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.
Health Research
Research Opportunity
Review new HCCT RFP from the SOA.
Health Care Cost Trends 2021 Digital Health
Submissions Due: July 5, 2021
Patient Centered Medical Homes and Healthcare Costs
This paper helps the audience understand the actuary’s role in estimating the financial impact of primary care programs. In addition, the paper can be used by actuaries to think about key issues when estimating the financial impact of their employers’ and clients’ own primary care programs.
Enrollee Choice
In health insurance marketplaces, prospective insured individuals and groups are able to choose from a range of available plans. This study uses health care encounter data to simulate the choices faced by health insurance.
Social Determinants of Health
Social Determinants of Health (SDOH) include the social and physical conditions in which people are born, live and work on a daily basis. This project advances a growing body of literature to inform the ongoing optimization of population health and payment models.
Software & Tools
2022 Health Care Cost Model
The Society of Actuaries (SOA) created the SOA 2022 Health Care Cost Model (model) to enable users to estimate future U.S. health care insurance costs.
Getzen Model of Long-Run Medical Cost Trends Update for 2021–2030+
An update to the Getzen Model of Long-Run Medical Cost Trends for 2021–2030+.
Research Reports
The Role of Climate Change on Human Health Outcomes
This report assists actuaries in identifying the adverse human health outcomes from climate change.
COVID-19 Mitigations in the U.S.
This report provides highlights of a weekly survey of practices regarding the mitigation of the spread of COVID-19 in the U.S.
Direct Primary Care: Evaluating a New Model of Delivery and Financing
This report provides health care stakeholders with a comprehensive description of Direct Primary Care (DPC).
Experience Studies
Most Viewed
Medical Large Claims Experience Study
Access Group Medical Insurance Database and Analysis Report.
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).