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HOW WELLNESS PROGRAMS CAN ENHANCE CARE FOR LONG-TERM CARE (LTC) INSURANCE POLICYHOLDERS

Zoom Information:

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https://ahip-org.zoom.us/j/85098932283?pwd=Ti9SdzdwSkV3M09EaVNHUTJFNE5zZz09

Meeting ID: 850 9893 2283

Passcode: 92821

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Meeting ID: 850 9893 2283

Find your local number: https://ahip-org.zoom.us/u/kcjN4gy9hM


Speaker(s):

Vince Bodnar, Chief Actuary Bain Capital Insurance

Peter Goldstein, CEO, LTCG

Afik Gal, Co-Founder and CPO, Assured Allies


Topic:

HOW WELLNESS PROGRAMS CAN ENHANCE CARE FOR LONG-TERM CARE (LTC) INSURANCE POLICYHOLDERS

LTC insurance pays benefits when policyholders need help with two or more Activities of Daily Living (ADLs) or have a severe cognitive impairment. But, waiting until the onset of chronic illness or severe cognitive impairment may be too late for some. Wellness benefit programs that utilize technology and evidence-based interventions are being used and studied by LTC insurance companies to potentially delay, prevent, or lower the severity of LTC claims, improve health outcomes, and allow older adults to live with dignity, choice, and independence in the place they call home.

The speakers will provide an overview of wellness programs with a potential to benefit LTC insurance claims experience. They will also discuss the market potential and regulatory barriers to the increased adoption of these new approaches and how these barriers may be addressed. Specifically, the activities of the National Association of Insurance Commissioners (NAIC) as they review developments in this area will be covered as well.

This session will also highlight an actual LTC insurance wellness program in progress. LTCG and Assured Allies have teamed together to offer program participants case management services, fall prevention support, caregiver training and other support services. The goal of this program is to improve participants’ quality of life in the short term, reduce the risk of rapid decline, and consequently, lower aging-related costs.


About the Speaker(s):

Vince Bodnar is an actuary with Bain Capital Insurance. He has 37 years of experience with a broad array of insurance products. Mr. Bodnar has led projects related to product and distribution strategy, in-force management, capital optimization, reinsurance strategy, operational reviews and diligence, company rehabilitations and liquidations, and mergers and acquisitions. Prior to joining the firm, Mr. Bodnar had senior leadership roles at Genworth and GE Capital and led actuarial consulting practices at Milliman, Willis Towers Watson, Oliver Wyman and KPMG.

Peter Goldstein is CEO of LTCG, a leading provider of administrative and clinical services within the LTC insurance industry. His 25 years of leadership have helped LTCG adapt to a changing industry environment and have transformed the organization into a premier partner for LTC insurers. LTCG serves all of the top LTC carriers and is the largest third-party claims payer in this space. Peter’s strategic vision for the company has transformed LTCG from a TPA focused on processing capabilities into an organization dedicated to proactive, holistic risk management for its customers. Peter is a recognized thought leader on topics ranging from next-generation claims management to the public policy changes needed to ensure a sustainable future for this industry. He has been featured in a variety of wide-reaching business publications including the Wall Street Journal, Bloomberg, Mergermarket, Think Advisor, Business Week and many others. 

Afik Gal is a physician and a co-founder of Assured Allies, an insur-tech company dedicated to making longevity sustainable. Afik has spent over 15 years bringing innovative technological care management solutions to life across healthcare and financial insurance industries. Prior to founding Assured Allies, Afik served as VP of Product Innovation at EviCore healthcare where he revolutionized prior authorization as a benefit to payers, providers, and patients. He also led the innovation lab at PwC’s healthcare advisory practice helping clients design and implement advanced analytics solutions with great impact on their business models. Afik has also served as a partner and advisor to numerous hospitals and startup companies developing technologies to improve patient care.


The meeting materials will also be posted (once available) on the PRESENTATION MATERIALS page.


Long Term Care Discussion Group meetings are intended as forums for candid discussion. Dialogue and comments made during these meetings should be treated as off the record.

For more information about the Long Term Care Discussion Group, and for materials and information relating to previous meetings, visit www.ltcdiscussiongroup.org


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October 19

DIRECT CARE WORKFORCE