This keynote session addresses how major corporations can fundamentally change how healthcare is structured, financed, and accessed. The panelists provide an understanding of the level of disruption that will be required to bring healthcare costs in line with the rest of the economy and improve the overall quality of care.

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Recently, actuaries have become more involved in formulary decisions due to high and variable pharmacy cost and utilization trends. How can actuaries and pharmaceutical manufacturers work together to better predict the market while covering key drugs? What discussions are currently taking place between manufacturers and payers? Is there value in these discussions that actuaries are missing? Speakers at this presentation provide both actuarial and manufacturer perspectives in order to create a mutual understanding that directs future conversations to benefit both stakeholders.

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Expert witness assignments are exciting and profitable; however, they can also be difficult, controversial, and time consuming. Speakers discuss the keys to success in this area based on their experiences in expert witness assignments.

This session gives you a chance to hear an experienced attorney and actuaries present important aspects of being an expert witness. Several experts talk about preparation, depositions, and testimony from work on expert witness engagements in the health practice areas. Some of their most interesting and challenging cases are discussed. The role and qualifications of the expert are discussed along with the recent changes to Actuarial Standard of Practice 17.

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Panelists discuss the value actuaries can bring to the healthcare provider table. We’ll provide an overview of the provider business environment plus viewpoints of an “outside” consulting actuary as well as an “inside” actuary. Along the way we’ll touch on opportunities, challenges and barriers, and what we could do better.

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Speakers discuss the development of sophisticated healthcare actuarial modeling used commercially and for specific actuarial projects. They highlight the insights gleaned from the data used to build out these models and the applications for which these models are used.

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The move to value-based and high performance networks requires deep understanding of how the network is constructed and what critical elements must be measured. Speakers consider the employer perspective as well as thoughts from a company focused on building these networks.

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There have been some recent high-profile mergers of health plans and hospital systems. Generally, the Department of Justice (DOJ) reviews any mergers of insurance companies and the Federal Trade Commission (FTC) reviews mergers of hospital systems. So, what exactly are they reviewing and how are they objectively determining whether a merger is approved? What other hurdles may be in the way for these entities to complete the deal?

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Blockchain has received a lot of attention recently related to applications for crypto-currencies like Bitcoin and others. Blockchain applications are beginning to be applied in the healthcare space as well. In this session, experts in blockchain technology use polling questions to test your current knowledge of blockchain applications, explain how this technology can be applied to healthcare applications, and discuss current and future practical applications of this technology to healthcare problems.

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Adoption of Electronic Health Records by providers has increased dramatically in recent years. These records create a new source of data and means of communication between health plans and providers. In this session, speakers cover applications of this newly available data and how it may be used by actuaries to provide additional insights into patient populations or to improve health plan performance.

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