Impactability modelling for Population Health Management
December 1, 2020
08:00 - 09:00 EST (click here to check your local time)
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Population Health Management (PHM) aims to achieve the best mix of health outcomes across the diverse members of a population, given the mix of services available in health and care systems. The actuarial profession is well-placed to support the demographic, risk modelling and analytical capability required to successfully embed PHM within such systems, whilst also being aware of the public interest and ethical issues that can arise from such techniques. In the midst of the current global health pandemic, PHM approaches are more important than ever as health systems across the world deal with Covid-19, both the disease itself and also the many consequences of the societal changes that are taking place in response.
The UK’s Institute and Faculty of Actuaries PHM Working Party is exploring a range of facets around PHM where actuarial thinking can add value and has published a first report looking at impactability modelling, a key pillar of successful PHM implementation. Impactability modelling covers a range of approaches that leverage data analysis and the application of statistical techniques to support PHM aims. The report focuses on developing a common technical and practical understanding of the topic.
This webinar will present an overview of the main themes, including:
- Defining impactability and impactability modelling
- Practical challenges and considerations
- Potential approaches and models
- Ethics, patients and the Public
David Beddows, FIA
Actuarial Director, Optum International
David is an Actuarial Director within Optum International and has 15 years of experience working in and leading actuarial teams in life insurance and the health sector, both in the UK and internationally. He currently designs and leads workstreams within PHM development programmes which showcase how actuarial techniques can support PHM objectives and inform financial arrangements within integrated care systems in England’s NHS. Previous roles include leading pricing reviews and product design for international health insurance products. David is a member of the IFoA’s Health and Care Research Sub-committee.
Dr Chris Martin, MB ChB, PhD, FRCGP
Director and Head of Modelling, Crystallise Limited
Chris is the co-founder of Crystallise Ltd., which provides medical modelling advice and software to the finance, healthcare and pharmaceutical industries. He is a former General Practitioner and Health Informatician with an MSc and PhD from the Centre for Health Informatics and Multi-professional Education at University College, London. Chris has specialised in cause of death and risk factors-based mortality and longevity modelling to support health care decision-making at the clinical and policy level for over twenty years, and has worked in the pensions and insurance industry since 2008. He is a Fellow and former Council member of the Royal College of General Practitioners and former chairman of the Essex Faculty of the RCGP and the Essex Primary Care Research Network.
Lisa Morgan, FIA
Technical Officer – Health Actuary, ILO
Lisa is currently based in Switzerland, where she works for the International Labour Organization (the ILO), a specialized agency of the United Nations. As a health actuary, she provides expertise on health insurance in the public and private sectors. Lisa has two decades’ experience in actuarial and related work in Europe, Africa and Asia. Before joining the ILO, Lisa worked in Milliman’s London Health Practice and at PricewaterhouseCoopers. She is on the board of the IAAHS and is an active member of the Microinsurance Network, leading the Best Practice Group on Health and Financial Inclusion.
Josephine Robertson, FIA, CERA, MPH
Actuarial Consultant, Optum International
Josephine is a Health & Care/Risk Actuary with keen interest in interplay of demographic risk, public health, policy, health systems and insurance industry. She is currently working with the NHS to deliver a population health management skills development programme.
Alpesh Shah, FIA
Alpesh is a Partner in PwC’s Actuarial Risk & Modelling Practice and leads their public sector actuarial and risk advisory work in the health sector. He has over 22 years of experience working with a variety of NHS and private sector health organisations and central government departments. Alpesh’s leads a team who has developed a range of analytical solutions for NHS providers, commissioners, and related organisations. His focus is on supporting clients understand the longer-term demand challenges they face, typically driven by demographic and service delivery changes with a particular focus on population health management analytics. He also leads a range of assurance analytics work for Providers improving the accuracy of activity coding and providing assurance around the baseline activity and associated funding which underpins prevailing new models of care (STP’s, ACO arrangements, etc).