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
Recent Publications
Modeling Effects of 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.
Comparing Measures of Social Determinants of Health to Assess Population Risk
Social Determinants of Health (SDOH) include the social and physical conditions in which people are born, live and work on a daily basis.
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 Opportunity
Review these new RFPs from the Health Care Cost Trends Program Steering Committee:
2021 Managed Medicaid Underwriting Margin Model RFP
Submissions Due April 9, 2021
Health Care Cost Trends Fall 2020 Social Determinants of Health RFP
Submissions Due April 12, 2021
Research Reports
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).
Mental Health Trends and COVID-19
With the pandemic outbreak of coronavirus disease (COVID-19) through the world in the first part of 2020, many resulting outcomes have triggered the potential to see an increase in the use of mental health benefits in health care insurance systems.
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.
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).