Health Section: MAPD Landscape

In this podcast episode Joe Alaimo interviews Bob Leach.  Bob introduces us to model validation concepts from the article that he has written for the emerging topics community: Model Validation 101: Bring your Calculus Mindset!  Bob discusses how to use calculus concepts to validate results from actuarial models.  This discussion is in the context of principle-based reserve valuation models, but the concepts can be extended to other types of actuarial models, like pricing or risk management models.  Partial derivatives of the value function can be used to validate that a model is appropriately applying discount rate, expense, withdrawal rate and other actuarial assumptions. For more details, please read the full article here: https://www.soa.org/digital-publishing-platform/emerging-topics/et-2025-02-leach/

In this podcast, Michael Frings FSA, MAAA, now Chief Actuary at one of the Bermuda insurance companies, shares his experiences on his career path, where he started from an unexpected place -- medical school, which ultimately took him to where he is now -- an actuary. Please join us as we explore how Michael navigated his "unusual" path, how he found success, and what one may expect entering the profession from a different background.

In this podcast Darryl Wagner, Principal with Deloitte Consulting, discussed the complexities and principles of IFRS 17, highlighting its goal to standardize insurance accounting globally. He explained the building blocks of IFRS 17, including best estimate cash flows, risk adjustment, and contractual service margin (CSM). Darryl emphasized the significant data and technology requirements for implementation and the importance of cross-disciplinary collaboration among actuaries, accountants, and technology teams. He also compared IFRS 17 with US GAAP, noting similarities and key differences.  More dynamic content such as this is available on the SOAs Professional Development Edge+ product.   https://www.soa.org/prof-dev/pd-edge/ Be sure to take the IFRS 17 course in the Life Learning track of Professional Development Edge+ for more insights.   Contributors: Darryl Wagner, FSA, MAAA; Jon Forster ASA, MAAA

Host Jackie Lee discusses the MAPD historical and future landscape of the Medicare Advantage market. They talk about notable milestones throughout the years and their impact on the growth of this sector.  

  This podcast features Robert Eaton, Principal and Consulting Actuary at Milliman and Sherry Chan, Managing Director at EY.  They discussed the role of actuaries in overseeing AI models, highlighting their unique skills in data analysis and model evaluation. Robert and Sherry emphasized the importance of actuaries in ensuring AI models are free from bias and leveraging AI to handle routine tasks, allowing actuaries to focus on strategic and analytical roles.   For more info on PD Edge+ click here:   https://www.soa.org/prof-dev/pd-edge/    

Join host Tiana Zhao as she explores the critical role of relationships in actuarial marketing and distribution. In this insightful episode, Tiana discusses why strong partnerships are essential in the insurance and financial services industry, and provides practical tips for understanding distribution partners, effective communication, collaborative product development, and building trust.

Join Host Jackie Lee with Brian Pauley as they discuss the characteristic of leaders, including developing an abundance mindset. Their discussion is based on the High Road Leadership book by John Maxwell and Brian’s article featured in The Stepping Stone.

Join Joe Alaimo, Founder and CEO of ProComp, and David Schraub, Founder and CEO of David Schraub Actuarial Consultancy, as they discuss the rapidly developing regulatory frameworks surrounding AI in the insurance industry. They explore the intricacies of laws and guidelines across the U.S., Canada, the European Union, and China, focusing on AI's role in underwriting, pricing, and risk management. David shares insights on how actuaries can navigate the regulatory challenges of AI while promoting fairness and transparency. Key topics include transparency, data governance, anti-discrimination efforts, and how different regions are approaching these issues. If you're interested in staying ahead of the curve in AI regulation, this episode offers valuable information For more details, please read the full article sponsored by the Society of Actuaries Research Institute and the Casualty Actuarial Society: https://www.soa.org/resources/research-reports/2024/regulatory-framework-comparison-ai/

Dive into price transparency with Danny Moore and Greg Mottet, founder of Vairate. In this episode, they discuss a study exploring inpatient maternity rates in Washington, as well as the use of price transparency in payer-provider negotiations and its impact on consumers, payers, providers, and employers.

Roger Loomis and Steve Schoonveld discuss the state of the Long-Term Care Insurance industry and the opportunities to modernize products and broaden coverage.