mike-bowman-xKShyIiTNJk-unsplash

40:1

When my kids were younger I did a lot of early morning running on a treadmill in our basement. I’d pass the time watching documentaries like Ken Burns' Baseball, or The Civil War. The half-finished innings and chapters left over for the next day were the perfect motivation icing for the next day's run. I was overjoyed last month when Ken Burns appeared as a guest on the podcast Conversations with Tyler. The famed documentary filmmaker still lives in the same New Hampshire town and is a graci ...

57AC8537-251B-4C0F-8F5A-3169EB9119B7

Lessons From The Original Trader Joe

For decades the educated, well-traveled, and underpaidThe OG Joe's view have sought refuge in a place with exotic names, cheap and good wine, and easy-to-make orange chicken. For fans, Trader Joe's (TJ's) needs no intro. It's part wine store, part health food store (health food meaning food grown with as few chemicals as possible, natural). A seeming contradiction but those people are basically on the same taste radar, the same cultural attitudes.  Joe Coulombe, the talented and personable fou ...

michael-dziedzic-aQYgUYwnCsM-unsplash

An Acquisition Machine

As retirement calls, many business owners look to harvest their life's work and sell the proverbial farm. If that farm is an insurance agency and you're looking for someone to sell to, that partner may be Arthur J. Gallagher & Co. ("Gallagher", Ticker: AJGmarket cap: $34.2B; revenue $7.7B, return on equity: 14%), a global insurance brokerage, risk, consulting and administration services company. Large firms like Gallagher dominate a US market of 1 trillion dollar health insurance budgets. ...

biel-morro-bsSIk3LV_NE-unsplash

Top Line Healthcare Results: A Meme

A meme can be worth more than a thousand worlds. This month, a meme on healthcare point solutions with low utilization that purport to save money.One rule: if you pay $$$ to hire a fancy consulting firm and still can't present the results in a way a 7th grader would understand, you probably fit this meme. --Disclosures: my personal healthcare coverage is a $5,000 deductible cost-sharing plan (non-ACA). Healthcare investments: Covetrus, Cigna, HealthEquity.Photo by ...

artem-maltsev-3n7DdlkMfEg-unsplash (1)

The Alchemy of Health Savings Accounts

Alchemy is for more than quacks. Even Isaac Newton dabbled in it. But it means more than turning lead into goldone definition is to transform something in a mysterious way. Rory Sutherland wrote a great book of the same name on a type of alchemy--how marketing can create magic. 1+1 can equal 3. The marketing alchemist is unlike a physicist or economist; small changes can lead to big results. In health insurance there's a way to create alchemy. The health savings account (HSA) is a bit of legis ...