Welcome Actuarial Outpost members! After a few week of the AO being down, and no information given to people, a couple actuaries decided to start a new forum. We have some other ideas mixed in here too, including practice exam software. We'll have to start somewhere, so please join and post away to drive further activity! Also, let us know if you want to help out in any way. Thanks!

Recent Posts

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Job Postings / Virtual Job Fair - Greater Green Bay Chamber - Green Bay, WI
« Last post by Actuary on December 03, 2020, 09:13:47 AM »
Virtual Job Fair - Greater Green Bay Chamber - Green Bay, WI

Internship opportunities for students in IT, HR, and Actuary to Finance, Marketing, and Communications. Register to attend our Virtual Job Fair at http://events… $20,000 a yearFrom Indeed - Wed, 02 Dec 2020 15:23:31 GMT - View all Green Bay, WI jobs

Source: Virtual Job Fair - Greater Green Bay Chamber - Green Bay, WI
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Job Postings / Senior Health Plan Accountant - My Choice Wisconsin - Madison, WI
« Last post by Actuary on December 02, 2020, 07:55:10 PM »
Senior Health Plan Accountant - My Choice Wisconsin - Madison, WI

Ensures the timely completion and distribution of financial statements for both internal and external users, including DHS, OCI, NAIC and the Actuary in…From My Choice Wisconsin - Wed, 02 Dec 2020 01:32:00 GMT - View all Madison, WI jobs

Source: Senior Health Plan Accountant - My Choice Wisconsin - Madison, WI
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General Discussion / Categories from the ActuarialOutpost I miss the most
« Last post by happychineseboy on December 02, 2020, 04:57:11 PM »
I particularly miss are the general Careers-Employment section and the Finance-Investments (Non-Actuarial Personal Finance/Investing) talk

I feel like 90% of useful posts on AO were in the Careers-Employment section, the other 10% were in the exam sections

I also miss not having to type "Society of Actuaries" every time I go to submit a post
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General Discussion / Re: USA sets COVID record w/77k new cases
« Last post by happychineseboy on December 02, 2020, 04:41:57 PM »
I am patiently awaiting a post-Thanksgiving crush of COVID cases

I wonder when employers are going to start dragging employees back to the office
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Job Postings / Health Plan Accountant - My Choice Wisconsin - Madison, WI
« Last post by Actuary on December 02, 2020, 07:30:21 AM »
Health Plan Accountant - My Choice Wisconsin - Madison, WI

Ensures the timely completion and distribution of financial statements for both internal and external users, including DHS, OCI, NAIC and the Actuary in…From Indeed - Tue, 01 Dec 2020 22:47:40 GMT - View all Madison, WI jobs

Source: Health Plan Accountant - My Choice Wisconsin - Madison, WI
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Job Postings / Senior Actuarial Analyst - AIG - Stevens Point, WI
« Last post by Actuary on December 02, 2020, 01:26:48 AM »
Senior Actuarial Analyst - AIG - Stevens Point, WI

Partner with reserving actuaries to understand reserve development and inform them of pricing and underwriting actions that will impact reserve estimates.From AIG - Tue, 01 Dec 2020 20:08:37 GMT - View all Stevens Point, WI jobs

Source: Senior Actuarial Analyst - AIG - Stevens Point, WI
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Risk Management Analyst - A&H - National General Insurance - Milwaukee, WI

Collaborate with various lines of business including product, actuary, compliance, legal, distribution partners, third party administrators, and other…From National General Insurance - Mon, 30 Nov 2020 22:08:23 GMT - View all Milwaukee, WI jobs

Source: Risk Management Analyst - A&H - National General Insurance - Milwaukee, WI
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Manager, Total Rewards – Administrative Services Building - UW Health - Madison, WI

Scrutinize proposed changes with actuaries, attorneys and consultants, and implements approved changes. Join the #1 hospital in Wisconsin!From UW Health - Wed, 25 Nov 2020 02:22:56 GMT - View all Madison, WI jobs

Source: Manager, Total Rewards – Administrative Services Building - UW Health - Madison, WI
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Business Analyst 1 - Group Product Line - National General Insurance - Milwaukee, WI

Seek positive outcomes by working closely with product, actuary, operations, IT, third party administrator resources as well as other departments to identify…From National General Insurance - Tue, 24 Nov 2020 16:08:25 GMT - View all Milwaukee, WI jobs

Source: Business Analyst 1 - Group Product Line - National General Insurance - Milwaukee, WI
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Admin Only / Bundled Payments
« Last post by Actuary on November 22, 2020, 11:04:48 PM »
Bundled payments come in many shapes and sizes. Centers for Medicare and Medicaid Innovations (CMMI) Bundled Payments for Care Improvement Initiative has one of the most well known types. Bundled payments have advantages for both payers and providers. Providers can reduce expenses, allow for incentive across individual providers within groups, and have better integration of services across their delivery system. Meanwhile, payers move forward with simpler contracting and can reduce the cost of claims for services covered by that bundle payment.

Whether it is for a select set of services or all of those tied to an "episode", bundled payments allow for a fixed payment to cover the services. Providers take on the risk for costs greater than the fixed fee. This is very similar to the aspect of capitation, but instead of all of members' claim costs being at risk, it is a specific set of services for the members of that payer, and the payment is only guaranteed upon triggering of that event.

At Five70, our actuaries have developed specific models for bundled payments. Actuarial analysis of historical claims data is necessary and allows for actuaries to determine the consistency in the cost of a given episode, volatility over time, and how those risks vary by different types of settings.
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