2020 CCA Healthcare Meeting

2019 CCA Healthcare Meeting

 

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 1½ day program, experts in the healthcare field detail current problems, highlight areas for improvement (including better data and predictive analytic techniques), and determine what the actuarial profession can do to help deliver value. And since we’re in Washington, DC, we’ll ask experts how the 2020 election cycle may change the healthcare landscape.

 

Meeting Details

 

By the end of the meeting, you'll understand that this is a healthcare meeting focused on your future. Speaking of which...

 

How Will You Attend: In Person or Online?

When registering for the meeting, you can choose to attend either in person at the Marriott Wardman Park in Washington, DC or virtually through the meeting's livestream. As a virtual attendee you have the same ability to see presenters and their presentations (and even ask questions of panelists) as those in attendance. As an in-person attendee you can connect with your fellow attendees and discuss the sessions during breaks (including breaks, breakfast, lunch and the Wednesday reception. Choose to participate the way that benefits you best.

 

Sessions:

01 - The Healthcare Landscape Heading Into the 2020 Election April 01, 2020 1:15 PM - 2:45 PM

Panelists provide an overview of the key healthcare issues affecting the political debate in Washington D.C. and around the country. Steve Parente, CMS advisor and Senior Economist with the Council of Economic Advisors, and Brigen Winters, an ERISA and tax attorney and Partner with the Groom Law Group, will offer their perspectives on the recent regulations shaping the healthcare environment today as well as the issues and proposed healthcare legislation likely to be front and center in the healthcare debate as we head into the 2020 U.S. Presidential election.

Session Category
Health & Welfare
Credits
CPD1.80

02 - Artificial (Actuarial) Intelligence April 01, 2020 3:00 PM - 4:15 PM

As actuaries are able to access better-quality, more plentiful data, machine learning and other predictive analytic techniques will augment--and in some cases perhaps replace--traditional actuarial analysis.

The speakers describe and illustrate tools and methods that are being applied to a variety of health care problems, including underwriting, detecting and fixing reporting or payment errors, identifying fraud or abuse, and improving plan administration and communications.

Session Category
Health & Welfare
Credits
CPD1.50

03 - Gene Therapies and Other High Cost Claim Considerations April 01, 2020 4:30 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
CPD1.20

04 - Health Care Navigation - Smooth Sailing? April 02, 2020 8:00 AM - 9:30 AM

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
CPD1.80

05 - Traditional Medicare & New and Improved Medicare Advantage April 02, 2020 9:40 AM - 10:40 AM

With all the talk about “Medicare for All” this session looks at current Medicare: both the traditional fee-for-service model and the increasing enrollment in Medicare Advantage plans.

Session Category
Health & Welfare
Credits
CPD1.20

06 - Actuaries and Healthcare Providers: Connecting and Delivering Value April 02, 2020 10:50 AM - 12:05 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

07 - Health Care—Clear as Mud April 02, 2020 12:50 PM - 2:20 PM

Transparency is one of THE “buzz words” nowadays and health care is one of the biggest targets. Panelists will discuss two ongoing transparency projects—Guroo and Florida’s Health Care transparency database as well as the pharmacy project that is part of the Society of Actuaries’ Initiative 18|11.

Session Category
Health & Welfare
Credits
CPD1.80

08 - ACA Tools and Templates - What's New for 2021 Rate Filing April 02, 2020 2:25 PM - 3:35 PM

Speakers from CMS/CCIIO, industry, and/or states will discuss changes to the rate filing process for 2021 including changes to tools, templates, and other regulatory guidance for 2021 rate development and filing.

Session Category
Health & Welfare
Credits
CPD1.50

09 - Society of Actuaries and Health Care Cost Institute Joint Research April 02, 2020 3:40 PM - 4:30 PM

Speakers discuss recent research performed by the Society of Actuaries using the Health Care Cost Institute's (HCCI) data holdings on pre- and post-ACA cost and utilization and other topics. Other recent HCCI research publications may also be highlighted.

Session Category
Health & Welfare
Credits
CPD1.00

  • 1 Edward M. Pudlowski MorningStar Actuarial Consulting, LLC
  • 2 Stephen T. Parente University of Minnesota
  • 3 Brigen L. Winters Groom Law Group
  • 1 Stuart H. Alden Aon
  • 2 Thomas Edward Persichetti Persichetti & Associates, LLC
  • 3 David M. Tuomala Optum
  • 1 Whitney Schwark Pratt Optum
  • 2 David M. Tuomala Optum
  • 3 Debra S. Medlin Actuarial & Benefits Consulting Group
  • 1 Stuart H. Alden Aon
  • 2 Edward M. Pudlowski MorningStar Actuarial Consulting, LLC
  • 1 Adam J. Reese PRM Consulting Group
  • 2 Dale H. Yamamoto Red Quill Consulting
  • 1 Thomas Edward Persichetti Persichetti & Associates, LLC
  • 2 Whitney Schwark Pratt Optum
  • 1 Dale H. Yamamoto Red Quill Consulting
  • 2 Whitney Schwark Pratt Optum
  • 1 David M. Tuomala Optum
  • 1 David M. Tuomala Optum