01 - The Healthcare Landscape After the 2020 Election
April 27, 2021 11:00 AM - 12:15 PM
Panelists provide an overview of the key healthcare issues affecting the political debate in Washington D.C. and around the country. The change in administration along with the shift of power in both houses of Congress create new opportunities for changes in the healthcare landscape. Phil Ellis, President of Ellis Health Policy, Inc. and an independent consultant on health policy issues and economic analysis, and Brigen Winters, an ERISA and tax attorney and Partner with the Groom Law Group, offer their perspectives on the recent legislative and regulatory changes shaping the healthcare environment today as well as the issues and any proposed healthcare legislation likely to be front and center in the healthcare debate as we head into 2021 under a Biden administration.
Session Category: Health & Welfare
Credits: CPD: 1.50
02 - Artificial (Actuarial) Intelligence
April 27, 2021 12:45 PM - 2:00 PM
Actuaries are getting more and more involved in the application of artificial intelligence (AI) and machine learning (ML) to address issues in healthcare. Speakers at this session focus on how actuarial intelligence is being leveraged to drive meaningful insights into developing and refining AI and ML models. In addition, our presenters discuss how these applications are being applied to address some of the hottest topics in healthcare including SDOH, telehealth, provider risk sharing, and Total Cost of Care. Finally, they discuss best practices on how actuaries working in this area can effectively communicate their analysis to actuaries and non-actuaries.
Session Category: Health & Welfare
Credits: CPD: 1.50
03 - Health Care - Clear as Mud: New Transparency Regulations
April 27, 2021 2:30 PM - 3:45 PM
In late 2020, new regulations relating to price transparency for providers and payers were introduced. In this session, presenters discuss what is required and when, some early findings from data that has already been published, and potential impacts on providers, payers, and consumers.
Session Category: Health & Welfare
Credits: CPD: 1.50
04 - Update on Health Care Cost Institute Trend Report and Research
April 27, 2021 4:15 PM - 5:30 PM
Speakers discuss recent and ongoing research using the Health Care Cost Institute's (HCCI) data holdings and results from the recently released annual cost study (if available). Of particular interest will be discussion of the new data provided by Blue Health Intelligence including its share of employer-sponsored insurance, demographics of members, types of coverage, etc.
Session Category: Health & Welfare
Credits: CPD: 1.50
05 – COVID-19 Vaccine Discussion of Clinical and Health Plan Experiences
April 29, 2021 11:00 AM - 12:15 PM
Panelists discuss efforts involved in researching the COVID-19 vaccine.
Session Category: Health & Welfare
Credits: CPD: 1.50
06 - Actuaries and Healthcare Providers: Connecting and Delivering Value
April 29, 2021 12:45 PM - 2:00 PM
Provide an overview of how risk-based payments models developed by the public and private payers are impacting the health system operations and strategy. Describe how the actuarial profession is connecting to healthcare financial professionals.
Session Category: Health & Welfare
Credits: CPD: 1.50
07 - Health Care Navigation - Smooth Sailing?
April 29, 2021 2:30 PM - 3:45 PM
Many plan sponsors are becoming dissatisfied with the results of traditional efforts (plan design, communications) to boost the consumer orientation of their employee population. Some are now turning to third-party health navigators to provide expert guidance in a variety of areas, including selecting the appropriate benefit option, choosing a provider, getting a second opinion on surgery, or evaluating various courses of treatment. Our speakers will discuss their philosophy and approach to navigation and the impact it has on employee satisfaction and cost.
Session Category: Health & Welfare
Credits: CPD: 1.50
08 - Gene Therapies and Other High Cost Claim Considerations
April 29, 2021 4:15 PM - 5:30 PM
Science and research have come a long way and, along with it, there has been massive steps forward in health technology and treatment innovation. Unfortunately, these improvements come with a very high price tag. How are health plans and reinsurance companies preparing for and dealing with the onslaught of high cost health claims?
Session Category: Health & Welfare
Credits: CPD: 1.50