The Society of Actuaries develops and funds a variety of health insurance-focused research. Access our research involving the Affordable Care Act costs, health care systems, risk assessments, experience studies and more.
Society of Actuaries Research Brief: Impact of COVID-19, March 25, 2020
This Society of Actuaries Research Brief has been constructed to highlight some of the key features of the COVID-19 epidemic and contemplate the risks for the actuarial profession to consider in their work.
A Summary of the Health Care Cost Institute’s 2020 Annual Cost and Utilization Report
The Health Care Cost Institute (HCCI) recently released their annual health care cost and utilization report on February 13, 2020, which illustrates employer group commercial health care costs and trends from 2014 – 2018. This reports summarizes the HCCI report.
Getzen Model of Long-Run Medical Cost Trends Update for 2020–2029+
A divisive confrontation over health care pricing is almost inevitable over the next few years. What will ultimately happen is a political decision, not an actuarial one—but it will have major consequences for the trend in health care costs and the divergence between public and private insurance premiums.
COVID-19 from the U.S. Insurance Industry Regulation Perspective
This special episode of the SOA’s Research Insights Podcast highlights how the COVID-19 pandemic is impacting actuaries and their interaction with U.S. insurance regulators. We were pleased to be joined by Mike Consedine, Chief Executive Officer of the National Association of Insurance Commissioners (NAIC).
Software & Tools
Model of Long-Term Health Care Cost Trends in Canada
Download the resource model on long term healthcare cost trends.
Modeling Long Term Healthcare Cost Trends - Update for 2019
Download the resource model on long term health care cost trends.
An Analysis of the US National Health Expenditure Report
This SOA report summarizes the 2018 results of the National Health Expenditure Report, comparing to previous years’ results and projections and highlighting the biggest changes.
A Summary of the Latest Updated Medical Loss Ratio Methodology and Historical Results
The SOA is releasing this brief report which summarizes the most current Medical Loss Ratio (MLR) methodology highlighting some of the most recent changes in methodology and requirements.
Examining Predictive Modeling-Based Approaches to Characterizing Health Care Fraud
The Health Section Research Committee is pleased to make available a research report providing a systematic evaluation of the modeling methodologies and data samples used to characterize health care fraud.
The SOA welcomes proposals for projects that result in information, data, or tools useful to practicing health actuaries