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

Description: Recognizing the importance of fortifying risk adjustment programs against selection based on nontraditional variables, the Society of Actuaries’ Health Section sponsored an in-depth study into the relationship of nontraditional variables with health costs. This report presents the results of this study.

Description: To identify and quantify the U.S. healthcare insurance disruptors within a five-year horizon.

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

Description: The Canadian public health care delivery system continues to experience growing needs for increased funding. The total health care delivery system today costs Canadians $98 billion a year or about 9.7 percent of GDP. Of that total cost, 71 percent is paid by the government, which means the taxpayers. While that may pale in comparison to the costs in the U.S., it does make the Canadian system one of the five most expensive health care delivery systems in the world. While today’s cost pressures are of major concern, of even more concern are the costs being projected by many participants in the current health care debate for the period when the Baby Boom makes higher demands on the Canadian health care delivery system. Traditional projection methods, however, do not differentiate between the elderly who survive the year versus those who die as to their use of health care systems. This paper first looks at the impact that this differentiation could have on projected costs. Second, the paper looks at the impact that the wide use of Advance Directives [also called Living Wills] might have on future health care costs and some of the issues surrounding their use. From Actuarial Research Clearing House 2004, Vol. 1.

Description: To look at the impact of the amalgamation of drug price fluctuations, pandemics, and mergers and acquisitions, especially the interaction of them with each other and the overall impact on claims and costs to the company.

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

Description: To develop a systematic strategy to identify and predict the financial impacts on pharmaceuticals, physician fees, inpatient services, and outpatient services.

Description: To analyze potential significant disruptors that could negatively affect a company’s financials.

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