Managed Care 3.0 Technology. In recent years, technology has changed the delivery of health care. This strategic initiative describes those changes and the key factors actuaries most consider in reflecting these changes in their day to day work.
Actuarial Perspectives on Prescription Drug Financing. The one thing that Democrats, Republicans and Independents agree on is that prescription drug costs are too high. This strategic initiative provides some much-needed transparency to this important topic.
Value-Based Care. Currently, roughly 1/3 of all care is reimbursed using a value-based reimbursement method, which holds the provider directly accountable for quality and efficiency, at least to some extent. This strategic initiative provides a framework for exploring the many inter-related components of value-based care, and produced this report.
Initiative 18/11: What Can We Do About the Cost of Health Care?Health care in the U.S. is about 18% of our GDP compared to only 11% in comparable countries. In 2018, the SOA and the Kaiser Family Foundation, held a day-long conference with over 30 leaders in the health care community to discuss the cost of health care in the United States and potential solutions. After the release of the conference report, the Health Section Council launched several follow-up projects, including the prescription drug initiative described above and a project known as Managed Care 3.0, which will explore the next generation of health care. We now have two additional partners for this initiative: the HealthCare Finance Management Association and the Conference of Consulting Actuaries. Members of the 18/11 planning meeting have also presented on this topic at many actuarial and non-actuarial meetings.
Public Health. This strategic initiative was the culmination of the work done by the Public Health Task Force, which introduced the importance of Public Health to actuaries and began forging alliances with non-actuarial organizations. This initiative provides information on key public health topics like the opioid epidemic and the Oregon Medicaid transformation.