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 CST

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 CST

There are roughly 46 million Americans are living with serious illness and functional impairment, and that number will soon swell, given demographic trends.  Palliative care is an added layer of support that relieves the pain, symptoms and stresses of serious illness, appropriate at any age and any stage of illness, ideally concurrent with treatment. Multiple studies demonstrate that the resulting improvements in quality of life translate directly into reductions in avoidable ED and hospital utilization.  SOA sat down with Dr. Diane Meier, founder and director of the Center to Advance Palliative Care (CAPC) to learn more about what palliative care is, who benefits, and what health plans and population health managers can do to improve care for those facing serious illness.

Direct download: SOA17_27_Health_09_Palliative_and_Hospice_Care.mp3
Category:Health -- posted at: 8:29am CST

Learn about the potential impacts of selling health insurance across state lines as it relates to the individual and small group markets.

Direct download: SOA17_24_Health_07_Health_Ins_Across_State_Lines.mp3
Category:Health -- posted at: 10:33am CST

The Medicare Advantage market is currently in the middle of a multi-year transition from the existing Risk Adjustment Processing System (RAPS) to the new Encounter Data System (EDS) for calculating risk scores. CMS has stated that ultimately EDS will be the sole diagnosis data source for Medicare Advantage organizations’ risk scores and revenue. Dave Dillon, FSA, MAAA, interviews Deana Bell, FSA, MAAA, on the topic and they discuss how the transition has shown to have a financial impact on Medicare Advantage revenue and how actuaries are well equipped to help.

Direct download: SOA17_22_Health_06_Medicare_Advantage_Risk_Scores.mp3
Category:Health -- posted at: 2:49pm CST

During this podcast, Dave Dillon interviews Andrew Sykes about his non-traditional path to actuarial work and helping actuaries to develop the skills to influence other people to take specific actions based on their work.

Direct download: SOA17_28_Health_10_Influence_Training_for_Actuaries.mp3
Category:Health -- posted at: 10:45am CST

Bayes’ Theory has been used to find a lost hydrogen bomb, break the German WWII code, identify smoking as a cause of lung cancer and heart disease, establish merit rating in insurance, and enable computers to “learn” and “make decisions.” But each time it was used, the techniques were not published, and the theory was allowed to die.  Actuaries played a prominent role throughout history in originally discovering Bayes’ Theory and resurrecting it to solve practical problems. Roy Goldman brings to life this actuarial history in his Contingencies article “Bayes’ Gift,” based on the book The Theory that would not Die by Sharon Bertsch McGrayne.

Direct download: SOA17_20_Health_05_Roy_Goldman.mp3
Category:Health -- posted at: 10:19am CST

During this podcast, Joe Wurzburger interviews Dave Dillon about the Health Section Council’s initiative concerning healthcare reform. They discuss how the SOA is addressing education and research concerning the important issues in the ever changing health insurance landscape.

Direct download: SOA17_21_Health_Commercial_Healthcare_Whats_Next.mp3
Category:Health -- posted at: 11:26am CST

The field of public health does important work around the world in keeping populations safe and healthy.  This podcast will explain how the SOA Health Section's strategic initiative on public health is working to educate and connect actuaries with the world of public health.

Direct download: SOA17_16_Health_04_Public_Health.mp3
Category:Health -- posted at: 8:10am CST

During this podcast, Dave Dillon interviews Jackie Lee about an article she coauthored on telemedicine. They discuss how the current telemedicine landscape and why actuaries should be paying attention into these types of services as it has potential pricing impacts.  

Direct download: SOA17_13_Health_03_Telemedicine.mp3
Category:Health -- posted at: 8:15am CST