Description: Health Section, Issue 88, February 2019, Health Watch

Description: This article is the third in a series from the '2011 Living To 100 Symposium.' It examines the growing concern about doctor to patient ratio, including perspectives from Canada, the U.S. and the U.K.

Description: This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection in Medicare.

Description: Essay suggests reforms of the U.S. health care system to promote financial soundness, broader access, and efficient operations. These reforms require that each participant in the system – individuals, employers, providers, insurers, and government – give a little.

Description: The big event of 2023 is the launch of multiple Humira biosimilars, which began in January with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks off the process of changing the specialty drug marketplace in the United States. The expectation of the full impact of this big event is very hopeful, but there is still uncertainty several months after its beginning. Humira is the highest-selling drug in the world and has been since 2013 (Figure 1)—except for when COVID-19 projects temporarily surpassed it. The world is eagerly awaiting the launch of multiple biosimilar drugs to compete with Humira and hopefully bring more competitive pricing to the benefit of payers and patients everywhere.

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

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

Description: Excel file containing extracts of utilization and costs for chiropractic and acupunture - males. From a research project examining the utility of standard eligibility and claims extracts for complementary and alternative medical therapies - CAM analysis.

Description: Article about the future roles in health insurance.

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