuation actuaries (e.g. data needs for LDTI and VM-51) will also be presented and examined, highlighting best practices as well as challenges and pitfalls for setting up and governing data processes along with areas for where good communication and strong relationships are important to success.

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.