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. The material was authored by a team from Optum: Julie Witt, Jim Dolstad, Richard Gamret, Betty Siu, and Eric McKeeman.


Health Plan Strategic Implications of MACRA

MACRA/QPP Payer Revenue Model

MACRA/QPP Provider Revenue Model

Thank You

The SOA would also like to thank the following individuals for serving on the Project Oversight Group:

Ken Anver
Kari Berglund
Shannon Calhoun
Cabe Chadick
Elaine Corrough
Ian Duncan
Marily McGaffin
Colleen Norris
Giak Diang Tan
Yan Yang
Steve Siegel, SOA Sr. Research Actuary
Barbara Scott, SOA Sr. Research Administrator

Questions or Comments

If you have comments or questions, please send an email to