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.
Recent Publications Evaluating Payment Models for High-Cost Curative Therapies The SOA is pleased to make available a research report that evaluates alternative payment models that potentially could be instituted by health care payers and manufacturers to pay for high-cost curative disease therapies and prescription drugs. Hospice Care Research: An Analysis of End-of-Life Costs for Terminally Ill Medicare Fee-for-Service (FFS) Cancer Patients The SOA is pleased to make available a research report analyzing the cost of care for deceased cancer patients over the last six months of life. The analysis focuses on the cost differential of hospice care versus not entering hospice for such patients. Predicting High-Cost Members in the HCCI Database Using the Health Care Cost Institute (HCCI) database, which contains claim information on approximately 47 million members annually over a seven-year time period, we examined which characteristics best predict and describe high-cost members. Analysis of Individual Disability Income Tables, 1990-2006, Relative to the 2013 IDI Valuation Base Table The Society of Actuaries Health Section Research Committee is pleased to make available two reports analyzing industry Individual Disability Income (IDI) claim incidence and termination experience trends relative to the 2013 IDI Valuation Table base incidence and termination rates. 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. View All Experience Studies Most Viewed Medical Large Claims Experience Study Access Group Medical Insurance Database and Analysis Report. View All Research Opportunity Health Projects The SOA welcomes proposals for projects that result in information, data, or tools useful to practicing health actuaries Research Reports Modeling Long Term Healthcare Cost Trends – Update for 2019 The Society of Actuaries' issues the 2019 update to the resource model for the projection of long term healthcare cost trends. 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. View All