The Mack model and the Bootstrap Over-Dispersed Poisson model have long been the primary modeling tools used by actuaries and insurers to forecast losses. With the emergence of faster computational technology, new and novel methods to calculate and simulate data are more applicable than ever before. This paper explores the use of various Bayesian Monte Carlo Markov Chain models recommended by Glenn Meyers and compares the results to the simulated data from the Mack model and the Bootstrap Over-Dispersed Poisson model. Although the Mack model and the Bootstrap Over-Dispersed Poisson model are accurate to a certain degree, newer models could be developed that may yield better results. However, a general concern is that no singular model is able to reflect underlying information that only an individual who has intimate knowledge of the data would know. Thus, the purpose of this paper is not to distinguish one model that works for all applicable data, but to propose various models that have pros and cons and suggest ways that they can be improved upon.

Many would contend that the United States healthcare system should be moving towards a state of health equity. Here, every individual is not disadvantaged from achieving their true health potential. However, a variety of barriers currently exist that restrict individuals across the country from attaining equitable health outcomes; one of these is the social determinants of health (SDOH). The SDOH are non-medical factors that influence the health outcomes of an individual such as air pollution, food insecurity, and transportation accessibility. Each of these factors can influence the critical illnesses and health outcomes of individuals and, in turn, diminish the level of health equity in affected areas. Further, the SDOH have a strong correlation with lower levels of health outcomes such as life expectancy, physical health, and mental health. Despite having influenced the United States health care system for decades, the industry has only begun to address its influences within the past few years. Through exploration between the associations of the SDOH and health outcomes, programming and policy-making can begin to address the barrier to health equity that the SDOH create.

The objective of this study is to build a model using R and RStudio that automates ratemaking procedures for Company XYZ’s actuaries in their commercial general liability pricing department. The purpose and importance of this objective is to allow actuaries to work more efficiently and effectively by using this model that outputs the results they otherwise would have had to code and calculate on their own. Instead of spending time working towards these results, the actuaries can analyze the findings, strategize accordingly, and communicate with business partners. The model was built from R code that was later transformed to Shiny, a package within RStudio that allows for the build-up of interactive web applications. The final result is a Shiny app that first takes in multiple datasets from Company XYZ’s data warehouse and displays different views of the data in order for actuaries to make selections on development and trend methods. The app outputs the re-created ratemaking exhibits showing the resulting developed and trended loss and premium as well as the experience-based indicated rate level change based on prior selections. The ratemaking process and Shiny app functionality will be detailed in this report.

For years, patients with Cystic Fibrosis (CF) were able to only treat the symptoms of the disease, but advancements over the last decade have made it possible to partially correct the genetic mutation which causes the disease. Treatment for this disease has long been complex due to the number of organs affected by the mutation, but these new modulator therapies add another level of complexity due to the large yearly cost of $300,000. While approvals for the drugs are reaching more age groups in many countries, ease of access still varies due to the reimbursement deals or prescription coverage available in each country.