This Simple Linear Actuarial Model (SLAM) manual is the accompanying publication to An Actuarial Model for Costing Universal Health Coverage in Armenia. It provides detailed guidelines in using the Microsoft Excel for SLAM. As an actuarial model, the SLAM calculates and presents the actuarial projections and key financial indicators to support the management of the health insurance programs nationwide and at local levels in assessing the overall costs and financial sustainability of health insurance programs. The goal is to have an actuarial model that they could update themselves without frequent intervention of actuarial experts and use for day-to-day management and assessment of alternative policy configurations of the health insurance schemes.
The Asian Development Bank seeks to assist the Government of Armenia in undertaking major health financing reforms to achieve universal health coverage (UHC) within the context of the Sustainable Development Goals and improving health system performance. Critical to the development, evaluation and implementation of such UHC policies is the need for accurate information of the expenditure implications and revenue needs of alternative policy choices. This report provides guidance in the design, construction, calibration, evaluation, implementation, use, and refinement of a UHC model to assess the expenditure impacts and the revenue requirements to finance alternative universal health insurance (UHI) policies. It develops an actuarial UHC costing model that relies on the most recent and complete health insurance claims data to estimate expenditures and revenue needs for achieving UHC. The report focuses on the development and operationalization of this actuarial model as a tool for assessing the health financing and fiscal implications of Armenia’s key UHI policy decisions.
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