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I’m very skeptical of appropriateness modifiers. Computer scientist prefers paper voting. The Florida shuffle. Workers’ Comp managed care. Does culture matter for quality of care in hospitals? Should you give up on preventive care?

Why would Walmart want to buy Humana?

Walmart is a mega-retailer.  Humana is a health insurer.  Yet Walmart is in talks to either partner with or outright purchase Humana.   Why would Walmart want to do this?  My By becoming a health care provider, Walmart’s image will improve. By becoming a health care provider, Walmart stores will get more traffic as people shop…

Cigna-Express Scripts merger

Today, Cigna purchased Express Scripts for $52 billion.  This follows another mega-deal where CVS bought Aetna.  The integration of pharmacy benefit managers (PBMs) and insurers is nothing new.  Previously, many insurers managed their own pharmacy benefit.  However, as PBMs grew in size and were able to get larger discounts and rebates, in-house PBMs became less…

Volunteering is good for you

A feel good research study from Sumedha Gupta (2018): Cognitive decline among the elderly imposes a large welfare and health care cost on the individual as well as society. Little however is known about factors that can mitigate cognitive decline. Using seven waves of the Health and Retirement Study and a fixed effects – instrumental…

What if Amazon ran hospitals?

Interesting thought experiment, especially in light of the recent Amazon+JP Morgan+Berkshire Hathaway collaboration.   The N.Y. Times states that: Planning for the new company is being led by Marvelle Sullivan Berchtold, a JPMorgan managing director who was previously head of the Swiss drugmaker Novartis’s mergers and acquisitions strategy; Todd Combs, an investment officer at Berkshire…