Description: This research report provides an evaluation and synthesis of the methodologies and data samples used on characterizing health care fraud.

Description: This paper discusses health care developments in Canada current to 1961. From Transactions of Society of Actuaries 1961, Vol. 13, No. 37.

Description: Data file for Commercial Health Care Cost and Utilization Trends From 2009–2015 research report.

Description: This study provides valuable insights for insurance companies that are considering entering the market of commercial long-term care insurance (LTCI) in the Asia-Pacific markets.

Description: In the United States, individuals needing long-term services and supports (LTSS) access care, utilize services, and pay for their services in various ways. The authors explore how the need for, utilization of and payment for long-term services and supports differ in the U.S. by population cohorts. Their primary focus is disparity by race and ethnicity, but they also consider variations by geography, family structure, age, sex, gender and other socioeconomic factors.

Description: The Canadian Institute of Actuaries (CIA) and the Society of Actuaries (SOA) are pleased to make available a resource model that provides long-run (to 2050 and beyond) forecasts of health care spending in Canada.

Description: This report pulls together various findings on long-term care research from the 2017 Risks and Process in Retirement Survey as well as other SOA research.

Description: Unmet needs and implications for long-term care financing in Singapore.

Description: This research report that provides a literature survey of methodologies applying machine learning to insurance claim modeling.

Description: The Society of Actuaries has developed and released a health care forecast model to illustrate the potential impact of the COVID-19 outbreak on insurance plan health care costs in the United States. Users of the model may include insurance company actuaries seeking an additional reference point for 2021 cost development, regulatory actuaries seeking additional insights and validation of costs as part of rating submissions for 2021, and insurance purchasers seeking a deeper understanding of the forces driving 2021 health care costs and premiums. The model is not intended as a replacement for existing modeling tools developed by insurers or regulators. Rather, the model’s primary purpose is to illustrate the key outbreak-related forces that are affecting the trajectory of health care costs. In addition the model can provide a common reference point to facilitate dialogue with respect to the regulatory review of 2021 health insurance rate filings.