Description: Actuaries have the business acumen, problem-solving capabilities, and technical skills to develop innovative and data-driven solutions in the social insurance space. It is time we expand our scope and embrace an increased role in making a positive impact within the health care ecosystem. The primary focus of this paper is on social insurance programs dedicated to the most vulnerable population: low-income families accessing care through Medicaid. While there are numerous challenges that require other subject matter experts to take the lead, this article highlights topics where actuaries can be key players in developing and implementing tangible solutions to improve the care for the most vulnerable. Issues and solutions in this paper focus on the following three areas: 1. Access to appropriate care, 2. continuity of care, and 3. social determinants of health.

Description: Adjusting GAAP reinsurance reserves to account for reinsurance protection against the events that trigger direct reserve constraints (such as NPR capping or LFPB flooring) can be a challenge any time. Ceding a block of business that is already in force increases the challenge—especially if one of those constraints was already present at inception of the reinsurance. This article builds on previous work (published in the July 2022 and June 2023 issues) to show how to measure initial reinsurance reserves in a way that complies with AICPA guidance and prepares for effective measurement of subsequent changes in the effects of the constraints.

Description: This month, Expanding Horizons had the opportunity to interview Tim Boonen, the winner of the Society of Actuaries’ (SOA’s) second Actuarial Science Early Career Award.

Description: The numerous restrictions as a result of the COVID-19 pandemic have certainly affected everyone and those measures may have consequences for our health. The article attempts to uncover possible links between COVID-19 and depression.

Description: Educational opportunities for those interested in Long Term Care.

Description: This article is about small business changes and challenges before and after COVID.

Description: Emerging technologies like GenAI will be more disruptive than past technological developments, such as spreadsheets, low-code data and dashboarding tools, and cloud computing. This article will explore how how we can lead ourselves, our teams, and our organizations to thrive within a defined modern value proposition, using one of two archetype roles: actuaries as business partners or actuaries as developers.

Description: We discuss a teaching program for new actuarial science and risk management & insurance educators at Georgia State University that includes the following topics: - Introducing insurance - Syllabus construction - Creating content and actively engaging students - Student motivation and career paths - Assessment and grading rubrics - Professional ethics and other

Description: Chairperson description of current MaD section activity and upcoming webcasts and other emerging section content

Description: Chairperson's introduction to the Joint Risk Management Section (JRMS) February 2022 Risk Management newsletter. Includes a brief description of the JRMS section, summarizes the portfolio of benefits and continuing education opportunities available for those in the risk management profession, discusses the role of the JRMS Council to lead the efforts to provide those benefits and touches on changes underway.