Archive of Healthcare

Best Actuarial Practices in Health Studies

By Rebecca Owen, FSA, MAAA, SOA Health Research Actuary The Society of Actuaries (SOA) hosted the first Best Actuarial Practices in Health Studies Seminar in Atlanta June 17-18 following the SOA He

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SOA Health Section Rolls Out Valuable Member Benefit: Access to Health Affairs Articles Thumbnail

SOA Health Section Rolls Out Valuable Member Benefit: Access to Health Affairs Articles

Now get unrestricted access to numerous health, health care and policy articles with important information you need to know about the latest health issues and trends via your free Health Affairs onlin

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ACOs and Gainsharing:  What was old is new again Thumbnail

ACOs and Gainsharing: What was old is new again

by Jim Toole, managing director, life & health, FTI Consulting Accountable Care Organizations (ACOs) bring hospitals and physicians together as a risk bearing entity, aligning incentives betwee

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20Apr2012
Actuaries: Turn wellness from a dream into a real business advantage Thumbnail

Actuaries: Turn wellness from a dream into a real business advantage

by Andrew Sykes, Health at Work Wellness Actuaries Hardly a day goes by without another report of the possible and positive returns on investment available from wellness programs. Yet, with few exc

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11Apr2012
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Fiscal Effects of the Affordable Care Act

by Ian Duncan, University of California - Santa Barbara An important new paper by Charles Blahous of George Mason University (and a Social Security and Medicare Trustee) has just been published. 

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Actuarial principles at play in Supreme Court health care case

by Sara Teppema, SOA senior staff fellow, practice research On Tuesday of this week, the U.S. Supreme Court wrapped up the second of four sets of arguments in the historic case involving the 2010

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07Mar2012
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Have provider networks and network discounts outlived their value? Thumbnail

Have provider networks and network discounts outlived their value?

by Shiraz Jetha, FSA, CERA, MAAA Provider networks originally started as a way to control patient steerage to network providers in return for price discounts. In other words, lower price for antici

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06Mar2012
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Latest national healthcare expenditures

by Ian Duncan, University of California - Santa Barbara The recent release of National Healthcare Expenditure data for 2010 shows a very slight uptick.  What is more interesting, though, is the lo

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Accountable care organizations: Extending the techniques nationwide Thumbnail

Accountable care organizations: Extending the techniques nationwide

by Greger Vigen, FSA Given rising health costs and continuing uneven quality, major players in the health care industry (hospitals, physician groups, insurance companies and professionals like actu

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Health care costs Thumbnail

Health care costs

by Jim Toole, managing director, life & health, FTI Consulting According to the Office of the Actuary, U.S. health spending grew more slowly in 2009 and 2010 than at any time since Medicare was signed into law.  Driven by the recession, Americans delayed hospital care, avoided emergency room visits, and changed the way they purchased prescription drugs, reducing the growth in health spending close to the rate of the economy overall. Despite this, health insurance premiums grew faster than insurance spending, and the overall margins that insurers enjoyed increased.  Some insurers were charging higher rates to address the uncertainty posed by the PPACA, but in general the costs associated with the changes in law have yet to materialize. Health benefit plan costs rose at rates higher than the rate of spending, squeezing margins and reducing the competitiveness of U.S. businesses internationally.  Businesses responded by pushing more costs to employees, reducing overall benefits and switching to higher deductible plans with lower premiums.  (more…)

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