A monthly list of interesting facts and figures from the world of healthcare, finance, and public markets. 2/3: The estimated number of Medicare quality metrics deemed uncertain or invalid by a NEJM study. 25%: the percentage of healthcare costs attributable to the top 1%. 10%: the likelihood of being in the top 10% of healthcare … Continue reading February’s Index
In many ways, I'm a below average driver. I only drive about 4,000 miles a year so I don't get much practice. I use a blinker most of the time but I'm not always courteous. Sometimes I cut in at the last minute, which I recently read is actually good for traffic flows, even it … Continue reading Averages Over Time
Inspired by the monthly Harper's Index, this is 2019's first index on healthcare and finance. The average ratio of Medicaid-to-Medicare payments spending across the US across all services: .72; In CA: .52. The factor by which commercial insurance payments exceed the reimbursements from Medicare: 1.88x The net assets of HCA, the largest publicly-traded hospital in the … Continue reading January’s Healthcare Index
This journey started small but 48 posts later and I can say I wrote down my thoughts, observations, and research. For over 90% of the weeks, I put meaningful time and research into 2018's blog posts. My work and research have taken me to Boston to learn and work on promoting programs like Quizzify; there … Continue reading 2018 Highlights
Volatility in investing can be a great thing. The attraction to Bernie Madoff's scam can be better understood by its lack of volatility. His funds showed annual returns of an eerily consistent 10-12% and at one point reported 72 consecutive months of positive returns. His strategy used a split-strike or collar options strategy (not related … Continue reading On Hidden Risks and Volatility
Financial valuation uses multiple approaches to estimate the value of a company, whether a shoe factory, a chain of Tex-Mex restaurants, a software company, a bank, or a law firm. The questions are framed around what a firm is worth relative to cash flow, book value, relative to similar assets, recent industry transactions, or others. … Continue reading Medical Bankruptcies in America
Mothers and psychologists remind us that we have a built-in bias to do what's easiest or to follow the path of least resistance. Water and electricity are like this. We are naturally lazy so to stick to an exercise plan, it should be something we like, with shoes left by the bed, perhaps done with … Continue reading Cadillac Consequences
Today the cost of healthcare landed on the front page of The Wall Street Journal, just below a story on bond yields, and next to the dancing UK Prime Minister, Teresa May. The angle of the story is how the cost of family healthcare premiums in the United States now approaches $20,000. The genesis of … Continue reading The $20,000 Price Tag: Insights into the 2018 Kaiser Family Foundation Employer Survey.
Jeff Bezos of Amazon is famous for being customer-centric, so much so that Amazon's annual letters proudly say, "We seek to be Earth’s most customer-centric company." Shipping, easy returns, streaming, and Kindle are proof. "Free" 2-day shipping for Prime membership is a big part for me. So far this year I've ordered 54 packages, or … Continue reading In Praise of the Six Page Narrative
If you rent a car, have cable or internet, or health insurance, your experiences are likely to be less stellar than if you use Netflix or shop at Nordstrom. TV providers show up late for your appointment, and, since they feel for you, they raise your bill after six months. Conversely, Netflix charges $10.99/month and … Continue reading Does The Net Promoter Score Matter in Healthcare?