Description: This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.

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: News release on Health Care Costs Institute and it's mission to promote research on the causes of rising U.S health spending.

Description: Article presents new course readings that cover hot health topics that will expand actuarial expertise in the Health Systems practice area.

Description: Article is about community rating and risk adjustment including possible disadvantages for healthy experience-rated or self-insured groups.

Description: This session is about structuring an HMO, rating, financing & solvency and underwriting. From Record of Society of Actuaries 1979 Vol. 5, No. 4.

Description: In this video Mitchell Momanyi, FSA MAAA presents an informative breakdown of Medicare Advantage plans, delving into the intricacies of this alternative to traditional Medicare. Covering the inception of Medicare Advantage and its evolution, Momanyi explores the managed care companies offering Part C coverage, emphasizing the role of provider networks coordinated care. Concluding with key considerations for beneficiaries, Momanyi stresses the importance of weighing the pros and cons between Traditional Medicare and Medicare Advantage, while also emphasizing the evolving nature of the Medicare landscape and the regulatory nuances influencing enrollment decisions. Conributors: Mitchell Momanyi, FSA, MAAA, Deana Bell FSA, MAAA, Matt Emery, FSA, CERA, MAAA, Jon Forster, ASA, MAAA

Description: This SOA report describes the components of margin for calculating capitation rates in a Medicaid context along with practical issues that MCOs may face.

Description: Feature article discussing the growing opportunities for actuaries in the health wellness arena.

Description: Why and how to set up an advance directive, in case a health event renders you unable to make your own medical to decisions.