Genomic testing can help inform decision making in treatment pathways for selected disorders. This podcast introduces relevant considerations around the funding of these tests that can support a greater appreciation of the risks and gains to payers for embarking on the personalized medicine journey.

Direct download: SOA_114Serre.mp3
Category:Health -- posted at: 8:11am CDT

John Culkin and Joe Slater discuss how changes in the handling of pre-existing conditions and increasing the age rating slopes could lead to remarkedly lower premiums in the Individual ACA market.

Direct download: SOA_113Slater_Culkin.mp3
Category:Health -- posted at: 12:56pm CDT

A few months ago President Trump discontinued CSR reimbursements. Join us as we explore what this means for the individual health insurance market and why it may be better to leave them in the past.

Direct download: SOA_105Ratzlaff.mp3
Category:Health -- posted at: 8:41am CDT

Find out how actuaries can contribute a unique perspective to driving better collaboration between payers and providers in an integrated delivery system towards a more financially sustainable future for both.

Direct download: SOA_106.mp3
Category:Health -- posted at: 12:05pm CDT

Dave Dillon, FSA, MAAA interviews Karena Weikel, ASA, MAAA on her February 2018 Health watch article:  Risk Adjustment:  The Details and Why They Matter.  The discussion covers the CMS-HCC part C risk adjustment model and the intricacies within.  As the health care industry moves towards value-base care, many of the arrangements have some form of a diagnosis-based risk adjustment program.  As actuaries, we understand all the intricacies and complexities built into risk adjustment programs.  We can help educate our providers, demonstrate our knowledge and provide analytic support.

Direct download: 44566978_02-01-2018_08.32.57_Dillon_Weikel.mp3
Category:Health -- posted at: 7:35am CDT

Dave Dillon and Trey Swacker discuss the potential impacts health care reform may have on the small employer market.


Self Insurance is, by members, the most important approach to funding employee health benefits in the commercial market, yet comparatively few actuaries specialize in this area. This podcast explains how the SOA Health Section's strategic initiative on self-insurance is working to educate actuaries and others about self-insurance challenges and opportunities.

Direct download: SOA17_33_Health_13_Self-Insurance_Task_Force.mp3
Category:Health -- posted at: 7:46am CDT

During this podcast, Dave Dillon interviews Liz Leif about the Next Generation High Risk Pool and its impact on the Individual Market.

Direct download: SOA17_32_Health_12_Next_Generation_High_Risk_Pools.mp3
Category:Health -- posted at: 11:15am CDT

Dave Dillon interviews Ken Beckman about his October 2017 Health Watch article, “An Actuarial Model to Improve Health and Reduce Costs.” This model offers financial incentives to health care providers to help patients achieve improved health resulting in reduced overall health care costs. In contrast to the current environment which incentivizes prescribing drugs and medical procedures, this model relies on a prescription of whole food plant-based nutrition which has been shown in the scientific literature to be effective at reversing many common and chronic costly health conditions with no negative side effects.

Direct download: An_Actuarial_Model_to_Improve_Health_and_Reduce_Costs.mp3
Category:Health -- posted at: 10:18am CDT

The passage of the Patient Protection and Affordable Care Act (ACA) in 2010 caused sweeping changes in the dental insurance industry, affecting the construct of dental benefits, the pricing of those benefits, and the availability of dental coverage. Now, as changes to the ACA or elimination of some of its provisions could potentially be enacted in the coming months, the dental benefits industry again must determine how to succeed in this evolving environment. In this podcast we explore the impact of the ACA on dental and the potential ramifications of any changes to the dental related components of the law.

Direct download: SOA17_26_Health_08_Health_Reform_Dental_Impact.mp3
Category:Health -- posted at: 7:23am CDT