In The Media
At Santa Barbara Actuaries, we take pride in our ongoing research and publications. The following is a sample of research projects and publications in which the associates of Santa Barbara Actuaries have been involved.
Payment Accuracy in Value-Based Care Contracts
Reimbursement for health care services is transferring more risk away from payers and toward health care providers in the form of Alternative Payment Models (APMs), also known as Value-Based Care (VBC) models. VBC models cover a wide variety of forms but all include guarantees by providers of services to improve quality of care and/or reduce cost.
Health Section: Pharmaceutical Patents and Abuses
SBA Consultant Tony Pistilli, FSA breaks down his article series on pharmaceutical patents and abuses. With pharmaceutical costs continuing to accelerate the growth of overall healthcare cost, pharmaceutical patents have come under increased scrutiny by a wide range of stakeholders, including Congress. He explains how the patent system works, the effects of historical reforms, potential modern-day abuses of the system and the path forward, and how actuaries can help. (00:22:13)
Moss & Friends | Ep 015
SBA Consultant Maggie Richard, FSA talks about how the healthcare insurance system works, how companies calculate costs, and how the pandemic impacted the industry. (00:36:50)
Comparing Model Error Between a Standard Risk Adjustment Model and a Disease-Spec...
Disease-specific health care interventions and programs are often evaluated with standard risk adjustment models or using more simplistic differences-in-differences approaches that are not customized for the target population. Using models specifically constructed for a target health condition population reduces the magnitude of the model error.
Our team has run several case studies on various healthcare and analytics initiatives. If you would like to learn more about any of the studies below, please feel free to request additional information.
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