Description: This article provides an overview of behavioral economic theory as it relates to health and welfare insurance plans and provides summaries of two sample applications of the theories: enrollment in health insurance exchanges created by the Patient Protection and Affordable Care Act, and product design considerations in light of vast health illiteracy.

Description: Learn about key actuarial and analytic tools and methodologies used by commercial health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful and low-value ones) and risks. Use case scenarios in which these tools and methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases, managed care contracting, insurance market reform, provider payment reform, etc., will also be covered. Experience from the U.S., China and other parts of the world will be shared.

Description: The prospects for China's health insurance has increased significantly in 2018, incentivized by a series of favorable government policies to support the development of commercial health insurance. However, the market still lacks relatively mature products and services. Overall there is a common understanding in the industry that good coverage plus service is the foundation for health insurance future development, and product innovation plus care management is key for an insurance company to maintain sustainable development in the competition. In this presentation, Dr. Yang will discuss the market trend both at home and abroad with respect to health management as well as its impact on product design, pricing and cost control. With the development of internet and big data, today’s health actuary has a special role in taking advantage of the digital transformation and achieving a high-quality and efficient health care service model.

Description: Chris Smith, vice chair of the Actuary of the Future section, had the privilege of attending the SOA Health meeting in Seattle for the first time this year. Read about his experience and thoughts on why you should plan to attend an SOA-sponsored conference for your career growth.

Description: A brief review of the 2024 SOA Health Meeting in Baltimore

Description: Description of the upcoming activities for the Health Section.

Description: Adam Barnhart and Stephanie Moench, the co-charis of the new Health Community, announce the official community launch, which merges the former Long-Term Care and Health Section Councils into a single, unified group. The community aims to foster professional development through high-quality education, research, and collaborative networking for actuaries. To ensure a personalized experience within this large organization, members are encouraged to join one of more than 12 specialized subgroups. These groups offer focused discussions and expert insights via regular topic calls and private listservs. Under the new community model, members have flexible opportunities to contribute without needing to hold an elected position. Volunteers are sought for content creation (articles, podcasts, and webcasts), subgroup leadership, and industry research projects. Members can browse available subgroups and volunteer opportunities through the Society of Actuaries (SOA) website. By integrating these legacy sections, the Health Community strives to build a vibrant, innovative future for its members at every career stage.

Description: It's your first full day of productive learning! Start it off right with a delicious breakfast and warm welcome.

Description: Keynote Speaker: J.D. Kleinke, Author and Medical Economist J.D. Kleinke has been instrumental in the creation of four health care information organizations; has served on the Boards of several health care companies; and spent many years advising both sides of the political aisle on non-partisan, practical approaches to health policy and legislation.

Description: Join us in this webinar where we explore the intricate relationship between Professional Employer Organizations (PEOs) and insurance, diving into the art of risk management within this industry. Gain a comprehensive understanding of the diverse insurance products offered by PEOs, the positioning of PEOs in the actuarial landscape, and the strategic navigation of regulatory challenges.