Thursday, April 30, 2020

'Sell in May and Go Away,' as They Say


Statistically, owning stocks from Nov. 1 until April 30 of each year and getting out of the market for the other half of the year has been a winning strategy. Since both of their inceptions, the S&P 500 and Dow Jones Industrial Average have each gained an average of about 5% during the November-to-April period, and only 2% from May through October. That historical tendency to underperform has led to the Wall Street adage “sell in May and go away.” 
There are many reasons for the underperformance during the summer and early fall months. A big one is that some of the market’s biggest crashes have come during that time—2020 so far not included. And trading volume tends to be slightly lower, possibly amplifying sudden swings in the market.
As spring arrives, flowers start to appear, and it signals for investors to sell their stocks and take some time off, so they say. Exciting new vacation destinations might be difficult to find this year given physical distancing requirements, but the case for paring back some market exposure on May 1 is worth considering nonetheless.
Since Nov. 1, 2019, the S&P 500 has slipped 4%. Of course that number obscures some unprecedented volatility. The index rose 11% from November through late February, tumbled 34% in the next month, and immediately bounced back. Since March 23, the S&P 500 is up 32%.
Historical track record aside, there are some good reasons to be cautious about the market in the near future. The S&P 500 has gained nearly a third since late March, but amid the coronavirus pandemic, the road to recovery for the U.S. economy is going to be a long and uneven one. That means it could be time for stocks to at least take a breather.
“Stocks are up more than 30% from the March lows, suggesting a well-deserved pullback during these troublesome months is quite possible,” LPL Financial Senior Market Strategist Ryan Detrick wrote today.
And the potential pitfalls are numerous. Chief among them: If beginning to open the valve of economic activity results in a significant uptick in new coronavirus cases, expectations of a quick return to normality from here may prove to be too optimistic. The market won’t like that a bit.

Big Tech's Big Weight


By Nicholas Jasinski |  Thursday, April 30
Not the Cruelest Month. A dose of dire economic data from both sides of the Atlantic knocked stock indexes lower today. Jobless claims, retail spending, and gross domestic product figures all illustrated the depths of the coronavirus shutdown's impact on economies across the globe. 
But you wouldn't know it from the past month of stock market action. The S&P 500 ticked down 0.9% today, to end April up 12.7%—its largest one month percentage gain since January 1987. The Dow Jones Industrial Average dropped 1.2% today, for a 11.1% gain in April, and the Nasdaq Composite slipped 0.3%, to close the month up 15.4%.
The Department of Labor reported this morning that another 3.8 million people filed initial claims for unemployment benefits last week, bringing the total newly out of work since the coronavirus struck the U.S. economy to more than 30 million. A separate report showed that consumer spending fell 7.5% in March from a month earlier—the biggest monthly drop on record—as many consumers held back on all but essential purchases.
Across the pond, data showed that eurozone GDP dropped 3.8% in the first quarter. Christine Lagarde, head of the European Central Bank, warned that the region's economy could contract by 5% to 12% this year, depending on how long economically disruptive efforts to contain the spread of coronavirus remain in place. The ECB said it would lower interest rates on existing loans to banks and offer new long-term loans, but chose not to scale up a bond-buying initiative called the Pandemic Emergency Purchase Program. Investors were disappointed, having hoped the size of the program would be increased.
European stock indexes fell after Lagarde spoke, with beleaguered European banks especially hard hit by the announcement. The Euro Stoxx 600 index closed down 2%, while the Euro Stoxx Bank Index fell another 5.5% today after already having lost nearly half its value since February.
Amazon.com and Apple added their first-quarter reports to the parade of earnings releases out this week. Contrary to strong results from fellow tech behemoths Alphabet, Facebook, and Microsoft over the past two days, theirs were decidedly more mixed.
Amazon's revenues soared from a year ago as stuck-at-home consumers ordered more goods on the website, but costs also jumped as a result of new safety measures and other coronavirus-related expenses. Apple beat Wall Street estimates, but suffered a 7% drop in iPhone sales and withdrew its guidance for the rest of the current quarter. Both companies' shares were down in after-hours trading.
Still, three out of five ain't bad. And there was quietly a lot riding on how big tech did over the past three days. The group is responsible for a nearly a quarter of the S&P 500's market value, up several percentage points from the start of the year. For comparison, the entire beaten-down energy sector is under 3% of the index's market value.
So just a 5% drop for the big five would take a nearly 50% tumble for the energy sector to have the same impact on the S&P 500.

Some Texans may continue receiving unemployment if they can’t return to work

Gov. Greg Abbott on Thursday announced new guidance to allow workers who cannot return to work because of certain health-related concerns to continue receiving unemployment benefits from the state.

"As the Lone Star State begins the process of safely and strategically opening the economy, our top priority is protecting the health and safety of all Texans—especially those who are most vulnerable to COVID-19," Abbott said in a statement. "This flexibility in the unemployment benefit process will help ensure that Texans with certain health and safety concerns will not be penalized for choosing not to return to work."

Previously, workers could be taken off unemployment if they received an offer of "suitable work" and refused it. But Abbott’s new guidance to the Texas Workforce Commission, gave a list of reasons that would allow Texans with health concerns to continue receiving unemployment.

Here is the list for who qualifies.

Abbott’s reopen plan is short on triggers for easing or tightening measures, experts say

Gov. Greg Abbott says he is relying on data and doctors to gradually reopen the state beginning Friday, when Texans will be able to visit restaurants, malls and movie theaters in limited numbers.

The phased restart will be monitored through increased testing and tracking of new coronavirus cases, a move all experts say is necessary. By mid-May more businesses could open up, barring a sharp rise in COVID-19 cases, Abbott says.

But where the plan is long on hope, it’s short on goals or quantifiable triggers the state will use to decide whether to further relax social distancing or ramp it back up, experts say.

California Sees Calls to Suicide Hotlines Skyrocket

From the story: In February, Levitan and her colleagues — 70 full-time staff members and 215 volunteers — took 22 calls on the suicide and disaster helplines related to coronavirus. In March, that number soared to 1,800 calls — more than an 8,000% increase (OC Register).  Meanwhile, the governor of California is being accused of hiding his billion dollar coronavirus mask deal (Sacramento Bee). 

Study Finds Smokers Less Likely to Get Coronavirus

Prompting this:  “…the researchers insisted they were not encouraging the population to take up smoking, which carries other potentially fatal health risks and kills 50% of those who take it up” (The Guardian).  Also complicating the things-we-thought-we-understood-about-COVID-19: a study claims two-thirds of seriously ill patients didn’t have a fever (ABC News).  

Add to that, a medical journal says closing schools may not be helping (The Lancet).  

But wait, there’s more!  The FDA says there’s no evidence you can get the virus through food. From the story: There’s still a risk of catching the bug when restocking your pantry. But you’re more likely to be infected by someone coughing inside the store than by touching your groceries, said Dr. Leana Wen, the former Baltimore health commissioner (NY Post). 

Americans are Suffering from Quarantine Fatigue

And many are getting out, regardless (NY Post).  They’re swarming the beaches of California (Washington Times).  John Fund looks at the Hong Kong Flu of the late 60’s that is similar to this one and killed a million people worldwide (National Review).

COVID Deaths Fall to Lowest Single Day Level Since April 6

According to the COVID Tracking Project (Twitter).  But several sites tracking daily deaths and cases (NY TimesJohns HopkinsWorldometersOur World in Data) are not on the same page.  From another story: In an appearance on Fox News’ “Watters World,” Birx indicated that the number of COVID-19 cases and deaths are expected to drastically decrease next month. “We believe that both the hospitalizations, the ICU need, and frankly, the number of people who have succumbed to this disease will be dramatically decreased by the end of May,” she said (Red State). 

Governors Nationwide Weigh Pros and Cons of Opening Up

Some more cautious than others (NY Times).  

Meanwhile, Virginia Health Commissioner Norman Oliver said Democratic Gov. Ralph Northam’s “Phase One” coronavirus response plan could last two years (Washington Examiner).  

From a fascinating story at the Wall Street Journal: No conclusions can be drawn about the states that sheltered quickly, because their death rates ran the full gamut, from 20 per million in Oregon to 360 in New York. This wide variation means that other variables—like population density or subway use—were more important. Our correlation coefficient for per-capita death rates vs. the population density was 44%. That suggests New York City might have benefited from its shutdown—but blindly copying New York’s policies in places with low Covid-19 death rates, such as my native Wisconsin, doesn’t make sense (WSJ).  

Because the jobs can’t be done from home, Las Vegas is seeing a particularly daunting unemployment rate (NY Times).  

Girl scouts are getting a federal recovery loan to offset lost cookie sales (Washington Times).  

Florida Delivering Robotic Dogs to Keep Elderly Company

They believe fake dogs will make them happy.

NY Post

California Governor Cracks Down: Closing All Beaches Starting May 1st

According to Fox LA reporter Bill Melugin, a bulletin “will be sent out to all California police chiefs notifying them that tomorrow, Governor Newsom will announce the closure of ALL beaches and state parks effective May 1st in response to recent beach crowds in OC” (Twitter).  

From Ben Shapiro: This is a terrible idea. All that will happen is that people will drive to city parks. That’s precisely why there was overcrowding in Newport: they shut down beaches in LA. It is a very good thing for people to be outside, so long as they are socially distancing (Twitter).  

From Karol Markowicz: Between this and the announcement Cuomo made that they are just now going to start sanitizing the subway…I’m starting to feel like the rock star governors aren’t actually doing that good a job. It’s too late to do something like this. It’s time to go in the other direction (Twitter).  

Meanwhile, more and more people in more and more cities are demanding a chance to start life again (Washington Examiner).  

There’s a rally planned for Ventura, California (WeHaveRights). 

FDA Considering Quick Greenlight to Drug Helping COVID-19 Patients

From the story:  Federal health regulators are exploring whether to greenlight the emergency use of a Gilead Sciences Inc. GILD 5.68% drug in serious Covid-19 patients, after U.S. government researchers reported the therapy helped the patients recover faster (WSJ).  

From Dr. Fauci: “What it has proven is that a drug can block this virus” (ABC News).  

More good news from another story: The pharmaceutical giant Pfizer said Tuesday that a new coronavirus vaccine could be tested as early as next week — with the potential for emergency use by fall, a report said Tuesday (NY Post). 

Meanwhile, The New York Times is putting names, faces and stories to many who have died (NY Times). 

CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes


Centers for Medicare & Medicaid Services
Quality Payment Program

CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes

Commission will comprehensively examine best practices in responding to COVID-19 in nursing homes

As a part of President Trump’s Opening Up America Again effort, the Centers for Medicare & Medicaid Services (CMS) announced a new independent Commission that will conduct a comprehensive assessment of the nursing home response to the 2019 Novel Coronavirus (COVID-19) pandemic. The Commission will provide independent recommendations to the contractor to review and report to CMS to help inform immediate and future responses to COVID-19 in nursing homes. This unprecedented effort builds upon the agency’s five-part plan unveiled last April to ensure safety and quality in America’s nursing homes, as well as recent CMS efforts to combat the spread of COVID-19 within these facilities.  Tomorrow marks the beginning of Older Americans Month and, as we take this time to honor seniors, CMS remains committed to enacting policies that benefit our Nation’s seniors. 



CMS NEWS: CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes 


Centers for Medicare & Medicaid ServicesCMS.gov News Room

CMS NEWS

FOR IMMEDIATE RELEASE
April 30, 2020
Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries

CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes 

Commission will comprehensively examine best practices in responding to COVID-19 in nursing homes

As a part of President Trump’s Opening Up America Again effort, the Centers for Medicare & Medicaid Services (CMS) announced a new independent Commission that will conduct a comprehensive assessment of the nursing home response to the 2019 Novel Coronavirus (COVID-19) pandemic. The Commission will provide independent recommendations to the contractor to review and report to CMS to help inform immediate and future responses to COVID-19 in nursing homes. This unprecedented effort builds upon the agency’s five-part plan unveiled last April to ensure safety and quality in America’s nursing homes, as well as recent CMS efforts to combat the spread of COVID-19 within these facilities.  Tomorrow marks the beginning of Older Americans Month and, as we take this time to honor seniors, CMS remains committed to enacting policies that benefit our Nation’s seniors. 

“Safeguarding the health and, promoting the wellbeing and quality of life, of the most vulnerable and fragile citizens is a top priority for CMS,” said CMS Administrator Seema Verma.  “CMS has repeatedly taken early unprecedented, aggressive and decisive action to protect nursing home residents during this pandemic.  And today, we are taking it one step further by asking that an independent Commission provide recommendations to further enhance efforts at the federal, state and local level, and help strengthen the Nation’s response to Coronavirus and keeping residents safe in nursing homes.”

Building on the Trump Administration’s actions to protect seniors, the Commission will help inform efforts to safeguard the health and quality of life of vulnerable Americans as CMS continues to battle COVID-19 as well as preparing for future threats to resident safety and public health.  The Commission will include leading industry experts, family members, clinicians, resident/patient advocates, medical ethicists, administrators, academicians, infection control and prevention professionals, state and local authorities, and other selected experts. It is expected to convene in late May and develop recommendations on three key tasks:
  • Putting nursing home residents first by ensuring they are protected from COVID-19 and improving the responsiveness of care delivery to maximize the quality of life for residents.

  • Strengthening efforts to enable rapid and effective identification and mitigation of COVID-19 transmission (and other infectious disease) in nursing homes; and

  • Enhancing strategies to improve compliance with infection control policies in response to COVID-19.
Additionally, the Commission will focus on identifying potentially innovative approaches to using nursing home data to allow for better coordination between federal surveyors, state and local entities, and nursing homes to address the current spread of COVID-19 in nursing homes.  The Commission will also use data to assess efforts across the country to stop or contain the virus within these facilities. Additional information related to the Commission will be available soon.
“As we get ready to celebrate Older Americans Month, it is a reminder of how important the work we do at CMS is to ensuring seniors have access to quality care, not only during times like this, but at all times,” said CMS Administrator Seema Verma.  “CMS will continue to use every tool at our disposal to protect the beneficiaries we serve.”

The new Commission is the most recent action in the Trump Administration’s rapid and aggressive response to the COVID-19 pandemic. The full list of CMS Public Health Action for Nursing Homes on COVID-19 to date is in the chart below. 


CMS Public Health Action for Nursing Homes on COVID-19 as of April 30, 2020

February 6, 2020
CMS took action to prepare the nation’s healthcare facilities for the COVID-19 threat.
March 4, 2020
CMS issued new guidance related to the screening of entrants into nursing homes.
March 10, 2020
CMS issued guidance related to the use of personal protective equipment (PPE).
March 13, 2020
CMS issued guidance for a nationwide restriction on nonessential medical staff and all visitors.
March 20, 2020
CMS announced a suspension of routine inspections, and an exclusive focus on immediate jeopardy situations and infection control inspections.
March 30, 2020
CMS announced that hospitals, laboratories, and other entities can perform tests for COVID-19 on people at home and in other community-based settings outside of the hospital – including nursing homes.
April 2, 2020
CMS issued a call to action for nursing homes and state and local governments reinforcing infection control responsibilities and urging leaders to work closely with nursing homes on access to testing and PPE. 
April 15, 2020
CMS announced the agency will nearly double payment for certain lab tests that use high-throughput technologies to rapidly diagnose large numbers of COVID-19 cases.
April 19, 2020
CMS announced it will require nursing homes to report cases of COVID-19 to all residents and their families, as well as directly to the CDC. On April 30, 2020, CMS codified this guidance. 
April 30, 2020
CMS awarded a contract which includes a new Commission to advise the contractor for reporting to CMS on addressing patient safety in safety and quality in nursing homes.

CMS also released guidance to State Survey Agencies for the award and administration of supplemental funding provided by the Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136). For information on the CARES Act grants to State Survey Agencies, visit: https://www.cms.gov/files/document/cares-act-financial-guidance-state-survey-agencies.pdf
This action, and earlier CMS actions in response to the COVID-19 virus, are part of the ongoing White House Task Force efforts. To keep up with the important work the Task Force is doing in response to COVID-19 click here www.coronavirus.gov. For information specific to CMS, please visit the Current Emergencies Website.

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Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter CMS Administrator @SeemaCMS, @CMSgov, and @CMSgovPress.
Press Office, Centers for Medicare & Medicaid Service

Trump Administration Issues Second Round of Sweeping Changes to Support U.S. Healthcare System During COVID-19 Pandemic


Centers for Medicare & Medicaid Services

Trump Administration Issues Second Round of Sweeping Changes to Support U.S. Healthcare System During COVID-19 Pandemic


At President Trump’s direction, and building on its recent historic efforts to help the U.S. healthcare system manage the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services today issued another round of sweeping regulatory waivers and rule changes to deliver expanded care to the nation’s seniors and provide flexibility to the healthcare system as America reopens. These changes include making it easier for Medicare and Medicaid beneficiaries to get tested for COVID-19 and continuing CMS’s efforts to further expand beneficiaries’ access to telehealth services.
Full press release
Centers for Medicare & Medicaid Services (CMS) has sent this Center for Medicare and Medicaid Innovation (CMMI) Update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.

Trump Administration Issues Second Round of Sweeping Changes to Support U.S. Healthcare System During COVID-19 Pandemic


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New Frequently Asked Questions on EMTALA


 
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Medicaid.gov
CMS issued Frequently Asked Questions (FAQs) clarifying requirements and considerations for hospitals and other providers related to the Emergency Medical Treatment and Labor Act (EMTALA) during the COVID-19 pandemic. The FAQs address questions around patient presentation to the emergency department, EMTALA applicability across facility types, qualified medical professionals, medical screening exams, patient transfer and stabilization, telehealth, and other topics.
Frequently Asked Questions


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COVID-19 in Rural America – Is There Cause for Concern?


KFF
Just Released
COVID-19 in Rural America – Is There Cause for Concern? 
While to date big cities and major urban areas have seen the greatest number of coronavirus cases and deaths, a new KFF analysis finds the growth rate is now higher in rural areas, where the population tends to be older, younger people are more likely to have high-risk health conditions, and there are fewer intensive-care beds.
The analysis finds that in the two-week period ending April 27, non-metro, mostly rural counties saw a 125% increase in coronavirus cases (from 51 to 115 cases per 100,000 people) and a 169% increase in deaths (from 1.6 to 4.4 deaths per 100,000 people). Meanwhile, metro counties saw a 68% increase in cases (from 195 cases per 100,000 people to 328) and a 113% increase in deaths (from 8.0 deaths per 100,000 people to 17.0).
TWITTER - Rural vs Urban COVID Rates_1-1
Some counties with the highest rates of cases and deaths are located in Georgia, Oklahoma and Montana, which are beginning to ease social-distancing measures originally implemented to slow the spread of coronavirus. The analysis suggests such states could face particular challenges in easing such restrictions, given recent case and death trends in their rural counties.
Read the Issue Brief
Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.
Contact:
Craig Palosky | (202) 654-1369 | cpalosky@kff.org
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