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  1. Milken Institute10 min

    Ross DeVol interviews Paul Kusserow of Humana

    Ross DeVol, Paul Kusserow, Ross Duvall, Paul Coussereau

    Humana completed an $800 million acquisition of Concentra to integrate occupational health services and shift care to alternative sites, aiming to reduce costly hospitalizations amid a looming global physician shortage. To address demographic pressures and a projected 130,000-physician gap by 2020, the company is leveraging a hybrid model that combines technology like sensor monitoring and telemedicine with expanded roles for nurse practitioners and "health extenders." This strategy seeks to mitigate rising costs for the 15% of members driving the majority of expenses while managing the care needs of an aging population through integrated wellness programs and algorithmic data analysis.

  2. Milken Institute6 min

    Shraga Biran

    Shraga Biran

    Shraga Beran, an Israeli attorney and author of *Opportunism*, proposes a fundamental restructuring of intellectual property laws to recognize ideas as primary economic assets rather than outdated relics. His framework challenges current employment norms by advocating for shared ownership of inventions between creators and employers, arguing that human capital should generate direct wealth for individuals. To facilitate this shift, Beran envisions a global public market where compensation is distributed via engagement metrics, effectively creating a universal system for monetizing private goods like artistic and literary works.

  3. Milken Institute7 min

    Raghuram Rajan on the U.S. Economy and Financial Regulation

    Raghuram Rajan, Jennifer Manfre

    Economic recovery since mid-2009 has been characterized by sluggish job creation and a "boring" trajectory, prompting calls for policy shifts toward long-term competitiveness through education and infrastructure reforms. While the U.S. fiscal position remains distinct from Greece, growing political polarization and unfunded liabilities significantly constrain the ability to enact necessary debt or tax measures. Furthermore, experts argue that isolated financial regulations fail to address the fundamental macroeconomic fault lines identified in the book *Fault Lines*, necessitating a broader structural approach to prevent future crises.

  4. Milken Institute8 min

    Israel Graduates to MSCI Developed Market Index, Glenn Yago on the issues

    Glenn Yago, Jennifer Manfre

    On May 26, Israel will officially transition from the MSCI Emerging Market Index to the Developed Market Index, a shift projected to reduce its index weighting from over 3% to roughly 0.3% and trigger potential capital outflows of $1.7 billion to $2.5 billion. To secure future investment, the Milken Institute report urges diversification beyond the Information Communication Technology sector and addresses structural hurdles such as the Tel Aviv Stock Exchange's low free float and excessive concentration of foreign capital. Although market liquidity remains skewed toward top corporations, Israel's resilient macroeconomic fundamentals, including unemployment rates significantly below crisis-hit peers, continue to position the nation as a relative safe harbor amidst global volatility.

  5. Milken Institute8 min

    European Debt Crisis with Komal Sri-Kumar, Senior Fellow at Milken Institute

    Komal Sri-Kumar, Jennifer Manfre, Kamal Shree Kumar

    Kamal Shree Kumar, a chief global strategist and Milken Institute fellow, critiques the European Union's flawed €750 billion response to the sovereign debt crisis by identifying solvency issues in nations like Greece and questioning the feasibility of the IMF's funding conditions. With the Euro depreciating and multiple member states violating fiscal discipline caps, the analysis predicts that either forced debt restructuring or the expulsion of marginal countries will likely occur within weeks. These escalating Eurozone instabilities pose direct transmission risks to the United States through reduced export demand, heightened banking exposure, and a potential credit crunch driven by surging US dollar LIBOR rates.

  6. Milken Institute7 min

    2008 State of the State - Funding State Government

    Leon Panetta

    This analysis attributes California's budgeting crisis to a deficit in governance capacity driven by structural flaws like term limits, gerrymandered districts, and an overreliance on the initiative process rather than partisan gridlock. It contrasts the state's declining legislative performance with historical bipartisan precedents of fiscal responsibility, advocating for reforms such as multi-year budgeting, strengthened rainy day funds, and an open primary system to restore institutional trust. The presentation concludes that without these structural changes to foster consensus-based leadership, California risks political upheaval and a loss of future competitiveness.