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Explore latest articles, papers, submissions and professional guidance material related to health and actuarial practice.

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About actuaries in health

Health actuaries work across the healthcare ecosystem, from insurers to health consultants and government agencies. 



Using their analytical skills and deep understanding of healthcare, health actuaries develop sustainable insurance products and improve healthcare outcomes for communities. Their expertise in risk assessment and financial modelling supports critical decisions about healthcare funding, service pricing and long-term planning.

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Meet the Health Practice Committee

The Health Practice Committee (HPC) contributes to the strategic direction of the Institute for health insurance, health-related research and supports the development of the practice area.

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Professional Standards and Guidance

Health Professional Standards
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Explore guidance and other practice documents for actuaries working in health.

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Knowledge

Long COVID Knowledge Hub

Explore our Long COVID Knowledge Hub, created in collaboration with the Long COVID Working Group, for key insights and resources.

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Latest articles

Latest articles
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1 CPD Point

Emerging Risks in 2025 Identified by Australian Actuaries

From climate volatility to quantum computing threats, the actuarial profession faces an evolving risk landscape. In late 2024, the Institute surveyed members to identify emerging risks across practice areas, with strong responses from those in general insurance, life insurance and risk management. Respondents identified both mainstream and ‘left-field’ concerns. In this article, we identify top […]

Iain Bulcraig
Iain Bulcraig

16 April 2025

1 CPD Point

AI Case Studies: Smart Homes, Smarter Insurance

What if your home could prevent insurance claims before they happen? As smart home technology becomes increasingly accessible, traditional home insurance models are changing–and actuaries can be at the forefront of this revolution. In our new series, AI Case Studies, we share hypothetical examples to illustrate how AI may transform insurance processes in real-world […]

Actuaries Institute
Actuaries Institute

25 March 2025

Advisor helping a senior woman at home (or mother and son)

1 CPD Point

Risk vs. Discrimination in Life Insurance

From time to time, I find myself explaining how insurers allow for risk in insurance pricing, product design and underwriting, particularly as this can be seen as a form of direct or indirect discrimination. Indeed, there are already exemptions in anti-discrimination legislation that allow insurers to discriminate in insurance pricing, product design and underwriting in […]

Kirsten Flynn
Kirsten Flynn

20 January 2025

1 CPD Point

2024 General Insurance Appointed Actuaries Forum

If someone were to summarise what has been happening in the General Insurance industry this year, they might liken it to George Lucas’ attitude on the Star Wars prequel films. When asked about George Lucas’ directing style, many of the actors on the films would say the same thing. “He was great to work with,” […]

James Aclis
James Aclis

12 December 2024

1 CPD Point

Unlocking Cyber Resilience

Are you prepared for the growing impact of cyber risk on the actuarial profession? Digital threats are rapidly evolving, with one cybercrime reported every six minutes and ransomware causing up to $3b in damages to the Australian economy every year.[1] To address this and its impact on the actuarial profession, the Actuaries Institute’s Cyber Risk […]

Cyber Risk Working Group
Cyber Risk Working Group

14 November 2024

Product launch incentives can take turns for business growth. Businesswoman explain the strategic plan to launch the new product via digital table to sale team in the meeting room at office. Brainstorming and share idea to launch new product to customer.

1 CPD Point

Insights on Effective Risk Management: Balancing Partnership and Independence

In the ever-evolving landscape of risk management, striking a balance between partnership and independence is key. Imagine two climbers scaling a steep mountain, bound by a rope, moving in sync to conquer each challenge. One leads with precision, securing anchors, while the other provides steadfast support. This imagery encapsulates the essence of partnerships in risk […]

Jason Yu
Jason Yu

29 October 2024

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1 CPD Point

Enhancing Risk Culture Through Storytelling

Storytelling has been around for thousands of years but can it be used to enhance the risk culture of an organisation? The concept of risk culture has been around for a long time but has been increasingly in the spotlight. APRA defines risk culture as “the behavioural norms and practices of individuals and groups that […]

Iain Bulcraig
Iain Bulcraig

22 August 2024

1 CPD Point

Career Case Study: Kriti Khullar AIAA – Lead Risk Intelligence Insights, IAG

“Actuaries are financially savvy, technology savvy and have a mindset of continuous learning.”Kriti is a Risk Intelligence Insights Lead at IAG with experience in provisioning, stress testing, credit risk portfolio reporting, risk data, risk systems, risk infrastructure, risk applications, divisional and enterprise-wide risk reporting for executive and Board audiences. She is an Associate Actuary […]

Actuaries Institute
Actuaries Institute

20 June 2024

1 CPD Point

The Risk Horizon

Understandably, actuaries are obsessed with risk. Three plenary sessions at the All Actuaries Summit reminded us that there are different ways to look at risk – and that sometimes the widest possible view is the best. Opening Keynote with Ann Sherry AO In a wide-ranging interview with Win-Li Toh, Ann Sherry called out the range […]

Actuaries Institute
Actuaries Institute

20 May 2024

blurred and defocused people walking

1 CPD Point

Insuring Against the Unknown: Navigating Uncertainty in the Geopolitical Environment

We live in a world that is increasingly interconnected by global flows of goods, services, capital, people and data, which are, in turn, dependent on political forces within the geographic space. The recent geopolitical context has been heightened with shocks from events such as the COVID-19 pandemic and ongoing conflicts, in addition to continued technological […]

Yiyang (Anita) He
Yiyang (Anita) He

25 April 2024

Attractive aged businesswoman, teacher or mentor coach speaking to young people, senior woman in glasses teaching audience at training seminar, female business leader speaker talking at meeting

1 CPD Point

Bridging the Academic and Industry Gap

A reflection of one actuary’s journey so far…In 2020, I took an opportunity to join a formal research journey even though, for the last 30 years, I have been doing non-academic research. While I await submitting my thesis —marking the end of this journey — I began thinking about the importance of bridging the […]

Sonjai Kumar
Sonjai Kumar

3 April 2024

1 CPD Point

Is Risk Reporting Just a Paper Fly?

Risk reporting helps provide information to key stakeholders to enable the flow of the right information to the right people at the right level at the right time. Such reporting must be delivered regularly to support an ongoing flow of information. The benefits of risk reporting include: Reducing the uncertainties of outcomes within the organisation. […]

Sonjai Kumar
Sonjai Kumar

30 November 2023

Business discussion between two people showing each other some documents

1 CPD Point

ERM Augment Insurance Value Enhancement

Before the start of the 21st century, silo-risk management was a more widespread practice that enabled individual departments to perform risk identification and mitigation.

Sonjai Kumar
Sonjai Kumar

13 October 2023

Photo of tall buildings taken from the bottom looking up

1 CPD Point

Recent Failures in General Insurance Underwriting and Pricing in Australia: Considerations to Improve Pricing Risk Management – Part Two

Join us in the second article of this series as we explore the practical considerations for improving risk management and controls in underwriting and pricing.

Sting FanMudit Gupta
Mudit Gupta, Sting Fan

11 October 2023

1 CPD Point

One Profession, a World of Possibilities

On September 2, the actuarial community celebrates the International Day of the Actuary. On this day in 1895, the very first International Congress of Actuaries (ICA) was held in Brussels, an event that laid the foundation for the profession we recognise today. In honour of International Day of the Actuary, we highlight the achievements of […]

Actuaries Institute
Actuaries Institute

31 August 2023

www.scottehler.com

1 CPD Point

Cyber Risk and the Role of Insurance: Where Are We At?

Nine months after the publication of the Actuaries Institute’s Cyber Risk and the Role of Insurance Report, Win-Li Toh updated the profession at ICA2023 on key developments in the world of cyber. In September 2022, the Actuaries Institute released a Report authored by actuaries Win-Li Toh and Ross Simmonds and technology expert Michael Neary titled […]

Cyber Risk Working Group
Cyber Risk Working Group

30 August 2023

How COVID-19 has Affected Mortality in 2020 to 2023

There were 8,400 more deaths in Australia in 2023 than predicted had the pandemic not occurred – less than half of the almost 20,000 excess deaths estimated for 2022. This new Research Paper from the Mortality Working Group explores how COVID-19 affected mortality in Australia from 2020 to 2023 and how Australia’s experience compares with the rest of the world.

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Publication

2 CPD Points

How COVID-19 has Affected Mortality in 2020 to 2023

The new Research Paper from the Mortality Working Group explores how COVID-19 affected mortality in Australia from 2020 to 2023 and how Australia’s experience compares with the rest of the world.

Mortality Working Group

28 July 2024
Submission

1 CPD Point

15 August 2023: Submission to Department of Health and Aged Care Consultation on Private Health Insurance (PHI) Incentives and Hospital Default Benefits Studies

The Institute recommends policy solutions to address the financial sustainability of Private Health Insurance including the integration of health system funding to further benefit access to, and affordability of, the health network.

Actuaries Institute

15 August 2023
Submission

1 CPD Point

29 March 2022: Submission to APRA: Review of Private Health Insurance (PHI) Capital Framework

This submission outlines the Institute’s views of APRA’s proposed revisions to the PHI capital framework and draws on previous submissions from July 2020 and May 2019. The Institute supports adoption of the Life Insurance and General Insurance Capital (LAGIC) structure for the capital standards in PHI and the introduction of the Internal Capital Adequacy Assessment Process (ICAAP) to encourage better management of risks and capital in a consistent manner. The Institute supports the tailoring of capital standards to suit PHI and this submission details further recommendations for APRA’s consideration.

Actuaries Institute

29 March 2022
Podcast/Vodcast/Audio

2 CPD Points

How to Make Private Health Insurance Healthier: Actuaries Institute Green Paper

Actuaries Summit 2019 The healthcare system in Australia is complex. It involves many funders and healthcare providers with competing interests, both from the public and private sectors. However, despite its complexity, the healthcare system in Australia is one of the best in the world and, for a long time, private health insurance has been a part of that system. So, without reducing or expanding the role of PHI in the healthcare system more broadly, how can the community get more from private health insurance? In this Green Paper, prepared for the Actuaries Institute by EY, industry and stakeholder consultation identified four key areas needing to be called out for change, being: Potential patients should be given a genuine informed choice about their treatment by improving access to the right information, providing patients with an independent advisor on their options (a ‘care coordinator’) and enhancing informed financial consent rules. Insurers who reduce unnecessary claims should be fairly rewarded by changing the industry’s risk sharing mechanism. Inefficiencies in the supply side of private healthcare services should be targeted through a combination of further government reform and more sophisticated contracting between insurers, specialists and providers. All stakeholders should work to improve the health of people with insurance by, for example, providing additional benefits/discounts for healthier people, increasing the rebates, levies and surcharges that incentivise people to take out insurance, and providing health management services to insured people. We will take you through the process and into more of the detail of the issues and options.

Bevan Damm, Matthew Crane

3 June 2019

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