Wednesday, November 30, 2022

Perigon acquires $330 million RIA

Perigon acquires $330 million RIA


Nauset Wealth Management, based in Westport, Connecticut, was founded in 2000 by Michael Lombardo.

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CFP Board, Foundation for Financial Planning partner on pro bono

CFP Board, Foundation for Financial Planning partner on pro bono

The two financial planning organizations will work together to make pro bono opportunities, training and resources available to all CFPs.

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Last chance to switch Medicare drug plans and save

Last chance to switch Medicare drug plans and save

Last chance to switch Medicare drug plans and save

Most beneficiaries who stay in their current plans will pay more in 2023, and Medicare open enrollment, which lets beneficiaries change plans, ends next week.

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“I was smiling yesterday, I am smiling today and I will smile tomorrow. Simply because life is too short to cry for anything.”

Quote of the Day

In Other News

 

 

“I was smiling yesterday, I am smiling today and I will smile tomorrow. Simply because life is too short to cry for anything.”

- Santosh Kalwar

Never too late to learn

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Never too late to learn

At 84 years old, Ernie Puffett returned to school to finally fulfill his dream of passing his physics exam and finishing his secondary education.


Oklahoma Nonprofit Offers Tiny Homes to Unhoused Young Adults

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Pivotokla / Instagram

 

Of the roughly 23,000 children who age out of the foster care system each year, around 20% become instantly homeless at age 18. A nonprofit in Oklahoma is working to help them and other unhoused young adults find shelter by offering tiny homes at a low rate.

The organization, aptly named Pivot, aims to be “a turning point for youth.” In addition to housing, which starts at $100 a month for a 300-square-foot home, Pivot provides residents with lessons in life skills to get them off on the right foot and end the homelessness cycle.

“A lot of times they’re not aware of what are the steps to get down that path, because they don't necessarily know what the resources are, or where to go [in the] community to get that kind of access,” CEO Jennifer Goodrich told CBS News.

Dachiana Barry, 20, had nowhere to go after leaving foster care and now lives in one of Pivot’s 26 tiny homes. She said it was an opportunity she couldn’t pass up: “I’m very appreciative of what I have right now, what I was provided with, because I didn’t have anything.”

Explore the Tiny Homes


New homes might cost more as Fort Worth increases fees for road construction

New homes might cost more as Fort Worth increases fees for road construction

Rapid growth has overwhelmed roads surrounding new development.


Amid surge in flu, RSV cases, Fort Worth schools remind parents of absence policy

Amid surge in flu, RSV cases, Fort Worth schools remind parents of absence policy

Fort Worth ISD reminds parents a doctor’s note is not required for an excused absence. Cook Children’s offers guidance for parents.


Tim Tebow on a Mission-Driven Life: “Every day, you have a chance to impact the people you’re around”

Eric Metaxas talks with Tim Tebow about the football great's new 365-day devotional, "Mission Possible"

Eric Metaxas: Folks, welcome to the program. I often ask people like, have you won the Heisman Trophy? Some people go, yeah. Then I go, well, have you won it twice? And they go, no. Well, that’s where they and I differ with my current guest. His name is Tim Tebow, and it’s always a joy to have...

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More Americans Than Ever Choose to Be Alone, Which Leads to Anxiety and Depression

Washington Post: The covid-19 pandemic wreaked havoc on our social lives. Cancellations, closures and fear of a potentially deadly infection led us to hunker down and avoid acquaintances, co-workers and extended family. Time spent with friends went down. Time spent alone went up. And now for the scarier news: Our social lives were withering dramatically before covid-19 (Washington Post). 

Reporter Derek Thompson: There is a 100% chance that this graph is a core reason for America’s surge of anxiety and depression. Time spent with other people has plummeted—for every age group, ethnicity, gender, geography, and income level (Twitter).

Homebuyers Must Earn Six Figures to Afford Median Priced Homes, Prices Skyrocketed by 45 percent from 2021

Daily Wire: Homebuyers in the United States must earn six-figure salaries in order to afford a median-priced home, according to an analysis from real estate brokerage Redfin. As housing prices remain elevated and the monthly mortgage payment on the typical home surges more than 45% since the same time last year to reach $2,682, the annual salary required to afford such a property has increased from $73,668 to $107,281. Average hourly wages have nominally increased 5% over the same period as inflation continues to erode consumer purchasing power (Daily Wire).

Reusing plastic for food

Reusing plastic for food: A man pictured above works to grow baby leafy greens on a reusable substrate made from recycled plastic bottles. Vertical farms like these help producers grow more fresh food. Pictured at top, a scuba diver swims beneath a school of horse-eye jack fish in a nature preserve off Mexico’s Baja Peninsula. New research shows such preserves benefit animals—and humans. 

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Advocate Aurora plans to hike rates at Wisconsin locations

Advocate Aurora plans to hike rates at Wisconsin locations

 

The Midwest hospital system said the increases are necessary to offset continued market and industry challenges compounded by inflation, inadequate reimbursement rates and ripple effects from the COVID-19 pandemic.

Bernie Sanders poised to lead Senate health committee

Bernie Sanders poised to lead Senate health committee

 

The longtime proponent of universal healthcare is set to become chair of the Health, Education, Labor and Pensions Committee. Sen. Bill Cassidy, R-La., is in line to be the committee’s ranking member.

CMS threatens citations for hospitals without appropriate workplace safety practices

CMS threatens citations for hospitals without appropriate workplace safety practices

The agency published a memo Monday reminding hospitals of their "regulatory obligation" to safety practices as well as their healthcare workers' right "to provide care in a safe setting."

Deep learning AI could predict heart disease death from a chest X-ray 10 years out: study

Deep learning AI could predict heart disease death from a chest X-ray 10 years out: study

“What we've shown is a chest X-ray is more than a chest X-ray,” said Jakob Weiss, M.D., lead author of the study 

J&J unit, happy with AC Immune Alzheimer's work, moves 1 of 2 shots to next step

J&J unit, happy with AC Immune Alzheimer's work, moves 1 of 2 shots to next step

Janssen has picked a tau vaccine from its collaboration with neurodegenerative-focused biotech AC Immune to advance into further development.

More vaccinated than unvaccinated died from COVID-19 in August: analysis

More vaccinated than unvaccinated died from COVID-19 in August: analysis

Vaccinated individuals still stand a much greater chance of surviving COVID-19 than unvaccinated individuals. Still, scientists keep a wary eye on troublesome trends.

J&J's Ethicon, CMR Surgical pair up on minimally invasive robotic surgery

J&J's Ethicon, CMR Surgical pair up on minimally invasive robotic surgery

The collaboration will see CMR and Ethicon’s sales teams offer their respective portfolios bundled together, starting in select hospitals in Europe and Brazil.

UK regulators warn of ocular side effects after treatment with Sanofi's Dupixent

UK regulators warn of ocular side effects after treatment with Sanofi's Dupixent

After five years of Dupixent’s reign for Sanofi, the U.K.'s medicines regulatory agency is warning about risks of ocular side effects. The regulator asked patients and healthcare providers to look out for sudden changes in vision or eye pain after treatment. Patients are asked to “promptly report” new or worsening symptoms.

Sanofi's sleeping sickness drug cures 95% of people in phase 2/3 trial, boosting plan to stop transmission

Sanofi's sleeping sickness drug cures 95% of people in phase 2/3 trial, boosting plan to stop transmission

Sanofi’s oral sleeping sickness candidate acoziborole has achieved 95% efficacy in a late-phase clinical trial, delivering a boost to a global push to interrupt transmission of the parasitic disease by 2030.

UnitedHealth Group expects to bring in nearly $360B in revenue for 2023

UnitedHealth Group expects to bring in nearly $360B in revenue for 2023

UnitedHealth Group expects double-digit revenue growth in 2023, with the company's top line protected to come in between $357 billion and $360 billion next year, the company announced Tuesday.

Amgen, J&J and Sanofi size up Horizon as Big Pharma renews interest in rare disease M&A

Amgen, J&J and Sanofi size up Horizon as Big Pharma renews interest in rare disease M&A

Rare disease drug maker Horizon Therapeutics said it has drawn buyout interest from pharma juggernauts Amgen, Johnson & Johnson and Sanofi, all of which arguably have good reasons to make an M&A move.

Facing a familiar side effect problem, Eisai makes the case for its next Alzheimer's drug after patient deaths

Facing a familiar side effect problem, Eisai makes the case for its next Alzheimer's drug after patient deaths

Two deaths have dimmed the initial glow surrounding Eisai and Biogen’s next Alzheimer’s disease therapy lecanemab. But the Japanese company now has more answers on the risks patients may need to learn to accept to receive treatment.


Blue Cross trans care lawsuit tests limits of employer plan admins' liability


Controversial Illinois hospital project gets OK to move forward


Trans care and abortion bans test bounds of government's role in clinical care

Trans care and abortion bans test bounds of government's role in clinical care

The perpetual debate about who gets the final say in medical decisions is manifesting in new ways as states enact restrictions or bans on abortion and transgender healthcare.

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The Regulatory State of Play

Eakinomics: The Regulatory State of Play

One week to election day. Most observers anticipate a rearrangement of the deck chairs in Congress, with the potential for Republicans to conduct oversight of the administration’s actions. It is thus an opportune time to check in on the regulatory state. Of course, a better way to stay abreast of these activities is to receive the Week in Regulation (WIR) put out each Monday by Dan Bosch and Dan Goldbeck.

Eakinomics had expected that the Biden Administration would have a regulatory approach in the image of the Obama years, and when the first-year regulatory costs topped $200 billion, it looked like Obama on steroids. But looking at the cumulative activity for each of the past three administrations (taken from this week’s WIR) yields some surprises.



In terms of the sheer quantity of regulations, the Biden team is behind the Trump Administration and well behind the Obama-era activity. But the regulatory costs tell a very different story. The average Biden final rule costs nearly $700 million, more than double the $320 million of the Obama years; in contrast, note that the average Trump-era rule resulted in savings, not costs! A similar pattern holds for the paperwork hours. 

In terms of the economic ramifications, of course, it is the overall burden that matters and not merely the number of rules. The Biden economics team talks incessantly about the virtuous, supply-side impact of many of its policies. But it is seemingly oblivious to the reality that an ever-escalating regulatory burden can be as important a supply-chain phenomenon as COVID-related snarls.  

At least the Biden Administration has a sense of humor. As reported in the WIR on a rule regarding the Strategic Petroleum Reserve: “The rule updates DOE’s regulations in five ways. The first is to update important definitions, including, curiously, ‘DOE’ and ‘Strategic Petroleum Reserve.’” 

You can’t make this stuff up.


11 30 2022 Fact of the Day

The FDA estimates its rule regarding “Requirements for Additional Traceability Records for Certain Foods” will cost $6 billion over a 20-year window.

The Fed and Measures of House Prices

Eakinomics: The Fed and Measures of House Prices

Yesterday S&P released the September data on U.S. house prices (the S&P/Case-Shiller National Home Price Index), which is a good reminder to check in on the impact of the Fed’s tightening cycle and its impact on housing markets in the United States. (This is also a cheap way to advertise that I will be testifying on Thursday before the House Financial Services Committee on the topic of “Boom and Bust: The Need for Bold Investments in Fair and Affordable Housing to Combat Inflation.”)

What do the data show? As shown in the chart below, the level of overall home prices declined in September, the third consecutive monthly decline. The blue line shows the monthly percent change at an annual rate, while the orange line shows the percent change from the same month one year earlier. This is quite a change from the double-digit yearly increases that have prevailed since the start of 2021. Clearly the sharp rise in mortgage and other interest rates has had a dramatic impact on home prices.



Nevertheless, despite the recent decline, the level of home prices (blue line, left axis) remains well above the price levels at the start of the pandemic. See graph, below, which also reproduces the year-over-year price growth from above (orange line, right axis).



The level versus growth rate is an important distinction when we think of the “cost” or consumer price of housing. For renters, this price is simply the rent. For owners, however, the price of consuming housing is not the purchase price. Instead, the right conceptual measure is the price at which the owner would rent the unit to herself. In a competitive housing market, that price would just cover the cost of providing the house for a year.

That cost would include the cost of financing the mortgage debt, the cost of not being able to put the equity into another asset and earning a rate of return, taxes, maintenance, and so forth. These costs are all typically a fraction of the house value, so – other things being the same – a rise in the house price raises the consumer price of housing.

But there is another key component: rising house values, also known as capital gains on housing. If house prices are rising, the ability to sell at a capital gain offsets the mortgage and other costs in whole or part. Thus, if owners expect house prices to rise, this lowers the effective consumer price. But this also works in reverse. If, as now, one might expect house prices to decline, the capital loss adds to the direct interest, taxes, and other costs to raise the consumer price of housing.

All of these considerations make judging the impact of the Fed tightening on consumer housing prices a bit complicated. During the boom, the high level of house prices increased the cost, but the very rapid expected capital gains made the effective consumer price much lower. Now, the opposite is happening. Yes, the level of home prices is falling, but the expectation of a capital loss is keeping the effective monthly price much higher.


Health Matters for Women - November 2022

 

 

November 2022 

 

 

New from CDC Authors

 

New Hear Her™ American Indian and Alaska Native Maternal Health Resources Available

The National Indian Health Board and Office of Minority Health in partnership with the CDC has launched a new segment of the Hear Her™ campaign to amplify the voices of American Indian/Alaska Native people and work to improve maternal health outcomes. 

 

Crush: A Randomized Trial to Evaluate the Impact of a Mobile Health App on Adolescent Sexual Health

Mobile technology allows delivery of sexual and reproductive health (SRH) information directly to youth. This study tested the efficacy of Crush, a mobile application aimed at improving sexual health by promoting the use of SRH services and contraception among female adolescents ages 14-18 years. 

 

2gether: A Clinic-Based Intervention to Increase Dual Protection from Sexually Transmitted Infections and Pregnancy in Young African American Females

The purpose of this investigation is to determine whether the 2gether intervention increases use of a dual protection ( concurrent prevention of pregnancy and sexually transmitted infections [STIs]) strategy and decreases pregnancy and STIs among young African American females, who disproportionately experience these outcomes.

 

Use Trends and Recent Expenditures for Cervical Cancer Screening-Associated Services in Medicare Fee-for-Service Beneficiaries Older Than 65 Years

The objective of this study is to examine annual use trends in cervical cancer screening-associated services, specifically cytology and human papillomavirus (HPV) tests, colposcopy, and cervical procedures loop electrosurgical excision procedure, cone biopsy, and ablation) in Medicare fee-for-service beneficiaries during January 1, 1999, to December 31, 2019, and estimate expenditures for services performed in 2019.

 

Increased Levels of Anti-PfCSP Antibodies in Post-Pubertal Females Versus Males Immunized with PfSPZ Vaccine Does Not Translate Into Increased Protective Efficacy

While prior research has shown differences in the risk of malaria infection and sickness between males and females, little is known about sex differences in vaccine-induced immunity to malaria. This study seeks to identify such differences in order to elucidate important aspects of malaria biology and facilitate development of improved approaches to malaria vaccination.

 

Influenza Vaccination During Pregnancy and Risk of Selected Major Structural Congenital Heart Defects, National Birth Defects Prevention Study 2006-2011

Although results from studies of first-trimester influenza vaccination and congenital heart defects (CHDs) have been reassuring, data are limited for specific CHDs. This study assessed associations between reported maternal influenza vaccination, 1 month before pregnancy through end of third pregnancy month (P3), and specific CHDs using data from a multisite, population-based case-control study.

 

Embryo Donation: National Trends and Outcomes, 2004-2019

The objective of this study is to examine trends in utilization of embryo donation, pregnancy rates and live birth rates per transfer between 2004-2019 and to update current information regarding characteristics and outcomes of embryo donation cycles in order to benefit patients and providers during counseling and decision making.

 

Timing of Positive Hepatitis C Virus Test Results During and 1 Year Before Pregnancy

The incidence of hepatitis C virus (HCV) infection in reproductive-aged adults quadrupled during the past decade. Hepatitis C can progress to advanced liver disease and be transmitted perinatally. Highly effective curative hepatitis C treatment is available but is not recommended in pregnancy. Using the Surveillance for Emerging Threats to Mothers and Babies Network, this study describes timing of positive RNA testing among pregnant people with HCV (HCV RNA detected during or within one year prior to pregnancy).

 

National, State, Territorial and Local
Select Announcements, Statements, Reports, and Events from National, State, Territorial, and Local Agencies and Organizations

Quarterly Million Hearts® Self-measured Blood Pressure (SMBP) Monitoring Forum 

March of Dimes 2022 Report Card Shows U.S. Preterm Birth Rate Hits 15-year High Rates Increase for Women of All Races, Earning Nation D+ Grade

U.S. Preventive Services Task Force Issues Final Recommendation Statement on Hormone Therapy for Preventing Chronic Conditions in Postmenopausal People

Division Of Public Health's Maternal Child Health Bureau, Delaware 2-1-1 Celebrate 10 Years of Help Me Grow Delaware 

National Family Caregivers Month is a Chance to Support and be Supported - Idaho Department of Health and Welfare

New York State Department of Health Releases Issue Brief on Pregnancy Associated Deaths: #Maternalhealthmatters

Healthcare Advocates Sound Alarm About Disturbing Trends in Maternal Care Access, Especially for Black Women - Pennsylvania Department of Health

Tennessee Department of Health's Annual Pink & Pearl Campaign Back's Early Detection as the Best Protection' Against Breast and Lung Cancer

Global
Select Announcements, Statements, Reports, and Events from Global Organizations

In focus: 16 Days of Activism Against Gender-Based Violence - United Nations (UN) Women

Five Essential Facts to Know About Femicide - UN Women

Official UN Commemoration of the International Day for the Elimination of Violence Against Women

Bill & Melinda Gates Foundation Announces New Initiatives to Support Locally Led R&D for Global Health and Gender: Calls for Proposals

How Male Champions are Helping to End Gender-Based Violence in Uganda - UN Women

Driving Data-Based Progress on Violence Response and Prevention in Colombia - UN Women

U.S. Agency for International Development Announces $15 Million, Five-Year Award for Global Family Planning Partnership

World Health Organization (WHO) and FP2030 to Strengthen Cooperation for Sexual and Reproductive Health and Rights

Progress and Pathway Towards Elimination of Cervical Cancer Among Women Living with HIV - WHO

International Gynecologic Cancer Society (IGCS) Expands Gynecologic Oncology Fellowships for Improved Access to Cervical Cancer Treatment Services - WHO

Unitaid-Sponsored Programs Progress Toward the 90% Treatment Target for Women with Precancerous Lesions - WHO 

WHO Updates Recommendations to Guide Family Planning Decisions

 

 

Health Observances, December 2022

12/1 World AIDS Day

 

 

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