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.
Health Plan Strategic Implications of MACRA
The SOA is pleased to make available a research report providing insight and considerations for the actuarial profession in assessing the potential risk and opportunities of MACRA to both provider and payer organizations.
Commercial Health Care Cost and Utilization Trends From 2009–2015
In collaboration with the Health Care Cost Institute (HCCI), the Society of Actuaries has put together a research report detailing some of the findings from HCCI’s Commercial health care data from 2009 – 2015 along with a data extract for practicing health actuaries to be able to better understand historical trends and host disruptors.
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