Afternoon Forum | SAS Health Innovation Series 5th Edition

Afternoon Forum | SAS Health Innovation Series 5th Edition
Purposeful Risk Equalisation in Health Insurance - Learnings from Australia 

The session will explore the mechanics and impact of Australia’s risk equalisation system in private health insurance.

What Works:

• Promotes equity through community rating by compensating insurers for high-risk members.
• Supports market stability and discourages risk selection.

What Doesn’t:

• Limited adjustment factors (mainly age and high-cost claims) overlook chronic conditions and broader health risks.
• Potential misalignment with preventive care incentives.
• Complexity reduces transparency.

Agenda:

• General introduction to the Australian system
• General overview of the biggest challenges faced by the Australian system
• Summary of the Risk Equalization project and proposal for change
• Reflection on “If change is so obvious why the stuckness?”
• Discussion -How to trigger change? What’s our role as actuaries and academics?

Lunch will be provided.

Venue Sponsor:

SPEAKER

Andrew Matthews, B. Comm, FIAA. GAICD, MSOD | Principal Actuary | Finity Consulting
Andrew is a Principal at Finity Consulting and actuary with experience in actuarial roles and in organizational development. He is an Associate Professor at Monash Business School. In addition to actuarial qualification Andrew completed a master’s in organizational development at Pepperdine University in California, USA with a focus on leading effective, strategic organizational development through a global lens. 

Andrew has worked both internally to organizations and as a consultant including in corporate, government and not for profit. His focus is Health insurance systems and he is appointed actuary for several health insurers in Australia.
Andrew works with leaders to create the conditions to put a shared aspiration into action.

FEES

• Complimentary to members
• $30 for non-members

Registration closing on Friday, 8 Aug 5pm .