Archive for August 23rd, 2011

Maybe AOL-Time Warner merger was just ahead of it’s time.

August 23, 2011

Counter to the popular view that the AOL-Time Warner merger was one of the worst predictable merger disasters in history, I’ve long argued that the merger made perfect sense but was poorly implemented – largely because top management under-managed the post-transaction combination.

Now, Nicholas Jackson says in The Atlantic that “Maybe, a Second AOL-Time Warner Marriage Would Work Better

Why?

“When the two companies first merged back in 2001, they had competing interests. Today, they’re both focused on creating content.”

He says:

The idea behind the 2001 merger sounded perfect: one of the world’s largest distributors of online content meets one of the world’s most recognized content-making companies.

But the companies were too different, and their mismatch led to failure.

Now, everything has changed.

AOL is, primarily, a content company.

“AOL is singularly focused on becoming the next great media company for the digital age, being rich, engaging and easy to find content and experiences for consumers and best-in-class environment for advertisers,”

Bottom line: Merging two content companies might make sense, and TW has the resources to re-acquire AOL.

Unlikely, but interesting ….

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Medicaid eye-opener: 1/3 of spending to nursing homes …

August 23, 2011

When most people (i.e. me)  think of Medicaid, they think of gov’t funded medical care for the poor.

Surprised me to learn that about 1/3 of Medicaid spending supports elderly patients in long-term care facilities (e.g. nursing homes).

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Source

* * * * *

According to the Georgetown Health Policy Institute:

“Although most long-term care is provided by family members on an unpaid basis, most of the nation’s long-term care spending (75%) is
concentrated on nursing home care, and Medicaid, the nation’s health care program for poor and low income Americans, is the largest source of payment for that care.”

Some basic stats:

  • Over 1 million total Medicaid nursing facility residents
  • Over 400 million Medicaid nursing facility days per year
  • Medicaid nursing facility per diem rate ~ $85

“Nearly half of the nation’s nursing home bill was paid by Medicaid in 2003, while just over a quarter was paid out-of-pocket, and less than 10 percent was covered by private insurance.”

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Source

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