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The SOA’s Health Care Cost Trends Strategic Research Program focuses on the forces that shape health care cost, use and changes over time. Explore what drives health care costs, including medical and pharmacy use, social factors, and demographics. Topics include trends with health care costs, public health, preventive medicine, population health, the impacts of regulatory and legislative changes, and the impact of new medical technologies and pharmaceuticals. |
Health Care Cost Trends Strategic Research
The SOA Strategic Research Programs emphasize the skillset and thought leadership of actuaries, and help provide insights to members, stakeholders, and the public on socially relevant topics.
Health Care Cost Trends Strategic Research
Evaluating Risk Adjustment and Medicare Advantage
This report examines some of the challenges of Risk Adjustment in Medicare Advantage and summarizes potential approaches to help mitigate underlying concerns with the current methodology.
SOA Research Institute on GitHub
Visit the SOA Research Institute’s GitHub overview page to access repositories for code from research projects. You also can post code and make comments. To publish material not related to research, please contact David Schraub at DSchraub@soa.org. The SOA’s general GitHub page is also available.
Research Reports
If you’re looking for health care cost trends research projects, you’ve come to the right place. The SOA Research Institute has a wide variety of research available for download.
Medicaid Managed Care Underwriting Margin Model
Guidance and a model for actuaries to use when performing their professional services related to Medicaid (Title XIX) and Children’s Health Insurance Program (CHIP or Title XXI) managed care capitation rate setting.
“Uninsured Rate” Measurements and Health Policy Considerations
This report examines the various publications reporting on the uninsured rate.
Getzen Model Update for 2023 - 2033+
The aftershocks of the COVID pandemic will pass eventually.
Costs of Chronic Kidney Disease
To better understand and predict costs for insurance plan members with Chronic Kidney Disease (CKD) in the United States, we built a new model, the first to explicitly model both the CKD stage transition process and the distribution of costs given those stages.
2022 Health Care Cost Model
The SOA 2022 Health Care Cost Model enables users to estimate future U.S. health care insurance costs.
How Does Where You Live Impact Your Health?
This question is considered through the lens of social determinants of health.