Description: Attendees learn about the Patient's Bill of Rights, pressures on managed care programs and the strategies being used to address the changing dynamics of the managed care environments. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 116

Description: Presenter discusses issues related to alternative care, as well as SOA activity in regard to alternative care. From the Record of the Society of Actuaries, Vol. 24, No. 1.

Description: This discussion looks at the causes of the increase of costs in medical care and what can be done to keep these costs under control. Form Transactions of Society of Actuaries 1959, Vol. 11, No. 30 AB.

Description: Methods and assumptions used in the valuation of savings by external care vendors

Description: The momentum in value-based care has produced an opportunity for actuaries to become pioneers in health care

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

Description: Through the sponsorship of the Robert Wood Johnson Foundation, The Society of Actuaries partnered with Wakely to use their health care data to study the effects of COVID-19 on overall health care claims for individuals with a COVID-19 diagnosis. The conclusion of the study is that individuals with COVID-19 claims had significant increases in health care costs leading up to their months of diagnosis, as well as in the months following their diagnosis. These effects were more pronounced for individuals who were hospitalized due to COVID-19 as well as for individuals with prior co-morbidities. Finally, the overall health care costs of these members plateaued at significantly higher levels than their pre-COVID baselines. In fact, all the main membership cohorts experienced claim levels that were at least 20% higher than their pre-COVID starting points.

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

Description: The Canadian Institute of Actuaries (CIA) and the Society of Actuaries (SOA) are pleased to make available a resource model that provides long-run (to 2050 and beyond) forecasts of health care spending in Canada.