POPULARITY
Send us Fan MailWhat really happens behind the scenes at SuperZoo 2026?In this episode of The Alternative Dog Moms Podcast, we recap our first SuperZoo experience as exhibitors with Real Mushrooms instead of content creators walking the showroom floor.We share what goes into booth setup, the time and money brands invest in exhibiting, the growth of SuperZoo's Natural & Health section, standout products, favorite people, and lessons learned along the way.And because it's Vegas, there's also food, drinks, Wahlburgers, questionable transportation choices, parties, wagons, PlantCon inspiration, and a lunch where I (Kimberly) was definitely the third wheel.
Listen in as Greg Fann interviews Moshe Nelkin about Medicare Supplement insurance. We will take you from Medicare basics through product details covering pricing assumptions, factors driving claims trend, regulatory considerations, challenges, opportunities, and more.
Listen to Juan Herrara and Danny Moore discuss pending claims, large claims, and using predictive analytics and other modeling techniques to develop these estimates.
Description: Listen as co-hosts Jackie Lee and Josh Hammerquist speak to data scientist Supriya Ramachandra as they discuss how she attacks messy data with Artificial Intelligence and Machine Learning. From this discussion, actuaries will learn about how these cutting-edge tools can be used in their work. PleaseNote: At timestamp 11:00: The training data was created through manual annotation — it took 4 annotators about a week to label the clinical notes. At timestamp 12:24–12:26, we said “non-supervised” — the correct term is “unsupervised learning."
Join Danny Moore and Aaron Jurgaitis as they discuss tertiary and quaternary care from an actuarial perspective. Danny and Aaron discuss: Definitions around the different levels of care, from primary up to quaternary Specifics around the types of care delivered in the specialized facilities that deliver this care, and The key themes actuaries need to keep in mind when analyzing data that include these types of services. Aaron shares information from his background of performing analysis for pediatric and academic facilities that highlight important factors that actuaries should consider, such as relative efficiency, referral patterns, episodes of care vs. points in time, and the specific value of expertise that these facilities contain. The information shared is relevant from both a provider and payer point of view, and will broaden your understanding of the unique characteristics of tertiary and quaternary care providers.
Listen as Danny Moore interviews Charlie Larimer on Epidemiology and Predictive Analytics. Listen as Charlie gives his insight on applying predictive analytics techniques to determine drivers of health outcomes in differing populations and regions.
Listen to this interview with Whitney Pratt – an actuary who leads a team of data scientists – about similarities and differences of the two fields and how we can better work together. If you are an actuary wanting to know more about data science, or trying to choose between the two career paths, this is a must listen!
Host Jackie Lee discusses the MAPD historical and future landscape of the Medicare Advantage market. They talk about notable milestones throughout the years and their impact on the growth of this sector.
Join Host Jackie Lee with Brian Pauley as they discuss the characteristic of leaders, including developing an abundance mindset. Their discussion is based on the High Road Leadership book by John Maxwell and Brian's article featured in The Stepping Stone.
Dive into price transparency with Danny Moore and Greg Mottet, founder of Vairate. In this episode, they discuss a study exploring inpatient maternity rates in Washington, as well as the use of price transparency in payer-provider negotiations and its impact on consumers, payers, providers, and employers.
Do you need professionalism credits? Look no further and listen to host Jackie Lee discuss experiences with the ABCD for counseling from guests Cathy Quock and Lydia Tolman.
Listen in to get those professionalism CE credits with host Jackie Lee and guest Cathy Quock. They talk about the differences between actuarial communications in a consulting role or internal company setting. They reference the Code of Professional Conduct and ASOPs.
Join Dave Dillon as he interviews the authors, Rich Junker and Curtis Robbins, of the new book, “Design Your Future with the Competency Framework”, inspired by the Society of Actuaries Competency Framework and published by ACTEX Learning. The authors share their personal career perspectives and celebrate the worldwide diversity of actuarial careers from over 26 successful actuaries contributing to the book.
Join the conversation as host Jackie Lee talks about the future year with the current SOA President & Chair, Amanda Hug. They discuss upcoming strategic initiatives for the SOA for the coming years.
Join Dr. Mathias Basner, Professor and Director of the Behavioral Regulation and Health Section in the Department of Psychiatry at the University of Pennsylvania Perelman School of Medicine, as he unravels the mysteries of sleep and shares practical solutions for better rest. From surprising findings about bedroom CO2 levels to the truth about noise and sleep quality, discover science-backed strategies to improve your sleep environment. Learn why sleep isn't just about feeling refreshed - it's crucial for your brain's health. Whether you're dealing with noisy neighbors or struggling with sleep habits, this episode offers accessible solutions for better sleep. In this episode, you will hear: Delving into the controversial role of white and pink noise in sleep, focusing on potential benefits and risks. Examining the thalamus's role in noise adaptation and the physiological effects of environmental noise on sleep. Highlighting the cognitive consequences of sleep deprivation and challenging myths about minimal sleep needs. Discussing the deceptive nature of caffeine in masking sleep deprivation effects. Addressing the importance of adequate sleep for long-term health, including its potential role in preventing neurodegenerative diseases. Resources from this Episode To find out more about Dr. Basner: https://www.med.upenn.edu/uep/faculty_basner.html Subscribe for more from Frequency: https://frequencyspaces.com/subscribe Find out more about Frequency: https://frequencyspaces.com/ Podcast Disclosure: https://frequencyspaces.com/podcast-disclosure Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com Let them know we sent you.
Title: Cell and Gene Therapies Description: Listen as host Jackie Lee discussed Cell and Gene Therapies with Ankit Nanda. They explore what they are, regulations, and how the FDA is handling these therapies. https://www.soa.org/sections/health/health-newsletter/2024/may/hw-2024-05-nanda/
Mental health nurses are worried the public, patients and health workers will be put at risk when Police stop attending some mental health callouts. From Monday, Police won't attend ‘low risk callouts' where there is no immediate risk to life and safety. Instead, Health NZ is expected to pick up the work. Leaked documents show only interim standard operating procedures have been developed by Health NZ. Mental Health Section Chair of the New Zealand Nurses Organisation Helen Garrick tells Heather du Plessis-Allan the plan is in its infancy but the industry does not have a sufficient workforce to manage the increase in workload. LISTEN ABOVESee omnystudio.com/listener for privacy information.
Join Host Jackie Lee in a discussion of ACA hot topics in preparation for the upcoming CY 2026 filing season with Lydia Tolman.
Listen in as host Jackie Lee talks to Suzanna-Grace Tritt about Medicare Stars again. We first began this discussion with the 2020 podcast, Health Section: Medicare Star Ratings. Is it a STAR(T) of a new era? What has happened with Stars since Covid? What happened during the summer of 2024 that was unprecedented? Also, here are other articles from Suzanna-Grace and her Wakely team to dig deeper into Stars: - Initial Star Ratings and the impact of a significant cut point methodology change - Updated Star Ratings, which were changed due to SCAN and Elevance lawsuits - CMS proposes additional temporary changes to Stars
Balance Matters: A neuro physical therapist’s journey to make “Sense” of Balance
In this interview, the incredible Gail Wetzler, PT, DPT, EBO, BI-D and I will be exploring the fascinating connections between the pelvic floor and foot engagement—a topic we've delved into while treating a mutual patient.One of our shared clients with significant neuropathy needed help with his ankle strategy and keeping his toes down during sit-to-stand movements. This journey of discovery began when Gail asked, "Have you cued his pelvic floor?" That simple question unlocked a wealth of new insights.Join us as we dive into how it's all interconnected—from anatomy to brain function—and uncover the best ways to analyze and cue these movements. Gail Wetzler, PT, DPT, EBO, BI-D currently owns an integrative physical therapy practice in Denver, Colorado, where they treat orthopedic, fascial/muscular/soft tissue, neurologic, pain,respiratory, digestive, mTBI and women's and men's health issues. After receiving her initial degree in physical therapy, she pursued her first experience in acute orthopedic care at Hoag Hospital, Newport Beach California. Within 1 year, she became the outpatient clinical supervisor and thus began her journey and desire for continuing education in the science and art of human movement and function. She studied with Travell and Simons, Mennell, Kaltenborn, Maitland, McKenzie, Mitchell, Jones and Greenman in the earlier years of manual therapy education. Inspired by these methods of treatment, she became an assistant teacher to Dr. Janet Travell and later an instructor with the Institute of Physical Art (IPA) developed by Gregg Johnson and Vicky Saliba Johnson.In a few years, she developed her own private practice, at which time she received a large number of head, neck and TMJ pain patients. This became a driver to learn more about cranial osteopathy, craniosacral therapy and how the fields of physical therapy and dentistry could collaborate to help these patients. As she pursued continuing education classes with Dr. John Upledger, he inspired her to learn more about the different systems in the body and how they all integrated for function. During one of her earlier speaking engagements for the Upledger Institute ( Beyond the Dura), she met Jean Pierre Barral DO, who inspired the importance of anatomy, the ability to listen to the body and the specificity of tissue dialogue in manual therapy techniques. She has listened and followed his mentoring into understanding the body's deeper fascial relationship of the viscera, vascular, neurological and manual articular systems since 1989. Gail has been an instructor for the Barral Institute (BI) since 1991 and became the BI Curriculum Director in 2001.In her career, she has been invited to speak at multiple professional conferences including National and State levels for the APTA, USC Head, Neck and Facial Pain Clinic, University of California, Irvine (UCI), Beyond the Dura Research Conferences, "Hope" Head Injury Organization, and was the keynote speaker in Italy for the Fascial Manipulation Research Conference presented by Antonio, Carla and Luigi Stecco. She is the Past Director of Physical Therapy for the Integrative Medicine Center at UCI. She is currently part of the Research Team for the Upledger Foundation for their recent studies on Post Concussion Recovery She currently teaches for the Women's Health Section of the APTA "Gynecological Visceral Manipulation". Gail earned her Diplomate from the Barral Institute in 2005. She earned her Equine Diplomate in Osteopathy from Vluggen Institute of Equine Osteopathy in 2009 and she earned her Doctorate in Physical Therapy from Rosalind Franklin University, Chicago, in 2013.Gail serves on the Women's Health Task Force for the United States Olympic and Paralympic Committee (USOPC).Resources: APTA Academy of Pelvic Health Physical Therapy (aptapelvichealth.org)
After being in effect for over three years, the COVID-19 public health emergency (PHE) expired in May 2023. From the start of the PHE, state Medicaid programs applied continuous coverage (or non-termination) requirements to access additional federal matching funds provided through the Families First Coronavirus Response Act (FFCRA). The Consolidated Appropriations Act of 2023 ended the Medicaid continuous coverage requirements in March 2023, disconnecting the federal match requirements from the PHE. This change was projected to result in millions of individuals losing their Medicaid coverage, raising questions about significant short-term and long-term impacts on state Medicaid programs and other health insurance markets. During this podcast, our guests discuss where we are over a year into the unwinding of the continuous coverage requirements, as well as the projected effects on health coverage for the Medicaid population. Presenters also shared considerations for addressing the unwinding in Medicaid managed care capitation rate-setting.
In this episode, Dave Dillon has a conversation with Ashwag Alzahrani; Saudi Arabia's First Female FSA.
In this episode, Dave Dillon discusses some basics of gene and cell therapies with Marnie Bute of AON and Kristi Bohn of RGA, including a summary on the science, costs, as well as network and coverage concerns.
Listen as host Jackie Lee discusses GLP-1s and their role in Weight Loss Management, with Tyler Engel. They discuss how these drugs are being used and what actuaries should consider when assessing their costs and implications.
Listen in as host Jackie Lee talks with Joan Barrett about the recent research paper, “Calculated Risk: Driving Decisions Using the 5/50 Research.” The discussion and report will help you answer key questions like “what are the chances we will lose more than $1million.”
Listen as host Jackie Lee talks with SOA President and Chair, Tim Rozar. They discuss Tim's actuarial and volunteer background and the SOA's goals for the year to come. Be sure to check out Tim's Presidential address here: https://www.youtube.com/watch?v=4BG0AhwX6Ic
Dave Dillion and Bryon Robidoux discuss the book Dare to Lead, which was the Joint Risk Management and Leadership & Development Sections book club selection for December. They discuss what it means for managers to be vulnerable. How to give and receive feedback from both a manager's perspective and the direct report perspective. The end the podcast talking about actuaries can be more curious and innovative.
Join host Jackie Lee and guest Colby Schaeffer as they delve into the recent SOA research paper, “Modeling the Impact of the Great Unwinding on State Medicaid Programs.” They explore the model presented in the research paper and discuss the societal and actuarial implications of the Great Unwinding. Tune in to learn more about this important topic.
Dave Dillon talks to psychologist Matt Fleischman, Chairman of the Board of Directors of the Neurofeedback Advocacy Project, and Charlie Doe, a retired group health actuary, about neurofeedback, infra-low frequency (ILF) neurofeedback, the data on over 500 clients who have completed 20 sessions of ILF neurofeedback, and the prospect to expand neurofeedback's availability.
Today, share the kratom article that is the headline in the Health Section of the Washington Post today, and I start to speculate on why they might be paying attention to this now... Sources mentioned in this episode case be found here: https://www.washingtonpost.com/health/2024/02/20/kratom-deaths/ and here: https://www.washingtonpost.com/health/ *** HAPPY HIPPO Discount ***: Coupon code EVERYTHINGKRATOM at checkout, or this link - https://happyhippoherbals.com/r?id=ul2k1j DISCLAIMER: KRATOM IS NOT APPROVED BY THE FDA. NOTHING ABOUT THIS SHOW SHOULD BE TAKEN AS MEDICAL ADVICE, SUGGESTIONS, OR ANYTHING ELSE OTHER THAN ME SHARING MY THOUGHTS. ETHA Natural Botanicals Discount - Coupon code EVERYTHINGKRATOM at checkout, or this link - https://ethalivefully.com/discount/EVERYTHINGKRATOM?aff=243 Please support this podcast with a small monthly donation here! https://anchor.fm/everything-kratom/support Joining Honey Coupons for free here will also help this podcast! joinhoney.com/ref/4heawuq Thank you all so much for listening! Available wherever you get your podcasts: YouTube Channel: https://www.youtube.com/channel/UCUsCC1nBchi_xMX9wRyQ_nA Spotify - https://open.spotify.com/show/2fO3Xsx1BbNUs2rpXiQs3s Google Podcasts - https://www.google.com/podcasts?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy82OWUxMzZjNC9wb2RjYXN0L3Jzcw== Apple Podcasts - https://podcasts.apple.com/us/podcast/everything-kratom/id1584592399 Pocket Casts - https://pca.st/mql8q14u RadioPublic - https://radiopublic.com/everything-kratom-WzkkBK Overcast - https://overcast.fm/itunes1584592399/everything-kratom Reason - https://reason.fm/podcast/everything-kratom?user=16e32b81-d623-4dcd-a000-623566fdc41a Website: https://everythingkratom279311648.wordpress.com DISCLAIMER: KRATOM IS NOT APPROVED BY THE FDA. NOTHING ABOUT THIS SHOW SHOULD BE TAKEN AS MEDICAL ADVICE, SUGGESTIONS, OR ANYTHING ELSE OTHER THAN ME SHARING MY THOUGHTS. --- Send in a voice message: https://podcasters.spotify.com/pod/show/everything-kratom/message Support this podcast: https://podcasters.spotify.com/pod/show/everything-kratom/support
Listen to Ashlee Borcan and Jennifer Howard of Milliman discuss the past, present and future of critical illness insurance. This podcast is based on the article, “Critical Illness Turns 40!”, written by Ashlee and Jennifer.
Dive deep into the world of healthcare data with industry experts discussing the groundbreaking machine-readable files, unraveling hospital charges, discounted cash prices, and negotiated rates with health plans. Learn about the positive applications and pitfalls within these extensive datasets, gaining valuable insights from experts who have navigated the complexities of transparency in coverage.
Are the many new biologic drugs that launch each year bringing the clinical innovation that patients desperately need or the financial doom that healthcare benefit plan sponsors and their members cannot afford? Or both? What are biosimilar drugs and how can they help? This podcast and its related series of articles in Health Watch helps actuaries better understand the potential clinical and financial impact that the coming wave of biosimilars could have on our healthcare system and how plan sponsors can best leverage it for their populations.
In this podcast, Jackie Lee interviews Milliman Principal Gabriela Dieguez on the highlights of the Inflation Reduction Act and how it is shaping Medicare Part D, the largest prescription drug program in the world.
We discuss your Amazon account health in this episode. This includes tips to protect your account, maintain the health of your Amazon store, and what kinds of documentation you may need if you become suspended. It's a bit of a dry topic but in light of all that's going on with Amazon accounts it's imperative to know this stuff. An ounce of prevention is worth a pound of cure after all. -------------------- We'd love to hear from you. How can we help? What pain points can we solve? What questions do you have? chris@cleartheshelf.com is the email and it's always open! Enjoy the show! We hope you enjoy the episode and we look forward to growing an arbitrage focused podcast with you. Please let us know topics or guests you'd love to see covered in the show and we will do it. -------------------- RESOURCES FOR YOU:
Listen in as host Jackie Lee and guests Rebecca Owen and Sara Teppema delve into the intricate world of social determinants of health (SDOH) and their profound impact on actuarial workstreams. They explore how SDOH data, sourced from a range of primary and secondary sources, shapes actuarial decisions in the healthcare sector. From ethical considerations surrounding human data to the evolving landscape of health information, they discuss the strategies and insights that guide actuaries in leveraging SDOH data responsibly. Tune in to discover how actuaries and health insurance professionals can harness this rapidly evolving area to drive positive outcomes and contribute to a healthier future. https://www.soa.org/resources/research-reports/2023/soc-phy-cultural-doh/ https://www.soa.org/496f00/globalassets/assets/files/resources/research-report/2023/sdoh_act_data_workstreams.pdf
Dave Dillon talks with Chad Hollenback about his new role as Executive Director of Resource Management FP&A at Aetna - and the lessons he's learned along the way. From key leadership initiatives to implementation missteps - Chad shares his thoughts on getting the most out of people and creating a positive and productive workplace.
Host Jackie Lee discusses the recent CAS research papers that address potential racial bias in insurance pricing with Mallika Bender. While we may be actuaries working in different disciplines, there is still a lot that can be learned for the work of the CAS and its committees. Listen as Jackie and Mallika talk about the components of one of the research papers.
Host Jackie Lee and Robert Lynch discuss a different method for calculating IBNR when there is not run out available, called the Average Paid PMPM Method. Based on his recent HealthWatch article, Rob discusses how this method can produce more reliable results with less volatility. Learn about the method, and be sure to check out the article with step by step instructions on the method.
Dave Dillon discussed with Paul Conlin, FSA, MAAA, the recently-published book “Power Failure” by William Cohan, on the 2001-2018 unraveling of General Electric. One of the business events which led to the near-failure of GE was an under-reserving of Long Term Care reserves by 16 billion dollars, discovered in 2018 just as various other problems were emerging for the company. There are lessons for actuaries in the series of events which led to the LTC reserve “accident”.
Host Jackie Lee discusses the 340(b) Drug Pricing Program with Tony Pistilli of Axene Health Partners. Learn about the program's history and the significant growth it has seen in recent years to now account for almost 8% of all outpatient drug sales while concerns about potential abuse and unintended consequences have also increased.
Dave Dillon hosts a conversation with Brian Tajlili as he discusses his role leading business planning for a health insurance organization and similarities and differences with traditional actuarial roles.
Dave Dillon welcomes guest Jon Forster, former executive for Medical Risk Managers for a discussion about current Market conditions of the stop loss industry. We'll cover current stop loss products in the market, the pipeline of cell and gene therapy, and new underwriting uses of AI. Jon has 20 years' experience in actuarial leadership positions and recently moved to work full time with the Society of Actuaries to accelerate professional development offerings.
This episode focuses on the evolution of underwriting techniques to the current use of predictive models. Topics include what carriers might consider when launching a model, reflections on when not to use results from a model, current regulatory concerns and activity around predictive models, and other topics carriers may run into once a model is up and running.
Host Jackie Lee discusses the impacts of food intervention with Lauren Driscoll of NourishedRx. Learn about how this important basic need impacts the health and well-being of under-served populations and how health plans and actuaries should think about this impact in health care costs. Lauren explains how these services can create a deeper connection between consumer and their health plan. The State of US Health, 1990-2016, Burden of Diseases, Injuries and Risk Factors Among US States
Title: Leadership Series: John Robinson Description: Jackie Lee discussed with John Robinson about his new role as SOA President. He talks about his background and how he got to this prestigious and monumental role. They discuss his Presential Speech, which is found here.
A conversation on monitoring and maintaining data science models and how that compares to actuarial models.
Jackie Lee joins Lydia Tolman and Jackie Young as they discuss their SOA Research paper, “Interactions of Health Care Rating Factors with Race, Ethnicity and Socioeconomic Factors.” We discuss how health care rating factors should be considered when being used in pricing.
Mathias Basner, MD, PhD, MScEpi is a professor in the Department of Psychiatry at University of Pennsylvania in the School of Medicine. He is the Director of the Behavioral Regulation and Health Section of the Department of Psychiatry. His research in particular focuses on sleep loss and its effect on cognition, as well as how noise affects sleep. Dr. Basner is the Senior Associate editor of the Sleep Health journal, and he serves on the editorial board of the journal Frontiers in Physiology. He has published over 100 original research articles in addition to reviewing articles for scientific journals. In today's episode, Shay Beider speaks with Mathias Basner about his research with noise and the effect this has on sleep and health. He talks about the importance of getting quality sleep, and how this can be interrupted by noise from our surroundings. Dr. Basner discusses ways to minimize excess noise, and how to give the auditory system time to rest. He shares the importance of noise refuges and the positive physiological aspects of limiting excess volume. Finally, Dr. Basner highlights preventative measures people can take to protect their auditory system, and its connection to cognition and optimal health. Transcripts for this episode are available at: https://www.integrativetouch.org/conversations-on-healing Show Notes: Check out Mathias Basner TedTalk Read the full text for Mathias's research paper on Noise Effects on Sleep and Health Consequences Check out Mathias's research paper on Auditory and non-auditory effects on noise and health Buddhist monk loud sounds reflex study Keep an eye out for Mathias Basner's upcoming study on researching the effects of white noise Read about University of Pennsylvania's new hospital geared towards making it a more conducive environment for healing This podcast was created by Integrative Touch, which is working to change the way people experience healthcare. A leader in the field of pediatric integrative medicine, the organization supports families whose children have any type of special health or medical need. This includes kids with cancers, genetic conditions, autism, cerebral palsy, traumatic stress, and other serious health issues. The founder, Shay Beider, pioneered a new therapy called Integrative Touch™Therapy that supports healing from trauma and serious illness. The organization reaches thousands of people each year in hospitals and communities and offers unique Telehealth programs to families and healthcare providers during this challenging time. Thanks to the incredible support of volunteers and contributors, individuals are able to receive wellness education and integrative medical services at little or no cost.