2026 Health Meeting – Research Connections from Presentations
Session 1A: ACA - Brief History and Where We Stand Today ACA@15
Session 1B: Actuarial Soundness - I Can't Hear You! State vs. Plan Actuaries Go Head-to-Head on Tough Medicaid Questions Medicaid Managed Care Underwriting Margin Model
Session 1E: AI Is Reshaping Payer and Provider Workflows Healthcare AI Expert Panel
Provider Use of AI in Healthcare
Session 1G: Rethinking Risk - Integrating Social Determinants of Health into Actuarial Models Social, Physical and Cultural Determinants of Health
Integration of Social Determinants of Health into Medicaid Managed Care Risk Adjustment
Session 2C: Duals in Transition - Enrollment Patterns and Policy Shifts Shaping Integrated Care HIV and Medicare
Session 3B: ASOP No. 56 Meets Medicaid Risk Adjustment in New Academy Practice Note Integration of Social Determinants of Health into Medicaid Managed Care Risk Adjustment
Session 3F: Reinsurance Solutions for Disability and Group Life Healthcare Insurance/Reinsurance Captive Landscape
4A: State-Level Interventions Regarding Affordability in the Individual ACA Market ACA@15
Session 4B: Medicaid Strategy - Choose Your Own Adventure for Actuaries Medicaid Managed Care Underwriting Margin Model
Modeling the Impact of the Great Unwinding on State Medicaid Programs
Session 4D: Cell & Gene Therapy Coverage Dilemma - Who Holds the Risk? Reimagining Pharmacy Financing
Session 5B: Various Levers of State Budgets that Impact Medicaid Programs
Modeling the Impact of the Great Unwinding on State Medicaid Programs Medicaid Managed Care Underwriting Margin Model
Session 5C: Rethinking Part D Risk Adjustment - Structural Flaws and Potential Solutions
Evaluating Risk Adjustment and Medicare Advantage
Session 6A: ACA Markets at an Inflection Point - Pricing, Policy and 2027 The ACA@15 - Tracking Prior and Emerging Results since its Inception
Session 6B: Winds of Medicaid Change - OBBA Implementation Update Modeling the Impact of the Great Unwinding on State Medicaid Programs
Session 6E: AI in Claims and Utilization Management - Practical Use Cases, Validation and Ethical Guardrails Provider Use of AI in Healthcare Using Machine Learning Methods: Application to Health Insurance Fraud Detection
7A: Managing Member Disruption - Current ACA &Medicare Challenges and Plan Strategies Evaluating Risk Adjustment and Medicare Advantage
Session 7B: Navigating P.L. 119-21 - Multi-State Perspectives Modeling the Impact of the Great Unwinding on State Medicaid Programs
Session 7C: RADV - Risk, Readiness and Reality Evaluating Risk Adjustment and Medicare Advantage
Session 7G: Reinsurance Mechanics in the Context of Deteriorating Large Claim Experience Healthcare Insurance/Reinsurance Captive Landscape
Session 8B: Medicaid Single Preferred Drug Lists - Digging Deeper Reimagining Pharmacy Financing
Session 8H: Captive Insurance in Employer Stop Loss -Advantage or Complexity? Healthcare Insurance/Reinsurance Captive Landscape
Session 9B: Medicaid Cost Containment - Balancing Savings and Quality of Care Modeling the Impact of the Great Unwinding on State Medicaid Programs
Session 9C: The Ripple Effect - Member Behavior Under Medicare Market Disruption HIV and Medicare: A Survey of the HIV Medicare Population
Session 9D: Demystifying Gene Therapy Risk - Clinical Rarity, Financial Exposure and Practical Funding Solutions Reimagining Pharmacy Financing Healthcare Insurance/Reinsurance Captive Landscape
Session 9E: Getting by with a Little Help from My Friends – Leveraging AI in Healthcare
Provider Use of AI in Healthcare
Session 9F: Economic Trends and Disability Insurance 2015-2022 Group Long-Term Disability Incidence Study
Session 10G: Capital Management in a Time of Payer Profitability Headwinds Healthcare Insurance/Reinsurance Captive Landscape