Description: Social determinants of health (SDoH) have been a topic of growing interest in recent years, yet consensus about what the phrase represents and how health-related social needs should be studied or addressed by employers, health plans, providers and other stakeholders in the business of health care have been lacking. For many, low-income populations come to mind when considering the topic, yet SDoH include a wide range of factors beyond income. Many types of data are available, yet each presents distinct challenges and opportunities for analysis. In this article, we describe some of the underlying context for considering SDoH, as well as some of the potential data sources to consult and challenges to grapple with on this important topic.

Description: This article provides an overview and highlights of the recent paper Pension Risk Transfer: Evaluating Impact and Barriers for De-Risking Strategies. The market has evolved dramatically over the past 10 years, and the paper discusses the drivers behind these changes from both the plan sponsor and insurer viewpoints. The research also gathered input from various key stakeholders as to what changes the market could experience in the future.

Description: Latest installment in series that applies Buddhist philosophy to the actuary's daily activities. This installment discusses the challenges for actuaries in dealing with the ongoing ups and downs of the COVID-19 pandemic and discusses mindfulness tools to cope with the resulting stresses in a peaceful and effective way.

Description: Retirement plan trustees are tasked with retirement plan administration. Trustees are responsible for hiring service providers and monitoring the quality of their work. This article discusses actuarial audits as a due diligence tool for public plan trustees.

Description: An overview of how the VM-31 requirements for documenting PBR approaches and assumptions can/should reflect the Actuarial Standard of Practice on Modeling, ASOP No. 56

Description: After years of discussion and debate, PrinciplesBased Reserving (PBR) is finally a reality. Small insurance companies have a unique opportunity to decide between electing for the company-wide exemption or adopting the PBR methods. This article discusses the benefits and challenges of the options available to small insurers under VM-20 as well as best practices that have been found along the way.

Description: After research involving auto insurance is retracted due to fraud, I revisit my own book review and unskeptical quoting of that now-debunked research. A lesson in ASOP 23, on Data Quality, ensues, as it seems data in the research was falsified. There is also a lesson in ASOP 56, Modeling, which includes aspects of relying on outside experts for model input. At the end of it all, the value of our actuarial professional standards, in light of other professions seemingly having no standards (or no serious repercussions for breaching said standards), shines through. Also, be skeptical of 'one simple trick' approaches to transform the insurance industry.

Description: This is a continuation of an article published for the speculative future contest in 2023. It mentions how the collapse of China would cause a global recession in 2029 due to the current and predicted geopolitical climate in 2023.

Description: An overview of key considerations for benefit triggers in critical illness products

Description: Two years ago, before COVID-19 changed everything about how we provide and receive health care, telehealth was largely provided by third-party vendors to treat a narrow range of acute one-and-done conditions. The value proposition was simple: a fast and easy member experience would drive satisfaction and engagement; high member satisfaction and engagement would drive health plan savings and member retention. Clearly, from the perspective of utilization, telehealth—as a viable alternative to in-person care during a pandemic—worked. And with COVID-19’s nudge—or was that a push?—toward cultural acceptance, the health care system is in a better position to capitalize on telehealth’s original promise of expanded access, lower cost and better outcomes than it was two years ago. But in the wake of the pandemic, it is just as clear to us that if telehealth is to live up to its full potential, some changes are needed. The rest of this article presents five ideas for improving the delivery of telehealth going forward.