Description: This session series is sponsored by Zelis Claim analytics produces valuable insights about provider cost, quality, and referral patterns. Provider networks can be created around high-value providers to improve clinical outcomes while lowering the cost of care. Programs to improve provider performance and/or incentivize members to choose high-value providers exist, but how do you bring all of this together to achieve desired outcomes? Join us to learn how to leverage provider level analytics to build and optimize a network with high-value providers at the center. Analyze the network for competitiveness and adequacy and demonstrate progress toward network cost saving goals to key stakeholders by modeling claim data for a member population. Finally, ensure the success of your network through an incentive program that shifts utilization to those high performing providers. By attending this session, you will be able to: - Build a realistic provider network with high-value providers at the center. - Evaluate the overall financial impact of network build and optimization efforts. - Learn about an innovative member incentive program.

Description: The barrier between humans and machines continues to blur, but curiously, this may have been prediction thousands of years ago in ancient myths. This article looks to how some of the early legends are becoming manifest in modern technology, particularly in the area of elder care. From automation, to humanoid assistants, to mind clones will the age of technology bring a new utopia?

Description: The Society of Actuaries (SOA) Board of Directors (Board) gathered in Chicago March 16–17 for its first meeting of the year. Among key topics on the agenda were the FSA pathway evolution update, Board elections, strategic planning and the use of AI in the workforce.

Description: Session 176: The Future of Medical Records in Underwriting

Description: This research study aims to understand the current and planned use of various technology types and tools and to highlight those technologies that are anticipated to grow the fastest among actuaries in 2019.

Description: Electronic Health Records, or EHRs, are a major worldwide initiative to eliminate paper recordings – including Attending Physician Statements (APSs) – of an individual’s medical history and current treatment.

Description: This session challenges participants to consider the insurance landscape over the next five to ten years and how existing business models need to evolve. From the Record of the Society of Actuaries, Volume 27, No. 2, Session 19PD of the Toronto Spring Meeting.

Description: View the Zero-Knowledge Proofs: Emerging Opportunities for the Insurance Industry research report.

Description: Feature article discussing the power of psychosocial data.

Description: Electronic Health Records (EHR) have increased in importance due to the in-person medical visit restrictions caused by the Covid-19 pandemic. Access to EHRs for insureds - apart from EHR vendors and providers - is now also prescribed by federal law. Combined, electronic medical data access has accelerated faster than expected. These trends are examined for potential impact and opportunities for actuaries in data aggregation.