Description: This article examines the dynamic environment of the health care system in the United States and the challenges facing the health actuary.

Description: This is a discussion on the probable effects of medical advances in cancer on longevity. From Transactions of Society of Actuaries 1961, Vol. 13 Pt. 2

Description: This 1991 panel discussion is about what employers can do to reduce medical cost including setting financial goals, adjusting benefit levels, adjusting contribution levels and adding wellness incentives. From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: This is one of a series of SOA-sponsored papers on the subject of Evaluating the Results of Care Management Interventions. This paper addresses the theory of measurement design and provides a practical evaluation of the most common designs for the practitioner.

Description: This is a discussion on the probable effects of medical advances in cardiovascular disease on longevity. From Transactions of Society of Actuaries 1961, Vol. 13 Pt. 2

Description: Discover the key components of value-based care (VBC) contracts and their impact on provider credibility. Learn about benchmarks, measurement period results, and the unique challenges providers face in managing insurance risk. Gain insights into reducing costs and aligning financial incentives in the US healthcare market.

Description: This session discussion is about high cost claimants in medical benefit plans and how to control costs and anti-selection. From Record of the Society of Actuaries Vol. 15, No. 3B.

Description: This article focuses on mandatory supplemental benefits offered by general enrollment plans and Dual Eligible Special Needs Plans (D-SNPs) Medicare Advantage plans from 2017 to 2021.

Description: Panelists discuss the various kinds of prevalent large medical claims and emerging trends. Panelists also discuss early identification of potential large claims, predictive modeling, claim management alternatives and transplant management. From the Record of the Society of Actuaries, Volume 27, No. 1, Session 94

Description: The purpose of the SOA project Modeling Long Term Healthcare Cost Trends for Valuation is to provide a benchmark projection of medical cost increases and provide a user-firendly model for making alternative projections. This paper presents sample output from the model, technical documentation of the model, FAQs, and a review of the literature and references.