How to replace qualitative guessing with a capital view A look into - - PowerPoint PPT Presentation

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How to replace qualitative guessing with a capital view A look into - - PowerPoint PPT Presentation

How to replace qualitative guessing with a capital view A look into quantitative based ERM programs February 14, 2017 Agenda 1. Who is Highmark Health? 2. Highmark Health Risk Management & Capital Allocation, how is our ERM program


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How to replace qualitative guessing with a capital view

A look into quantitative based ERM programs

February 14, 2017

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Agenda

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  • 1. Who is Highmark Health?
  • 2. Highmark Health Risk Management & Capital Allocation, how is our

ERM program different?

  • 3. Understanding a capital view of risk (education in risk quantification)
  • 4. Capital Risk Example: Manufacturing
  • 5. Capital Risk Example: Education
  • 6. How a capital risk perspective can impact insurance purchase decisions
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Who is Highmark Health?...

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… We are a diverse health & wellness company.

Critical Statistics

  • ~$17 Billion in Revenue
  • ~$5.4 Billion in Surplus
  • ~5.3 MM Health Lives
  • 3 States (PA, WV, & DE)
  • ~30 MM Diversified Business Lives
  • 8 Provider Facilities
  • Over 1,000 physicians & clinical

practitioners

  • ~37,000 employees

– Health Insurance – Stop Loss – Workers Comp – Dental Insurance – Vision Insurance – Vision Retail – Medicaid – Patient Care (Inpatient & Outpatient) – Insurer Platform & Solutions

Product Lines

All remaining data within this presentation is fictitious and for example purposes only.

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Highmark Health Risk Management Structure

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Risk Management Function

Chief Risk Officer Chief Financial Officer

Capital Risk Management Enterprise Risk Management Insurance Management Business Continuity & Resiliency

Corporate Legal Counsel Chief Legal Officer

Corporate Legal Function

Chief Audit & Compliance Officer

Corporate Audit Function

Internal Audit Government Compliance Integrity & Compliance Provider Fraud & Investigations

Enterprise Business Activities and Processes

Litigation Management Privacy Corporate Governance Business Services

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Critical Skill Sets & Education

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Team Member Skill Sets

  • Accounting & Auditing
  • Insurance Purchasing
  • Legal (Litigation, contracting, claim management)
  • Investment Management
  • Financial Forecasting
  • Business Planning
  • Actuarial Science

Education & Certifications

  • Certified Public Accountant (CPA)
  • IIA Certified Internal Auditor (CIA)
  • ISACA Certified Information Systems Auditor (CISA)
  • RISM Certified Risk Management Professional (CRMP)
  • Associate in Risk Management (ARM)
  • Chartered Enterprise Risk Analyst (CERA)

Traditional Skills & Education Emerging Skills & Education

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Tools and weapons of a quantitative ERM program and culture

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The Tool How it helps Enterprise Risk Appetite Statement

(with quantitative metrics & limits)

Drives a perspective that risks must be measured and monitored at the Executive Leadership Level. Economic Capital Discipline Provides a clearer view of how much impact the Enterprise can absorb. Capital & Risk Executive Committee

(with approval authority for investment & strategy)

Creates a control point where risk and capital impact must be discussed before moving forward with any investment & strategy. Risk Deep Dives with the Board

(or Delegate Committee)

Extends the risk discipline and oversight to the Board of Directors.

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Traditional qualitative view of risk (likelihood and impact)

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Hurricanes do not care about your heat map

8 Credit: Kevin Rudy (the Minitab Blog), Based on US hurricanes from 1950 to 2012, N=92, Normalized Damage is in $B, Katrina and Audrey excluded

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Risk events actually occur across a distribution

9 Business Plan (50% prob.) Earnings at Risk (EaR) 1-in-10 (10% prob.) Solvency Level (REC) 1-in-200 (0.5% prob.)

Example Risk Curve

Segment

Financial Statement Line Expected Result Volatility Potential Deviation

Product 1

Product Revenue $ % $ Product Expense $ % $ Admin Expense $ % $ Balance Sheet $ % $

Product 2

Product Revenue $ % $ Product Expense $ % $ Admin Expense $ % $ Balance Sheet $ % $

Product 3

Product Revenue $ % $ Product Expense $ % $ Admin Expense $ % $ Balance Sheet $ % $

Diversification (not everything goes good or bad at once)

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What is our enterprise capacity for risk taking?

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$8.50 $8.00 $6.50

GAAP Equity Available Economic Capital (AEC) Required Economic Capital (REC)

Example Enterprise Capital Measures

$1.5 B Capital buffer Difficult to Access Assets (i.e. Goodwill, PP&E, & Restricted Assets) Available assets Shown in $ billions

The capital we have available to invest in the business and absorb risk. The potential variation in our earnings and balance sheet based

  • n the current business

plan. Risk Measures Calculation What is it for? Capital Buffer AEC – REC Expressed in $ What is our remaining capacity for risk taking? Return on Risk Adjusted Capital (RAROC) Earnings / REC Expressed as % What is the return for the risk we are taking? Economic Value Added (EVA) Net Operating Profit – (Hurdle Rate X REC) Expressed in $ What accretive value will the investment contribute to the enterprise?

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Example manufacturing: Ford Motor Company

11 1- https://www.bloomberg.com/news/articles/2017-01-03/ford-cancels-1-6-billion-mexico-plant-after-trump-s-criticism 2- Ford Motor Company December 2016 Sales Release 3- https://www.iea.org/publications/freepublications/publication/Global_EV_Outlook_2016.pdf

Choice A – Refine a core product Choice B – Invest in a future product

Invest in the Ford Focus Line

Consolidate Ford Focus production in the Flat Rock & Hermosillo plants into the new San Luis Potosi plant for $1.6B in capital1 [and maintain vehicle production.]

  • Long running small car brand – 6% of 2016 sales2
  • Sharp year-over-year decline from 2015 – ~16%2
  • Potential savings from plant consolidation and investment

Invest in Autonomous & Electric Vehicles

Consolidate Ford Focus Flat Rock plant into Hermosillo [and reduce vehicle production]. Invest $700M in capital in Flat Rock plant to add autonomous hybrid and electric SUV line.1

  • US Electric Vehicle usage projected at 1.2M by 2020 (101K in

2015) 3

  • High volatility likely for financial projections

Questions How risk measures can bring insight? Which investment improves the overall return of our business portfolio?

  • Compare the RAROC% for

each option.

  • Examine EVA for each
  • ption.

How much investment capacity is left for other initiatives?

  • Compare capital buffer after

each option.

  • Compare capital

diversification effect of each

  • ption.

If things go bad, how bad will they be?

  • Compare EaR of each option

(bad).

  • Compare REC of each option

(really really bad). If we make a bet on a new car type, how big should that bet be?

  • How much risk capital is

needed for other initiatives?

  • What level of earnings

deviation can the plan absorb?

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Example Education: Financing College Education

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Universities are looking to leverage capital to finance student education through Income-Share Agreement’s (ISA).

The Chronical of Higher Education: Why a Novel Way to Pay for College Appeals to Conservatives

Segment

Sub Segment Expected Result Invested Capital Volatility RAROC EVA REC

Engineering Programs

Mechanical $ $ % 5% $100 $ Electrical $ $ % 7% $200 $ Chemical $ $ % 10% $50 $ Computer $ $ % 9% $25 $

Business Programs

Accounting $ $ % 6% $400 $ Marketing $ $ % 2% $10 $ Business Logistics $ $ % 8% $50 $ Actuarial Science $ $ % 9% $15 $

Social Science Programs

Social Work $ $ %

  • 5%

$-150 $ Psychology $ $ %

  • 10%

$-50 $ Education $ $ % 1% $100 $ Anthropology $ $ %

  • 10%

$-25 $

Diversification (not everything goes good or bad at once)

Overall Portfolio $ $ % 3% $200 $3,000

Questions our ECap Model can answer

  • How much of our available capital

is left to support students?

  • How can we grow deficit programs

that support our mission?

  • Where do we need to improve our

education programs to produce better graduates?

  • How will tuition increases affect our

graduates’ futures?

  • What capital funding is required to

increase financing of a degree program?

  • Is our ISA program likely to be

stable in the future?

  • Is our ISA program generating

internal capital to sustain and grow itself?

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Questions a corporate insurance management team may be hearing

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How much D&O coverage should we have (from a Board Member)? How do we deal with the risk of cyber events? We cannot buy enough coverage! What should we include in our budget for expected losses this year? We need to reduce administrative costs, how can we cut insurance premiums? Is there a better way than benchmarking to make sure our exposures are covered?

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Traditional benchmarking does not answer these questions

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Minimum 1st Quartile Median Average 3rd Quartile Maxiumum Company X Limits 5 20 30 38 40 140 40 Retention 10000 150000 200000 250000 275000 1000000 200000

$0 $200,000 $400,000 $600,000 $800,000 $1,000,000 $1,200,000 $0 M $20 M $40 M $60 M $80 M $100 M $120 M $140 M $160 M

Retention Limit of Liability

Total Limits and Retention Benchmark

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A better view of making insurance program decisions

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$4.0 M $3.0 M $2.5 M $2.0 M $1.0 M $1.5 M $3.5 M $8.0 M $7.0 M $6.0 M $5.0 M $1.0 M $2.0 M $1.5 M $0 M $2 M $4 M $6 M $8 M $10 M $12 M $14 M No Insurance Policy A Policy B Policy C

CCoR in Millions

Program Comparison Chart

(at 99% confidence)

Expected Retained Losses Estimated Premiums Cost of Volatility "Value"

Comparative Cost of Risk example is derived from Willis Towers Watson output from PRISM model.

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Contact Information & Questions?

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Justin Schell Senior Risk Management Consultant Highmark Health justin.schell@highmarkhealth.org