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25Feb, 2021

United States Healthcare 2021: Part 2

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In our last blog, we broadly described what we think the healthcare agenda for President Biden is likely to look like. We purposely omitted discussing his nominee for Secretary of the Department of Health and Human Services (HHS), Mr. Xavier Becerra, currently the 33rd Attorney General of California, as we believe it is inappropriate to comment on a nominee until confirmed. Let us begin by looking at the projected budget for HHS. The HHS budget for 2021, as approved in 2020 (excluding subsequent COVID-19 emergency appropriations), was US$1.4 trillion. Without a […]
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20Jan, 2021

United States Healthcare 2021: Intro

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United States Healthcare 2021 Today, we can close the chapter on an incredibly divisive and disruptive historic election period here in the United States. President Biden has been inaugurated, and this change in administration is guaranteed to bring changes to healthcare for Americans in 2021 and beyond. First, let us be realistic that healthcare has been a major topic of presidential elections going back over 100 years. Second, other than restricting the Affordable Care Act (ACA) also known as Obamacare, the Trump administration had modest impact on healthcare. From our […]
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11Jan, 2021

Projected Impact on Healthcare from a Biden Administration

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by Noel J. Guillama, President OXIO Health, Inc. January 8, 2021 U.S. Healthcare Industry – Projected Healthcare Impact from a Biden Administration Since Theodore Roosevelt, American presidents have endeavored to reform healthcare. President Trump ran in 2016 on a platform of “repealing and replacing Obamacare” or the Affordable Care Act (ACA); however, no new plan has emerged. Even in the 2020 election, President Trump did not propose a new healthcare plan. On the other hand, Vice President and now President-elect Joseph R. Biden Jr. ran on a plan to strengthen […]
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7Dec, 2020

OXIO Health® Portfolio Company Executes Letter of Intent

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Greenacres, Florida, USA (December 7, 2020) – OXIO Health, Inc.® (“OXIO”) announces today that Total Care Medical Group, Inc. (SM) (TCM), a subsidiary of one of its Portfolio companies, Total Care America(SM), Inc. (TCA), has executed a Letter of Intent (LOI) to acquire its first medical practice in Central Palm Beach County, Florida. The practice being acquired has served the primary care needs of an estimated 10,000 patients since it was founded in 2002 and is currently serving 1,500 patients of record. The practice is served by one (1) Board […]
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5May, 2020

The United States of Healthcare(SM) (Part 10)

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A Post COVID-19 United States – Hospitals and Providers In our last blog, we commented on the challenges hospitals, both large and small, public and private, are facing as a result of the COVID-19 crisis.  The news on hospitals has been getting worse by the day.  While we see that changing, it most likely will not be this year. Last week, we heard that the U.S. GDP had contracted 4.8% as of the end of April.  That is a huge drop in GDP in a period of just two months, […]
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28Apr, 2020

The United States of Healthcare (SM) (Part 9)

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A Post COVID-19 United States – Hospitals In a recent blog, we noted that U.S.-based hospitals and hospital systems (HS) are being severely impacted by the COVID-19 pandemic.  This is counter-intuitive to what most people would assume.  Hospitals being paid by the government and insurance companies that suddenly have a huge demand for services would be making a great deal of money; however, that is not at all the case. These issues are somewhat complex, but the short answer is in the disparity between baseline cost, variable cost and most […]
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28Jun, 2018

Why does the U.S. spend so much in healthcare? (Part 2)

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In our last blog, we brought up the recent article in The Atlantic magazine, noting the title had gotten my attention: “How We Spend $3,400,000,000,000 – Why more than half of America’s healthcare spending goes to five percent of patients.”  As we stated, younger people generally don’t spend very much money on healthcare with relatively modest costs until about age 45 when the cost begins to escalate yearly. I have had the honor and pleasure to speak to numerous young people – innovators in healthcare – that are seeking to […]
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13Jun, 2018

President Trump and Prescription Drugs (Part 3)

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Whether you like, dislike, or are apathetic about President Trump, it remains a fact that he has handled nearly every issue he has faced in a non-traditional way.  It seems he will do the same with prescription drug prices in the U.S. Though drug prices account for $320 billion (USD) annually, or about 10% of total healthcare cost of over $3.3 trillion, it is disproportionally more than 10% of an actual patient’s cost.  It also has a material effect on health; a drug costing $0.50 per pill can help save […]
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23May, 2018

President Trump and Prescription Drugs (Part 1)

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Over the years, this blog has concentrated primarily on how healthcare is being changed by technology.  There are two tectonic forces that we believe are changing healthcare today and they are: digitization of healthcare and consumerism.  This combination, driven by the force of three technology savvy generations, is in fact the only thing that will change healthcare.  This change has begun and we will continue to see it transform over the next five to seven years, something that has not happened in over 70 years of conversation about healthcare reform. […]
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9May, 2018

Healthcare Transformation: Walmart & Humana (Final)

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In our last couple of blogs, we have expressed our excitement about a potential deal between Walmart (WMT) and Humana (HUM).  The latter, a company I have known very well for 20 years, as they are a dominant player in my home market in South Florida.  I have had contracts with Humana for most of my 25 years in healthcare, and a company I founded and grew to modest size is part of Humana today. I think a combination of Walmart and Humana is like none other I have seen […]
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