Recent Podcasts
Market Conduct & Other Regulatory Issues
Dave Dillon talks with Kentucky’s Deputy Commissioner of Insurance, DJ Wasson. This discussion covers what regulators are doing with regards to Pharmacy Benefit Managers, Mental Health Parity, and other regulatory issues.
The Impact of COVID-19 on the 2021 Commercial Health Insurance Market
With his background as a consultant who assists state insurance departments, Dave provides his perspective on the pandemic and how the pandemic could impact the 2021 commercial health insurance marketplace.
Actuarial Perspectives on Prescription Drug Financing
Dave talks with Greg Warren about how actuaries can bring unique and positive solutions to the societal discussion in the United States about the rising costs and relative value of prescription drugs.
Katie Keith, What’s Current and New with the ACA
Dave talks to Katie Keith, the health lawyer behind the Following the ACA blog at Health Affairs. Dave and Katie discuss the current state of the ACA and what may be coming down the road based on outstanding litigation.
The COVID Pandemic from an Actuarial Perspective
With his background at an integrated delivery system, Kurt Wrobel provides his perspective on the pandemic and how actuaries could look at the decisions making during the crisis. He puts specific focus on decision making when the emerging data is uncertain and constantly changing.
DAVID M. DILLON, FSA, MAAA, MS
Summary
Dave joined Lewis & Ellis in 1999 specializing in health insurance and healthcare analysis. Dave currently focuses on healthcare reform issues, product development, and financial solvency and examinations. Since the passage of the Affordable Care Act, Dave has assisted 15 states with health care reform issues. He currently serves 11 states as their rate reviewer and/or a healthcare reform adviser.
Dave serves on the Society of Actuaries’ (SOA) Board of Directors and is recognized nationally as an industry leader with regards to health insurance and healthcare reform issues. Dave is a key public spokesman for the SOA regarding health insurance matters. Since 2017, Mr. Dillon has been quoted in the national media over 50 times regarding national healthcare reform issues.
Dave also serves as the coordinator and lead interviewer for the SOA Health Podcasts series, which provides meaningful continuing education and leading-edge content for all health actuaries. From 2015 to 2016, Mr. Dillon served on the Society of Actuaries’ Health Section Council where he was Chair of the Council’s strategic initiatives committee. From 2017 to 2018, Mr. Dillon led the SOA’s strategic initiative Commercial Health Care: What’s Next? which published white papers related to healthcare reform issues.
In addition to Dave’s leadership role with the SOA, Dave is also active with the American Academy of Actuaries ("Academy") and the Academy’s role within the health insurance community. Dave currently serves on the Academy’s Individual and Small Group Markets Committee and the Academy’s Health Financial Reporting & Solvency Committee.
Education
Dave holds a bachelor’s degree in Mathematics from Oklahoma State University and a master’s degree in Statistics and Actuarial Science from the University of Iowa.
Professional
Fellow, Society of Actuaries
Member, American Academy of Actuaries
Board Member, Society of Actuaries Board of Directors, 2018 – 2021
Board Member, National Math Foundation, 2019 - 2021
Chair and Interviewer, SOA HSC Educational Podcast Series, 2015 - Current
Chair, SOA HSC Strategic Initiative, Commercial Healthcare: What’s Next? 2017 – 2018
Chair, SOA HSC Strategic Initiative Planning Committee, 2016
Member, AAA Individual and Small Group Markets Committee, 2019 – Current
Member, AAA Health Financial Reporting & Solvency Committee, 2017 – Current
Member, SOA Health Section Council (HSC), 2015 - 2016
Member, SOA Health Research Committee, 2014 - 2018
Member, Project Oversight Group, SOA Health Costs for 2021 Rating, 2020 – Current
Member, Project Oversight Group, SOA Actuarial Model for Wellness, 2014 – 2015
2017 SOA Volunteer of the Year Award
2019 SOA Health Meeting, Outstanding Session Award
2017 SOA Health Meeting, Outstanding Session Award
2017 SOA Annual Meeting, Outstanding Session Award
Publications
White Papers
Quarterly Newsletters
Industry Publications
L&E Industry Insights
Presentations
Dave has been an active industry speaker, focusing primarily on healthcare reform issues and small company issues.
2020 Society of Actuaries Individual/Small Group Subgroup Meeting
“The Impact of COVID-19 on 2021 Rate Filings”
2020 Society of Actuaries Health Virtual Meeting Webcast Series
“What Are We Trying to Prevent Anyways? Considerations When Re-thinking the Preventive Services Definition”
“Best Practices for ACA Rate Filings”
2020 ACTEX Learning Webinar
“A Decade of the Affordable Care Act”
“Health Valuation: Practice Makes Perfect”
2020 Gamma Iota Sigma Webinar
“Communication Skills for Actuaries”
2019 Society of Actuaries Annual Meeting
“Commissioner’s Roundtable”
2019 Conference of Consulting Actuaries’ Webinar
“Health Insurance Financial Reporting Hot Topics”
2019 Iowa Actuaries Club Annual Meeting
“Professionalism in the Everyday Life of an Actuary”
2019 InsureTech Connect, Pre-Conference Workshop
“Demystifying Regulation – Ask a Regulator”
2019 University of Iowa Speaker Series
“Professionalism in the Everyday Life of an Actuary”
2019 Gamma Iota Sigma International Conference
“Communication Skills for Actuaries”
2019 Society of Actuaries Health Meeting
“Commissioner’s Roundtable”
“Actuarial Professionalism: Judge & Jury”
2018 Southeastern Actuaries Conference
“Mistaking Noise for Signal” – Claims Cost Trends in a Volatile Environment
2018 Society of Actuaries Annual Meeting
“Commissioner’s Roundtable”
“Actuarial Professionalism: Judge & Jury”
2018 Conference of Consulting Actuaries’ Webinar
“ACA Primer: What’s Working and What Isn’t?”
2018 Society of Actuaries Health Meeting
“Commissioner’s Roundtable”
“Actuarial Professionalism: Judge & Jury”
2018 Society of Actuaries Webinar
“Analytical Decision-Making: How to Make Better Decisions in a World with Big Data”
2018 Nebraska Actuaries Club
“Healthcare Reform: What’s Now, What’s Next”
2017 Society of Actuaries Annual Meeting
2017 Society of Actuaries Health Meeting
2017 Gamma Iota Sigma International Conference
” The Current State of the US Healthcare System: What’s Now, What’s Next”
2017 Society of Actuaries Webinar
“Individual and Small Group Markets: An Actuarial Perspective on the Proposed Market Changes”
“Risk Focused Examinations: Cats and Dogs Working Together”
2016 Society of Actuaries Annual Meeting
2016 Society of Actuaries Health Meeting
2015 Society of Actuaries Webinar
2015 Society of Actuaries Annual Meeting
2014 Society of Actuaries Annual Meeting
2014 Society of Financial Examiners Career Development Seminar
“Impact of the ACA on Financial Reporting”
2014 Society of Actuaries Webinar
2013 Society of Financial Examiners Career Development Seminar
“Additional Actuarial Reserves – When do you need them and how much?”
2012 Society of Financial Examiners Career Development Seminar
“Premium Deficiency Reserves & Asset Adequacy Analysis”
Media
2020
Obamacare Premiums Hold Steady as Profits Outweigh Covid Costs , Bloomberg Law, Oct 2, 2020, Sara HansardCOVID-19 plays minor role in early ACA premium requests , Modern Healthcare, June 18, 2020, Shelby LivingstonCoronavirus drives health insurers back to Obamacare , Politico, May 14, 2020, Dan Goldberg and Susannah LuthiDelayed Surgeries and Checkups Help Keep Insurers in Good Health , Bloomberg Law, April 30, 2020, John TozziHealth Insurance Rates Could Be Weirdly Stable: Actuaries , ThinkAdvisor, April 21, 2020, Allison BellNext Year’s Obamacare Premiums May Escape Impact of Covid-19 , Bloomberg Law, April 15, 2020, Sara HansardInsurance companies are opting to waive cost-sharing obligations amid pandemic. Legal Reader, April 7, 2020
The coronavirus’s unpredictable impact on next year’s health insurance rates, explained , Vox, April 1, 2020, Dylan Scott
2019
Obamacare is stronger than ever — and a Trump-backed lawsuit could destroy it , Politico, October 31, 2019, Dan GoldbergObamacare Premiums Forecast to Rise 2.5%, Insurers Expand Offerings , Bloomberg Law, Oct 4, 2019, Sara HansardJob-based insurance annual premiums reach $20,000 record high , Modern Healthcare, Sept 25, 2019, Shelby LivingstonObamacare Rate Hikes Appear Modest for 2020 , Politico, Jun 3, 2019, Paul DemkoAffordable Care Act premium rates projected to increase by 10 percent , Healthcare Finance News, May 6, 2019, Susan MorseTrump Postpones Move to Dismantle Obamacare , Health Day, Apr 1, 2019, Karen PallaritoIn Blow to Trump, Judge Blocks Health Care Law ‘End Run’ , New York Times, Mar 28, 2019, Robert PearObamacare Premiums Likely to Rise 10 Percent in 2020: Actuary , Bloomberg Law, Oct 4, 2019, Sara HansardHealth Insurer Stocks Fall After Trump Administration Seeks Overturn of Affordable Care Act , CNBC, March 26, 2019, Bertha Coombs
2018
UnitedHealth Group Could Benefit from Obamacare Changes , Bloomberg, Jun 20, 2018, Sara HansardTrump’s ex-health secretary accidentally told the truth about Obamacare repeal , Vox, May 1, 2018, Dylan ScottA requiem for the individual mandate , Vox, April 13, 2018, Dylan ScottIndividual Major Medical Plans Could Still Exist in 2019: Actuary , ThinkAdvisor, April 12, 2018, Allison Bell
2017
Obamacare Premiums Were Stabilizing. Then Trump Happened , Vox, Oct 18, 2017, Dylan ScottNot Dead Yet: Obamacare Insurers Hanging in There , The New York Times, Oct 16, 2017, Reed Abelson and Margot Sanger-KatzTrump Signs Executive Order Hitting Obamacare, Eyes Changes to Job-Based Health Coverage, Short-Term Insurance Plans , CNBC, Oct 12, 2017, Dan ManaganTrump Wants to ‘Fix” Obamacare with Low-Cost Plans. Here’s What You Need to Know About Them , Money, Oct 12, 2017, Alicia AdamczykExperts Say Trump Order Could Upend the Health System , NBC News, Oct 12, 2017, Benjy Sarlin Foiled in Congress, Trump Moves on His Own to Undermine the ACA , New York Times, Oct 12, 2017, Reed AbelsonTrump’s Not-So-Quick Fix to Undo Obamacare , Reuters, Oct 12, 2017, Caroline HumerTrump’s Executive Order Too Late to Affect November Open Enrollment , The Washington Examiner, Oct 12, 2017, Kimberly LeonardTrump Signs Order to Eliminate ACA Insurance Rules, Undermine Marketplaces , The Washington Post, Oct 12, 2017, Amy GoldsteinWith Affordable Care Act’s Future Cloudy, Costs for Many Seem Sure to Soar , New York Times, Oct 3, 2017, Reed AbelsonObamacare Rates Rise as Trump’s Opposition Fuels Turmoil , Bloomberg News, Sept 27, 2017, Zachary TracerStates Back Big Insurance Increases Amid Health Law’s Uncertainty , Wall Street Journal, Sept 21, 2017, Anna Wilde MathewsHealth Care: President Trump’s Triple Threat , NBC News, Aug 1, 2017, Benjy SarlinInsurers Shred Senate Health Bill: Premiums Will Skyrocket for Pre-Existing Conditions , Vox, July 15, 2017, Dylan ScottA Few Days Before the Vote, Cruz Amendment Remains Confusing , Axios, July 15, 2017, Caitlin OwensAs Health Bill Proceeds, Insurers Regret Loss of Individual Mandate , Wall Street Journal, June 27, 2017, Anna Wilde MathewsThe potential for gaming the ACA exchanges , Axios, June 19, 2017, Bob HermanGOP Uncertainty Over Obamacare Drives Insurers Out , Politico, June 8, 2017, Paul DemkoGOP health care bill: Premiums may decline, but many will pay more for care, CNNMoney, May 26, 2017, Tami LuhbyObamacare Rates Could be Nearly 20 Percent Higher Next Year just from Trump Administration Delay in Subsidy Case , CNBC, May 22, 2017, Dan ManaganWhite House Asks for More Time on Health Subsidies , USA Today, May 22, 2017, Jayne O’DonnellHouse GOP celebrates passing Obamacare repeal, but few cheers from health care industry , CNBC, May 4, 2017, Bertha CoombsNew conservative health care proposal would have little impact in New York , PoliticFact New York, April 22, 2017, Dan ClarkWhite House Officials, Craving Progress, Push Revised Health Bill , New York Times, April 20, 2017, Reed AbelsonActuary Sizes Up 2018 Individual Health Picture , ThinkAdvisor, April 19, 2017, Allison BellHow Trump Insurance Changes Could Affect Coverage Next Year , Associated Press, April 14, 2017, Tom MurphyWhat’s happening to my Obamacare? , CBS MoneyWatch, April 7, 2017, Walecia KonradPaul Ryan's individual mandate , Politico, 3/7/2017, Paul DemkoWhat if there’s no affordable insurance to buy? , Associated Press, 3/6/2017, Tom MurphyAsk an actuary: How might Republicans revive high-risk pools in an ACA replacement? , FierceHealthcare, Jan 25, 2017, Leslie Small
2016
Obamacare 2017: A Peek Behind the Numbers , HealthDay, Oct 31, 2016, Karen PallaritoHow Switching to 5:1 Age-Rating Band May Impact Rates, Enrollment, CMS Spending , AIS Health, Oct 28, 2016First United, Then Aetna, Scott & White, and Now Oscar: Analyzing The 2017 Marketplace After Big-Name Exits , D Healthcare Daily, Aug 24, 2016, Matt GoodmanIs this popular ACA provision straining the exchange markets? , American Health Line, Jun 29, 2016, Rachel SchulzeACA Marketplaces Still Struggle to Enroll Young Adults , HFMA, May 18, 2016, Rich DalyAre Insurance Risk Corridors Enough To Stabilize The Market? , D Healthcare Daily, Feb 22, 2016, Matt Goodman
Podcasts
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