Relevant and even prescient commentary on news, politics and the economy.

Value-based payment has produced little value. It needs a time-out

Kip Sullivan sent this article to me a while back and it was posted. I am starting to see more activity on Value-based-care as an alternative to Fee For Service. The question arises as to how does one measure value received from the care under this regime. It is difficult to measure the value and […]

April JOLTS report noisily shows continued deceleration

New Deal democrat has been doing JOLTS reports for a long time. Some of you may understand what NDd is discussing and some may not. Just a quick one liner to help you understand why this is important. JOLTS is a monthly survey of U.S. job vacancies, hiring, and job separations released by the Bureau […]

May 30, 2023 – Letters from an American

What looked like it could be catastrophic for the nation, its people, and its economy, the results coming from a so-called too old eighty-year old man negotiating the US budget appears to be far better than expected. And far better than what Repubs are offering up. Now it is up to the House to put […]

The U.S. Needs to Reimagine Its Pharma Supply Chain

I agree with the author’s reasoning for domestic supply manufacturing. I have battled the issues with pharma, medical supply, and also food manufacturing. Batches are problematic as well as the USDA and FDA labeling requirements. You wait for approvals. As of August 2019, 28 percent of the manufacturing facilities producing active pharmaceutical ingredients (APIs – […]

House prices may have bottomed, YoY price increases (leading inflation) have declined

House prices may have bottomed, while YoY price increases (leading inflation) have declined to lower than their 25-year average  – by New Deal democrat Seasonally adjusted house prices through March as measured by both the FHFA (light blue in the graphs below) and Case Shiller (dark blue) Indexes rose, the former by 0.7% and the […]

Laboratory Benefit Managers on the Horizon?

I read through this short report on Laboratory Benefit Managers which included commentary on Pharmacy Benefit Managers. My overall opinion is they are middlemen and as such they add cost to the delivery of healthcare. The explanation does provide insight. The Time is Now for Laboratory Benefit Management, Managed Heathcare Executive, April 2022. PBMs Explained […]

Tracking States Implementing Medicaid’s Postpartum Coverage Extension

As taken from an earlier post on a woman’ healthcare. There are quite a few issues which can arise while a woman gives birth which I detailed in the 2019 post. Having good healthcare insurance is a big factor in having safe deliveries before, during, and after a birth. The first line of this section […]

April report for real personal income and spending adds to the evidence that a cyclical peak might ultimately be dated to January

April report for real personal income and spending adds to the evidence that a cyclical peak might ultimately be dated to January  – by New Deal democrat As I’ve repeated for the past several months, at present the report on personal income and spending is co-equal to the employment report as the most important monthly […]

Initial claims: revisions rear their ugly head again

Initial claims: revisions rear their ugly head again  – by New Deal democrat Revisions are a permanent hazard in reporting on economic data. That was very much in evidence in this week’s jobless claims report. Not only was last week’s number revised down by -17,000, but the initial report of 264,000 two weeks ago is […]

Financial markets in past fiscal crises; the “gold standard” of employment reports . . . big deceleration in Q4 of last year

Financial markets in past fiscal crises; the “gold standard” of employment reports shows big deceleration in Q4 of last year – by New Deal democrat I have a post up at Seeking Alpha on how stocks, bonds, and consumers behaved during the 3 fiscal crises of the last decade. Hint: recessions are always disinflationary. Also of […]