Social, Physical and Cultural Determinants of Health: Their Incorporation into Actuarial Data and Workstreams
April 2023
Authors
Rebecca Owen, FSA, MAAA
Principal
Oregon Coast Actuarial
Sara Teppema, FSA, MAAA, FCA
Chief Actuary
Wildflower Health
Contracted through
Santa Barbara Actuaries
Description
This report provides actuaries and other professionals working with risk, data and analytics or program evaluation in the health care space with considerations and frameworks related to the use of determinants of health (DOH) in data and actuarial work streams. Such frameworks can leverage new data sources to enrich health care data analysis to move beyond traditional data elements, such as age, gender, zip code or health diagnosis.
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Social, Physical and Cultural Determinants of Health: Their Incorporation into Actuarial Data and Workstreams
Acknowledgments
The authors’ deepest gratitude goes to those without whose efforts this project could not have come to fruition: the many people who generously shared their wisdom, insights, advice, guidance and arm’s length review of this study prior to publication. These include people interviewed for this report (see Appendix 3), the volunteer members of the Project Oversight Group and SOA Staff.
Project Oversight Group members:
Joan Barrett, FSA, MAAA
April Choi, FSA, MAAA
Andie Christopherson, FSA, MAAA
Jim Dolstad, ASA, MAAA, FCA
Stephanie Entzminger, FSA, MAAA
Lisa Harrison, MPH
Yi-ling Lin, FSA, MAAA, FCA
Jim Mange, FSA, MAAA
At the Society of Actuaries Research Institute:
Achilles Natsis, FSA, MAAA, FLMI, Health Research Actuary
Erika Schulty, Research Administrator
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