2021 CCA Healthcare Meeting

2021 CCA Healthcare Meeting

 

 

Preparing Healthcare Actuaries for the Future

The 2021 CCA Healthcare Meeting featured sessions covering a wide variety of key healthcare topics, providing relevant education for health actuaries and other healthcare professionals, including provider, carriers and employers. Healthcare technology and treatments are becoming increasingly personalized, which is increasing healthcare costs. Similarly, navigating consumer healthcare options has become increasingly complex, despite attempts to improve transparency. Through this timely program, experts in the healthcare field detail current problems, highlighted areas for improvement (including better data and predictive analytic techniques), and determine what the actuarial profession can do to help deliver value.

 

 

Sessions:

Session Handout

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
CPD1.50
Session Handout

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
CPD1.50
Session Handout

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
CPD1.50
Session Handout

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
CPD1.50

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
CPD1.50
Session Handout

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
CPD1.50
Session Handout

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
CPD1.50
Session Handout

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
CPD1.50

  • 1 Edward M. Pudlowski MorningStar Actuarial Consulting, LLC
  • 2 Philip Ellis Ellis Health Policy
  • 3 Brigen L. Winters Groom Law Group
  • 1 James Dolstad Optum
  • 2 Norman Storwick Lumeris
  • 3 R. Jason Reed Optum
  • 1 Chris L. Sipes Consulting & Risk Mgmt. Servs.
  • 2 David M. Tuomala Optum
  • 3 Dave Purdy Optum
  • 4 Chris Severn Turquoise Health
  • 1 Dale H. Yamamoto Red Quill Consulting
  • 2 Katie Martin Health Care Cost Institute
  • 3 John Hargraves Health Care Cost Institute
  • 1 Adam J. Reese PRM Consulting Group
  • 2 James R. Hopsicker MVP Health Care
  • 3 Dan H. Barouch Harvard Medical School
  • 1 Thomas Edward Persichetti Persichetti & Associates, LLC
  • 2 Aaron Paul Jurgaitis Optum
  • 3 Kyle A. Huss Huss Consulting LLC
  • 1 Stuart H. Alden Socratic Methods
  • 2 Scott Doolittle QUANTUM HEALTH
  • 3 Steven Knight Quantum Health, Inc.
  • 4 Carolyn M. Young Accolade
  • 5 Matt Eurey Accolade
  • 1 Whitney Schwark Pratt Cigna
  • 2 Gregory L. Warren Optum
  • 3 Crystal Kauder PartnerRe America Insurance Company
  • 4 Sanjit Puri Optum Advisory Services