Description: The SOA is pleased to make available a research report providing insight and considerations for the actuarial profession in assessing the potential risk and opportunities of MACRA to both provider and payer organizations.

Description: Chronic Kidney Disease (CKD) affects many lives and has a large impact on health systems around the world. To better understand and predict costs for insurance plan members with CKD in the United States, we built a new model of their individual costs. Our model is the first to explicitly model both the CKD stage transition process and the distribution of costs given those stages.

Description: The Health Care Cost Trends Strategic Research Committee is looking for research proposals to study the impact of Artificial Intelligence on any of the following elements of healthcare • Evaluate the impact on predictability of financial results • Evaluate the impact on the efficiency of care management techniques applied to members • Compare results to traditional risk adjustment and traditional methodologies of predictive analytics • Determine an overall financial impact of applying AI to identify these high cost claimants.

Description: This report provides actuaries and other professionals working with risk, data and analytics or program evaluation in the health care space with considerations and frameworks related to the use of determinants of health (DOH) in data and actuarial work streams. Such frameworks can leverage new data sources to enrich health care data analysis to move beyond traditional data elements, such as age, gender, zip code or health diagnosis.

Description: This report illustrates employer group commercial health care costs and trends from 2013 – 2017.