In his essay on the need for evidence-based medicine, John Cookson, FSA, MAAA, consulting actuary at Milliman Inc., discussed how "consumers must be made more responsible for their own care, and they must be provided the tools and information to choose wisely. The providers must then adapt to the new realities by becoming more efficient and improving quality." This supports the overall need for results-driven medicine and procedures, which is a similar approach to risk management for corporations.
Focusing on the need for more universal access to data, Dale Yamamoto, FSA, MAAA, EA, FCA, president of Red Quill Consulting, stated in his essay, "Creating a national data warehouse will facilitate the ability for actuaries and other analysts to have access to more consistent data from all health plans to better understand their ability to manage health care utilization."
Each of the 29 essays support one of the four key angles, emphasizing the roles that actuaries can play with health care reform. Chair of the SOA's Health Section, Jennifer Gillespie, FSA, MAAA, said, "Through access to more robust data, actuaries can help analyze the feasibility and long-term sustainability of proposed plans. That insight can help aid in understanding where the past problems were and how to best mitigate these risks in the future."
In conjunction with the release of the essays, the SOA conducted a survey of its health actuaries to gauge their thoughts on health care affordability, access and quality. Out of nearly 300 survey respondents, 39 percent believed that one of the most important roles that actuaries can play in the health care debate is to invest in quantitative research to quickly evaluate proposals for reform.
The other key findings from the
|SOURCE Society of Actuaries|
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