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Rebates in 2019
[By staff reporters]
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Filed under: Health Insurance | Tagged: medical loss ratios, medical loss rebates | Leave a comment »
Hodja Nasreddin and Behavioral Economics [Gains and Losses]
Posted on July 30, 2022 by Dr. Marcinko
The Difference
[By Anonymous]
One of the most important concepts in behavioral economics is that people react differently to gains and losses. An example from Hodja Nasreddin:
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Hodja Nasreddin
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“One day Nasreddin went to his neighbour and asked to borrow a large cooking pot. The neighbour obliged and Nasreddin promised to bring it back shortly. Weeks passed when the neighbour came by to remind Nasreddin about his pot.
Embarrassed, the hodja went inside and after a short time re-emerged with the pot. On handing it over there was a clanging sound inside upon which the neighbour lifted the lid to reveal a smaller pot inside. “Hodja, what is this?” He exclaimed. “Neighbour, it seems the pot you gave me was expecting and this is her young!” The neighbour gave the hodja a silent look and left with both pots.
Some time later Nasreddin again asked to borrow the pot and the neighbour happily obliged. Again weeks passed and the neighbour came again inquiring about his pot.
“Alas!” Nasreddin said, your dear pot passed on to the afterlife, please accept my condolences.”
“But hodja, how can a metal pot die?” said his neighbour whereupon Nasreddin hodja flew into a rage and yelled:”You had no trouble believing it gave birth but her death strikes you as incredible? Now begone, you rascal!
NOTE: Why backward? http://mullahnasruddin.com/?p=1927
Assessment: Your thoughts are appreciated.
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Filed under: Health Economics, Investing | Tagged: behavioral econmomics, Hodja Nasreddin | Leave a comment »
NEWS: Corona Boosters 2.0
Posted on July 30, 2022 by Dr. Marcinko
Sub-Variants BA.4 and BA.5
By Staff Reporters
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Re-formulated virus booster shots from Pfizer and Moderna should be on pharmacy shelves by September, a Biden administration official told NBC News.
This means a campaign to release second boosters to a broader swath of the population this summer is being scrapped. These re-tooled shots are intended to provide better protection against the Omicron BA.5 and BA.4 sub-variants, which accounted for more than 90% of new cases in the USA last week.
CITE: https://www.r2library.com/Resource/Title/082610254
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Filed under: Breaking News, Drugs and Pharma, Glossary Terms, Health Economics | Tagged: BA.4, BA.5, corona, corona boosters, Corona Boosters 2.0, omicron, omicron variants | Leave a comment »
STOP-LOSS Health Insurance?
Posted on July 30, 2022 by Dr. Marcinko
What is stop-loss insurance AND how does it work?
By Staff Reporters
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A stop-loss health insurance policy covers claims above a health insurance plan’s retained claims. The claims fund of a self-funded employer will pay claims up to the predetermined deductible for each of the company’s covered employees. The role of the stop-loss is to cover all claims above these deductible levels.
CITATION: https://www.r2library.com/Resource/Title/0826102549
According to RoundStone Insurance, aggregate stop-loss insurance is designed to protect an employer who self-funds their employee health plan from higher-than-anticipated payouts for claims. Stop-loss insurance is similar to high-deductible insurance, and the employer remains responsible for claims below the deductible amount.
An individual stop-loss insurance carrier determines the average expected monthly claims per employee / per month PEPM based on the employer’s history. Then, this figure is multiplied by a percentage ranging from 110%-150%. That determined amount is then multiplied by the enrollment on a monthly basis to establish the aggregate deductible.
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Filed under: "Ask-an-Advisor", Glossary Terms, Health Economics, Health Insurance, Risk Management | Tagged: aggregate stop-loss insurance, Health Insurance, individual stop-loss insurance, PEPM, Risk Management, stop loss insurance | Leave a comment »
UPDATE: P&G, Stocks and Home Mortgage Rates
Posted on July 30, 2022 by Dr. Marcinko
By Staff Reporters
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Procter & Gamble (PG) warned hat consumers were beginning to pull back on their spending as inflation concerns mount. P&G posted 7% sales growth during its most recent quarter ending June 30, its strongest growth in years. The company was able to push through higher prices on consumers. But its sales volumes declined 1% last quarter, a sign consumers were dialing back.The company forecast sales growth of between 3% and 5% for its upcoming fiscal year, down from 7% during its latest fiscal year. On a call with analysts Friday, P&G leaders said that while consumers are still buying household necessities, they are beginning to alter their purchasing behavior. For example, consumers are not stocking up their pantries as much as they were early in the pandemic, and they’re buying more private-label brands, particularly in paper goods. As shoppers are “more exposed to inflation broadly in the marketplace with the highest inflation in 40 years, it’d be naive to assume the consumer is not looking at their cash outlay,” P&G finance chief Andre Schulten told analysts. P&G’s stock fell 5% during midday trading.
The S&P 500 was up 1.3% as of 2:18 p.m. Eastern, while the NASDAQ was up 1.6%. Both indexes are on pace to end July with the biggest gains since November 2020. The Dow Jones Industrial Average was up 0.8%. Positive earnings news from Apple and Amazon, as well as oil giants Exxon and Chevron, helped put traders in a buying mood.
CITE: https://www.r2library.com/Resource/Title/082610254
- The average rate on the popular 30-year fixed home mortgage fell to 5.22% from 5.54%. “This is an exceptionally fast drop!” wrote Matthew Graham of Mortgage News Daily. The rate fell even further today to 5.13%. The slide in mortgage rates came after a negative GDP report and the Fed’s latest interest rate hike.
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Filed under: Alerts Sign-Up, Glossary Terms, Health Economics, Healthcare Finance, Investing, LifeStyle | Tagged: home mortgage rates, mortgage rates, mortgages, NASDAQ, P&G, Procter & Gamble, S&P 500, stocks | Leave a comment »
PODCAST: Google Launches Health Insurance Stop-Loss Company
Posted on July 30, 2022 by Dr. Marcinko
By Eric Bricker MD
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Google Starts Stop Loss Company Called Coefficient
Coefficient Will be a Part of the Verily Healthcare Subsidiary Within Google. Coefficient Will Also Be in Partnership and Partly Owned by the Giant, International Reinsurance Company Swiss Re.
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Filed under: "Ask-an-Advisor", Breaking News, Career Development, Experts Invited, Health Economics, Health Insurance | Tagged: Coefficient, Eric Bricker MD, google, Google Stop-Loss Company, Insurance Stop-Loss, Swiss Re, Verily Healthcare | Leave a comment »
GENERAL ELECTRIC: Tri-Partite Company Spin-Offs
Posted on July 30, 2022 by Dr. Marcinko
By Staff Reporters
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ICYMI: After a celebrated 130-year brand history, last fall GE announced plans to create three new, publicly traded companies, building on its heritage of innovation while marking a new beginning.
CITE: https://www.r2library.com/Resource/Title/082610254
And now, these planned companies have names. So meet the three ways GE plans to evolve from building a world that works to creating a future that does, too:
- GE HealthCare signals continued confidence and trust from clinicians and will bring better outcomes for patients and health systems.
- GE Vernova represents GE’s portfolio of energy businesses and commitment to leading the global energy transition.
- GE Aerospace points to a new era of possibility in aerospace and defense for the company’s aviation business.
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Filed under: Glossary Terms, Health Economics, Investing | Tagged: GE, GE Aerospace, GE Healthcare, GE Vernova, general electric | Leave a comment »
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