Description: This research report, sponsored by the Society of Actuaries' Health Section, measures the annual frequency of medical errors in the United States and the total measurable cost to the United States economy of these errors.

Description: This is Appendix B to the research report measuring the annual frequency of medical errors in the United States and the total measurable cost to the United States economy of these errors. See the SOA web site research section for the full report.

Description: This report summarizes a study that estimates the total economic burden of the opioid crisis in the United States from 2015 through 2018 and projects future costs of the opioid epidemic for 2019.

Description: This paper helps the audience understand the actuary’s role in estimating the financial impact of primary care programs. In addition, the paper can be used by actuaries to think about key issues when estimating the financial impact of their employers’ and clients’ own primary care programs.

Description: This SOA report identifies methodologies currently in use by life insurers as well as potential new strategies to manage balance sheet and income volatility risk associated with fair value and related accounting

Description: This is a brief report that summarizes recent changes in the prevalent medical loss ratio methodologies and also looks at some of the more recent experience of health insurers that filed medical loss ratio reports.

Description: Appendix B is round 2 questionnaire on the study of selected economic variables using the Delphi method from the Delphi Report. See the SOA website Research for the complete report of the Delphi Study of Economic Variables Report which includes all the appendices.

Description: A divisive confrontation over health care pricing is almost inevitable over the next few years. What will ultimately happen is a political decision, not an actuarial one—but it will have major consequences for the trend in health care costs and the divergence between public and private insurance premiums.

Description: The Study was designed to elicit reasons behind the participants’ judgments about the future course of the four variables. In the first round participants were asked to provide judgments about the value of the four variables in 2024 and the reasons behind their judgments. The four variables were 1. Increase in CPI, 2. 10 Year Treasury Yield, 3. S&P500 Total Rate of Return, and 4.Corporate Baa yield. In addition, they were asked to list future developments that could cause historical trends in the variables to change. Finally they were asked to express their views on how the judgmental process employed in this study might influence the use and interpretation of traditional actuarial e.g., stochastic, deterministic estimation processes or to aid in planning. The data were collated between rounds and in the second Round, the responses of the group were provided to the participants.

Description: This is a review of literature about the development and application of medical risk adjustment models. The current Medicare model, principal inpatient diagnosis cost group [PIPDCG] and proposed enhancements are the subject of many articles. Risk adjustment is used for both provider payment and performance measurement.