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We have a tag for "Sharknado" stories

Wed, 2014-07-30 06:00

It's hard to imagine where the two circles of "Marketplace coverage" and "Sharknado" intersect on a venn diagram. But overlap they do, and in suprisingly relevant ways.

That's because the SyFy network's made-for-tv movie is something of a phenomenon from a financial perspective. With a relatively small budget — around $1-2 million — it grew from a disappointing first airing to internet sensation to big screen flick

"Everybody asks, you know, why did this happen?" says director Anthony C. Ferrante. "You can't ask why; it's 'Sharknado.' It's a movie about sharks and a tornado, and it just hit everybody's sweet spot for whatever reason this summer."

It didn't hit a sweet spot for actor Ian Ziering initially. That is, until health insurance came into play.

Ziering was reluctant to star in the original film, but when his wife urged him to consider the union health insurance he would be eligible for by doing the movie, he reconsidered.

With a pregnant wife, Ziering put down his reservations about the cheesy script, and picked up a shark chainsaw.

So it turns out Sharknado isn't just a story about a tornado dropping sharks from the sky.

It's about financial success, crowdsourced marketing and health care. Go figure.

By the way, Sharknado 2 premieres Wednesday.

PODCAST: Video game lobby

Wed, 2014-07-30 03:00

First up, more on the latest GDP report, which showed a strong 4% growth in the 2nd quarter. Plus, a key ruling against McDonald's gives hope to those looking to force the company's franchisees to raise their wages to $15 an hour. Also, the latest lobbying force to hit Washington comes from an unexpected source: gamers. 

Video game lobby answers 'call of duty' on the Hill

Wed, 2014-07-30 02:00

Meet the voice of  video game makers on Capitol Hill:  Erik Huey.

A "Donkey Kong" champion and "Madden" addict, he's now chief lobbyist for the Entertainment Software Association, the main trade group for the gaming business in Washington.

“I feel like Mario the fix-it man, the plumber, making sure things flow correctly. But I think more often than not, I feel like Sonic the Hedgehog, running around with frenetic energy," he says.

Huey and his staff have just finished discussing a plan to highlight gaming industry jobs in congressional districts. 

Now, Huey is off to the corridors of Capitol Hill, first to visit Rep. Joe Garcia, then Rep. Jim McGovern.

Members of Congress listen to Huey. The Center for Responsive Politics says the Entertainment Software Association spent almost $5.5 million on lobbying in 2013. 

“That’s pretty serious lobbying money,” says Viveca Novak, a spokeswoman for the Center.

Scrolling through spending reports, Novak says there was a spike in the video game lobby’s spending as Congress considered a bill mandating research into whether violent video games cause actual violence.   

“Almost half of their reports in 2013 mentioned the Violent Content Research Act. It’s clearly something they were very concerned about,” says Novak.

The bill is now stalled in the Senate.

The video game industry has lobbied on online piracy and privacy, too. And it's not just relying on shoe leather. The lobbyists are trying to get gamers to help make their case online. But it’s not easy. 

“It’s a little bit like herding cats with a dog in the room,” says Andrew Rasiej, the founder of  Personal Democracy Media, and chairman of an annual conference on politics and technology.

(Courtesy:OpenSecrets.org)

Gamers don’t always support the tech lobby’s positions. Still, Erik Huey says his association has organized about 600,000 gamers into a group called the Video Game Voters Network.

When a congressman recently made disparaging remarks about gaming, Huey says thousands of group members responded.

“Four thousand constituents calling in — that’s quite powerful,” he says.

Huey says when it works, the Video Game Voters Network can be a potent weapon. Most other lobbyists don’t have such an active, online base that's used to combat. Or, at least virtual combat.

Drop in uninsured is a mixed blessing for hospitals

Wed, 2014-07-30 02:00

Some of the big, urban hospitals around the country – the "safety net" hospitals that serve the poor – are getting hit with a dose of good news.

Under the Affordable Care Act, the number of uninsured patients is dropping sharply. Hospitals like Our Lady of Lourdes in Camden, New Jersey, are now spending millions less on providing charity care.

William Castro is one of thousands of patients Lourdes had treated for free. A car accident in 2010 left him suffering with chronic back pain. 

“You know what it is... you’re a grown man and it’s so bad you have to take hot showers, you are crying at night,” says Castro.

Without health insurance, Castro made monthly visits to the hospitals where doctors scribbled out prescriptions.

The 46-year-old says he struggled to scrape up the money to buy his meds.

“You are talking about $300-$350 a month. And a person that’s not able to work... can you imagine, having zero? Needing this medication, and have to count on your family, loved ones, friends... then next month you have to do it all over again?” he says.

Now on Medicaid, Castro has his prescriptions covered – no co-pays – and is hoping to enroll in a pain management course.

One by one, Lourdes CEO Alexander Hatala has watched his uninsured patient population fall from 8.5 percent of patients last year to 3 percent.

That’s a $3.5 million of savings at the Camden hospital.

“$3.5 million can make a difference between breaking even or operating in the red,” Hatala says.

What’s happening in Camden is happening around the country – at least for hospitals in states that expanded Medicaid under Obamacare.

This summer the Colorado Hospital Association – looking at stats from 30 states – found a 30 percent jump in Medicaid charges, and a 30 percent drop in charity care costs.

That puts hospitals on track to save billions this year.

“Yeah, there’s more money. But it also comes with a caveat,” says Ellen Kugler, Executive Director of the National Association of Urban Hospitals. “There are a number of federal cuts coming and many more that are coming.”

Federal, state, and local government funding currently covers about 65 percent of charity care costs. Under the ACA, the plan has been to reduce that funding  - at least at the federal level - as more Americans gain insurance coverage.

In this new landscape, the Urban Institute’s Teresa Coughlin says these hospitals will now have to fight to keep their newly-insured patients: “Do they have contracts with [insurers]? Are they able to retain patients who became newly insured and still continue to come to their facility? Or will they go elsewhere now that they have a choice?”

Coughlin says some of these hospitals are considered second-tier facilities, and to keep their doors open, they must build relationships with insurers and convince consumers they offer excellent service for a fair price. 

A whole new world, says Coughlin - a world where not all safety net hospitals may survive.

What the time of day says about your earnings report

Wed, 2014-07-30 02:00

Humana is among the companies reporting its quarterly numbers on Wednesday as earnings season continues. The health insurance giant always releases its earnings before the markets open. Whole Foods reports the same day, but the grocery chain always waits until after the closing bell.

If you've ever wondered why companies go one way or the other, it's worth noting the Securities and Exchange Commission doesn’t care what time of day companies report their quarterly earnings.

So it comes down to factors like: what’s the best time to put the CEO on the phone with investors and analysts?  

"Some people are morning people and some people are afternoon people," says Jeff Morgan, president of the National Investor Relations Institute. He adds that once a company picks a time, it sticks. "We want to be sure that whatever we do every quarter, we do the same thing the next quarter, so that there’s not anybody wondering why we’re making changes."

A recent study found that 66 percent of companies hold earnings calls at the same time every quarter. Co-author Elizabeth Demers, an associate professor of accounting at the University of Virginia's Darden School of Business, says executives should avoid afternoon calls, when they might be hungry and cranky.

"What we find is that as the tone of the calls becomes more negative, the share price returns are also more negative," Demers says. "In other words, the stock price responds to the negativity that's being emitted on the calls." 

Demers says size matters, too; a lot of small companies reporting earnings have to take whatever slot they can get. 

The contents of the internet, via satellite

Wed, 2014-07-30 01:00

Outernet is a new project aims to deliver online content, but not the internet itself—only its information. The method? Large satellites and simple radio waves.

If it works, it might be a useful way to deliver information to people who don't have regular access.

“Instead of providing direct internet access to everyone, we’re providing the content that exists on the internet,” says Syed Karim, founder of the project. 

The satellites will broadcast the data to anyone with a receiver who can then turn them into files viewable in a browser.

Currently, the site will only be updating pages such as Wikipedia on a weekly or biweekly basis. As bandwidth increases, a page can be “rebroadcast” — re-transmitted — and it can be locally updated for those who are “listening” to it.

The project expects to launch in a few weeks.

Our big fat American refrigerators

Tue, 2014-07-29 13:29

Apropos of my discussion with Nichola Twilley about refrigerators in China, Gawker reported today that a fridge in the U.S. is, on average, many cubic feet bigger than fridges in other countries.

Some are even twice the size of your average fridge in Europe.

Not only do big refrigerators cost us more money because they take more power to cool, but they also may "encourage unhealthy eating habits," says Gawker reporter Dan Nosowitz.

He cites a couple of studies including one that says, "families that have more food in the house eat more food."

Another one says that "the average American throws out about 25 percent of food and beverages purchased."

What happens if Argentina defaults?

Tue, 2014-07-29 13:29

It’s looking increasingly likely that Argentina will default on some of its bonds.

How could that happen and what happens next? Here's what we know:

Argentina has defaulted before. After Argentina defaulted in 2001, it told its creditors: "We’ll give you 30 cents on the dollar: take it or leave it." Back then, 93 percent of those creditors took it and 7 percent left it. A tiny percentage of those holdouts  — who, incidentally, were not the original lenders, but rather funds that had purchased the distressed debt from the original creditors — sued.

They claimed they hadn't agreed to anything, telling Argentina that the terms of the contract (a term called “parity”) say 'if you pay those other guys, you have to pay us. And you have to pay us the whole amount on the dollar.' They won. Argentina now has to pay.

An Argentine default won’t cause a domino effect. Just like with people, for one country to catch another country’s economic bug, it has to be exposed to it.  

Stephen Kaplan, assistant professor of political science at George Washington University explains: “In Argentina’s case, they’ve been shut out of global capital markets for quite some time.”

It could still make things difficult for other countries trying to get out of debt. There’s no such thing as bankruptcy court in the world of sovereign debt. So there’s not an orderly system when countries can’t pay up. Many countries had been working on the assumption that if they got most of their creditors to say it's OK to be paid back less than they were owed, then the matter would be settled and they could move on. 

What the Argentine case means is that unless it’s spelled out in the contract, that assumption doesn’t work, and a minority creditor can squelch a deal.  

“It says to all investors, 'instead of settling after a country is facing financial crisis... hold out and [don't] allow a debt restructuring to take place,'” says Eric LeCompte, executive director of Jubilee USA, a religious group that promotes international financial reform.

Argentina is damned if it defaults... Argentina has been trying hard recently to get back into the good graces of the international financial community and a default would dash those efforts.

As Henry Weisburg, a partner at law firm Shearman & Sterling who specializes in cross-border financial disputes, says “they have a large number of different kinds of bonds and instruments out there and virtually all of them are going to have cross default provisions.”

That means if the country defaults on one piece of debt, it defaults on another piece of debt, and those creditors can call in their loans. That results in a difficulty when Argentina wants to find money for financing trade and “in certain circumstances even commercial borrowers in Argentina will have a hard time raising money.” Lawyers for Argentina have suggested defaulting would allow them to restructure their debt in Europe or Argentina, and avoid the laws in the U.S. that made restructuring difficult in this situation.   

...but it's also damned if it doesn’t.  Argentina’s fear is that if it pays these creditors, it will encourage all the other holdout creditors to sue as well. 

“The UN Conference on Trade and Development noted that if Argentina paid these holdout creditors in full, it would essentially leave them open to another $135 billion in liabilities,” says LeCompte. “The entire Argentine reserve is less than $30 billion at this point.”

1 in 3 Americans has past due debt

Tue, 2014-07-29 13:29

This just in from the Department of Phone-Calls-You’d-Rather-Not-Get: one in three Americans with credit files had some kind of debt in collection last year, according to a new report.  All told, that's about 77 million consumers who are poised to get one of those inherently stressful calls from a debt collector.

The Urban Institute partnered with Encore Capital Group, the country's largest publicly traded consumer debt buyer, on the study. To understand the significance of these findings, here’s a little context:

When a debt goes into collection, it basically means the original people you owe money to (maybe a bank or a credit card company or a doctor's office) have given up trying to get it back on their own and a third party is now involved. In some cases, the original creditor sends the debt to an internal collections department to handle it. In other cases, they hire an outside agency to collect for them. In still other cases, the debt is sold to another company altogether. 

The collector is usually paid on commission, based on how much of the debt can be recovered. Meaning, if you have a debt that's sent in to collection, you basically become a name on a spreadsheet for the debt collector.

Gustavo Montoya, an emergency room nursing assistant in San Diego, ended up on one of these debtor spreadsheets a few years ago. He'd taken a loan for $3,000 from Wells Fargo to help pay for living expenses while he was in school. Then, in 2011, he was contacted by a different company, one he'd never heard of, who had bought his debt. 

For two years, the new company called him every day, until another one started calling instead. Montoya, who was unemployed at the time, says he tried to explain his situation to the collectors that called him. 

“The economy was still bad," Montoya said, "I was finding difficulty getting employment. It was really stressful."

Graphic courtesy of the Urban Institute.

Beyond the stress, falling into collection can have big repercussions, says Suzanne Martindale, a staff attorney with Consumers Union. It can affect your credit score, your ability to get a loan in the future, even your ability to get a job. The growing practice of passing debt from one collector to another, or selling it to another debt buyer, means that in a matter of months there can be several different people from different companies claiming you owe debt to them.

“Many consumers I’ve spoken with are just utterly confused — 'who’s telling me the truth here, what are my rights, and how can I resolve the problem and just get on with my life?'”

Mark Schiffman, with the Association of Credit and Collection Professionals, an industry group, says the collections process can be stressful. but it can also be an important step in keeping the economy moving.

“Businesses use those moneys to pay their bills, to pay rent, to keep operational costs, to pay salaries.”

Even once the original creditor has written off a debt as a loss, and sold it to a third party, the act of debt collection itself can be big business too.

Graphic by Shea Huffman/Marketplace

1 in 3 Americans have past due debt

Tue, 2014-07-29 13:29

This just in from the Department of Phone-Calls-You’d-Rather-Not-Get: one in three Americans with credit files had some kind of debt in collection last year, according to a new report.  All told, that's about 77 million consumers who are poised to get one of those inherently stressful calls from a debt collector.

The Urban Institute partnered with Encore Capital Group, the country's largest publicly traded consumer debt buyer, on the study. To understand the significance of these findings, here’s a little context:

When a debt goes into collection, it basically means the original people you owe money to (maybe a bank or a credit card company or a doctor's office) have given up trying to get it back on their own and a third party is now involved. In some cases, the original creditor sends the debt to an internal collections department to handle it. In other cases, they hire an outside agency to collect for them. In still other cases, the debt is sold to another company altogether. 

The collector is usually paid on commission, based on how much of the debt can be recovered. Meaning, if you have a debt that's sent in to collection, you basically become a name on a spreadsheet for the debt collector.

Gustavo Montoya, an emergency room nursing assistant in San Diego, ended up on one of these debtor spreadsheets a few years ago. He'd taken a loan for $3,000 from Wells Fargo to help pay for living expenses while he was in school. Then, in 2011, he was contacted by a different company, one he'd never heard of, who had bought his debt. 

For two years, the new company called him every day, until another one started calling instead. Montoya, who was unemployed at the time, says he tried to explain his situation to the collectors that called him. 

“The economy was still bad," Montoya said, "I was finding difficulty getting employment. It was really stressful."

Graphic courtesy of the Urban Institute.

Beyond the stress, falling into collection can have big repercussions, says Suzanne Martindale, a staff attorney with Consumers Union. It can affect your credit score, your ability to get a loan in the future, even your ability to get a job. The growing practice of passing debt from one collector to another, or selling it to another debt buyer, means that in a matter of months there can be several different people from different companies claiming you owe debt to them.

“Many consumers I’ve spoken with are just utterly confused — 'who’s telling me the truth here, what are my rights, and how can I resolve the problem and just get on with my life?'”

Mark Schiffman, with the Association of Credit and Collection Professionals, an industry group, says the collections process can be stressful. but it can also be an important step in keeping the economy moving.

“Businesses use those moneys to pay their bills, to pay rent, to keep operational costs, to pay salaries.”

Even once the original creditor has written off a debt as a loss, and sold it to a third party, the act of debt collection itself can be big business too.

Graphic by Shea Huffman/Marketplace

1 in 3 Americans have past due debt. What this means.

Tue, 2014-07-29 13:29

This just in from the Department of Phone-Calls-You’d-Rather-Not-Get: one in three Americans with credit files had some kind of debt in collection last year, according to a new report.  All told that's about 77 million consumers who were poised to get one of those inherently stressful calls from a debt collector.

The Urban Institute partnered with Encore Capital Group, the country's largest publicly traded consumer debt buyer, on the study. To understand the significance of these findings, here’s a little context:

When a debt goes in to collection, it basically means the original people you owe money to — maybe a bank or a credit card company or a doctor's office — have given up trying to get it back on their own and a third party is now involved. In some cases, the original creditor sends the debt to an internal collections department to handle it. In other cases, they hire an outside agency to collect for them. In still other cases, the debt is sold to another company altogether. 

The collector is usually paid on commission, based on how much of the debt can be recovered. Meaning, if you have a debt that's sent in to collection, you basically become for the debt collector, a name on a spreadsheet.

Gustavo Montoya, an emergency room nursing assistant in San Diego, ended up on one of these debtor spread sheets a few years ago. He'd taken a loan for $3,000 from Wells Fargo to help pay for living expenses while he was in school. Then, in 2011, he was contacted by a different company, one he'd never heard of, who had bought his debt. 

For two years, the new company called him every day, until another one started calling instead.  Montoya, who was unemployed at the time, says he tried to explain his situation to the collectors that called him.  “The economy was still bad," Montoya said, "I was finding difficulty getting employment. It was really stressful."

Beyond the stress, falling into collection can have big repercussions, says Suzanne Martindale, a staff attorney with Consumers Union. It can affect your credit score, your ability to get a loan in the future, even your ability to get a job.  And the growing practice of passing debt from one collector to another, or selling it to another debt buyer, means that in a matter of months there can be several different people from different companies claiming you owe debt to them.

“Many consumers I’ve spoken with are just utterly confused—who’s telling me the truth here, what are my rights, and how can I resolve the problem and just get on with my life?”

Mark Schiffman, with the Association of Credit and Collection Professionals, an industry group, says the collections process can be stressful. But that it can also be an important step in keeping the economy moving.

“Businesses use those moneys to pay their bills, to pay rent, to keep operational costs, to pay salaries.”

But even once the original creditor has written off a debt as a loss, and sold it to a third party, the act of debt collection itself can be big business too.

New sanctions against Russia could hurt US firms

Tue, 2014-07-29 13:29

The European Union is joining the U.S. in imposing tough, new sanctions against Russia, which continues to support separatists in eastern Ukraine.

The new measures include an arms embargo and restricted sales of technology and equipment for Russia's oil industry.

In a big change, the new sanctions target sectors rather than just individuals in President Vladimir Putin's inner circle.

“The shootdown of the Malaysian aircraft I think has changed the equation,” says Kenneth Yalowitz, a former U.S. ambassador to Belarus and Georgia, and now a global fellow with the Woodrow Wilson Center.

But the new EU sanctions and the U.S. ones already in place haven’t hit American businesses as badly as some feared.

“U.S. companies, if anything, breathed a little sigh of relief today that they’re not going to be held out relative to their European counterparts,” says Doug Rediker, a visiting fellow at the Peterson Institute for International Economics.

Russia is not a big trading partner with the U.S. Some companies like ExxonMobil and Citigroup might suffer a bit, but the biggest risk is Russian retaliation against big brands like McDonalds, claiming things like "'some health concerns' — in quotes — that were expressed by Russian authorities,” says Rediker.

Other potential targets include companies like Visa, MasterCard, and big U.S. accounting firms.

Others see little damage to U.S. companies so far.

“Retaliatory sanctions against businesses in the West, to the extent there have been any, they haven’t been very impactful,” says David Levine, partner with the law firm McDermott, Will & Emery.

A big question now is whether Western governments will have the stomach to continue sanctions for moral reasons, or whether trade and commercial interests will win out.

Competitive swimming struggles to stay afloat

Tue, 2014-07-29 12:42

During these hot summer days, lots of kids are taking advantage of the closest swimming pool, but only a few are diving in for the local swim team. That’s why USA Swimming has kicked off an aggressive campaign to remind kids that swimming is, in their words, “the funnest sport there is.”

One of the ads in the SwimToday campaign shows a girl wearing goggles, dropping into a pool of blue water in slow motion. Then, you hear a voice saying, “Basketball... softball... cannonball... Which sounds the most fun to you?”

Matt Farrell is Chief Marketing Officer of USA Swimming. He says he wants kids to know there are other sports to consider. Farrell says their survey shows parents are one major problem when it comes to getting kids in the pool - 80 percent of parents overlook swimming as an organized sport.

“It was as if parents said, 'I’ve taught my kid to swim, I’ve checked the box, I’m a good parent, I’ve made them safe. Now let’s go play soccer, let’s play basketball,'” says Farrell.

Misha Neal, 15, of Durham, North Carolina swims for her high school team and for the YMCA. She remembers when it was time to make that big decision.

“I was doing a lot of sports at the time... I was also in gymnastics and track, and I had to pick. I remember Daddy telling me that I was better at swimming,” she says.

Misha has thrived, often coming in number one in the 50 Freestyle. USA Swimming is working to remind more kids of all the positives the sport has to offer, like teamwork, confidence, health and fitness. 

Mark Anthony Neal, Misha’s dad, says Misha adores her teammates and has overcome the obstacles of swimming competitively.

Even the hair issue: "We knew that our daughter was serious about swimming, you know, when she was told matter of factly she wouldn’t be able to get a perm, she wouldn’t be able to put any chemicals in her hair, [and] she said 'That’s fine.'”

 The SwimToday ads are making the rounds on social media. They first television airing will be during the upcoming Phillips 66 National Championships.

Refrigerators are running in China

Tue, 2014-07-29 12:02

In the early '90s, only one Chinese family in ten owned a refrigerator. Today, 90 percent of urban Chinese households have one. This mass move toward refrigeration had a huge effect on the country’s economy, culture and environment.

Refrigeration is a multi-billion dollar industry in China, heavily subsidized by the government.

China is “refrigerating for the exact same reasons we did” says Nicola Twilley, who wrote about refrigeration in China for New York Times Magazine. “You can’t really feed an urban population of consumers without refrigeration.”

In her article, Twilley visits a factory that belongs to Sanquan, one of the largest frozen dumpling manufacturers in China. Many freezers in Chinese homes are filled with these dumplings, much the way you’d find TV dinners in American freezers.

Listen to the full conversation in the audio player above.

ERs are still busy, Affordable Care Act and all

Tue, 2014-07-29 11:27

One of the arguments in favor of the Affordable Care Act was that it would reduce dependency on emergency rooms by covering more people with basic preventive care. Now, millions of people are newly covered by Obamacare. So are emergency departments seeing a slowdown?

Not so much.  

On the street in downtown Dayton, Ohio, Rebekah Jacobsen says before the Affordable Care Act, she racked up thousands in medical bills.

“I didn’t have health care. I didn’t have anything,” she says. Now, she’s on Medicaid, the health insurance program for low-income people. Ohio’s one of the 27 states that expanded their program with federal funds available under the new law. But Jacobsen was in the emergency room just last month—admittedly not for the most serious problem.

“I thought I had lice, and I didn’t,” she says. Her head was itching, and it turned out to be dandruff.

An ER visit for dandruff  is just the kind of situation some people will point to as burdening the whole system. Jacobsen says she would have gone to a regular doctor to see if she had lice, but it was the middle of the night. With her new insurance, the ER trip didn’t cost her anything.

Up the road at Miami Valley Hospital, Dr. Darin Pangalangan, an emergency doctor and head of the Emergency and Trauma Institute for Premier Health, says he thinks people should be able to use the ER when they need to - or even just think they need to.

“You cannot go to your family doctor at midnight. They’re not open at midnight,” he says. He says it’s not an abuse of the system to access an ER if you think you may have a problem, and you can’t get in to see a regular doctor. What’s more, emergency doctors are bound by law to help anyone who comes in the door— regardless of their ability to pay —to at least investigate to see if they have a serious problem. Most people who walk through the doors come in with problems that need immediate attention.

The still-looming Obamacare question though, is this: Will people actually depend on ERs less for basic care once they’re insured, driving costs down for everyone? Or will more people, like Rebekah Jacobsen, go to the ER because, well, now they can?

“The cost of going to the emergency department might be a major deterrent for the uninsured,” says Katherine Baicker, a Harvard health economist who worked on a study of new Medicaid recipients in Oregon. She found that people who got on Medicaid then went to the ER more. “Once they have access to insurance, they can go to the emergency department without being concerned about being presented with an enormous bill at the end.”

Howard Mell, a spokesman for the American College of Emergency Physicians, says many of his members are seeing increased traffic, though ER visits were already on the rise.

“Most emergency departments have actually seen an increase in the amount of people coming through the door,” Mell says. “It’s not a huge increase, but it’s certainly noticeable.”

But the experts don’t all agree: another study in Massachusetts found expanding to near-universal health coverage led to fewer people using emergency rooms in cases when it wasn’t really an emergency. And still another study looking at Medicaid recipients in Ohio found that expanded Medicaid coverage could help reduce ER visits and increase the use of primary care. Doctors at MetroHealth, the county hospital at the center of that study, say integrating patients into a “patient-centered medical home” model of care helps keep people focused on primary and preventive care, and makes them less likely to show up at an ER when they don't need to.

Overall, the jury is still out—some 13 million people are just now settling into having health insurance, either through Medicaid or the ACA exchanges. It’s not clear yet how all those people might use the ER differently, and what strategies providers might use to cut costs to the overall system. Regardless, one recent study found emergency rooms in the United States are generally profitable, and predicted a rise in revenues and profit margins for ERs as more people get covered.

Still, emergency care is an expensive way to get help to people who don’t have immediate, severe conditions, which is why health networks like Premier in Dayton are trying to offer alternatives. Kathryn Lorenz is a doctor at what’s called an "after hours clinic" in Troy, Ohio—they’re open from 5 to 9 p.m. weekdays, and offer weekend hours.

“You can walk in up to the last minute and we would see you,” says Lorenz. The clinic helps folks who can’t get a quick appointment with a family doctor for something acute like back pain, poison ivy or lice. It’s a less costly option than an ER, but Lorenz also says there are things she can’t do for patients here. “A lot of times I’m wrestling them to go to the ER, and telling them, 'yes, you must pay your co-pay and get in there because you have a life-threatening illness.'”

It’s not like most people are in a huge rush to go to an emergency room. Take Dayton resident Roberta Gilliam. She says she recently got Medicaid, and she’s been taking advantage of it by getting preventive care, not by going to the ER.

“I’ve had my pap smear, I’ve had my mammograms, I’ve had my dentures, my X-rays, I’m getting ready to get a partial,” she says. “It’s been a blessing.”

It’s the safety net she’s grateful for.

“When anybody can get insurance, you know they’re happy to have insurance,” she says. “Especially the ones that can’t afford insurance.”

Emergency care is really just one small piece of the puzzle: more people getting coverage is likely to mean more use of all kinds of health services. The basic economic principle is, when something becomes cheaper for people, they use more of it.

PODCAST: Lobbying for tech

Tue, 2014-07-29 03:00

In spite of typically slower summer months, analysts are watching today's meeting of the Fed and wondering what the content of the forthcoming announcement will signal. Plus, the white house is arguing that global warming needs to be addressed for both the environment and the economy. More on that report. Plus, as tech companies get larger, so do their voices. More on a new crop of tech lobbyists who are hoping to shape policy. 

America's coal heads overseas

Tue, 2014-07-29 02:00

America is in a slow transition to cleaner energy, which means carbon-spewing coal power plants are high on the hit list. But we still mine lots of coal in America. Energy reporter Dina Cappiello has been looking into what happens to all that coal we're not burning here.

Click the media player above to hear reporter Dina Cappiello in conversation with Marketplace Morning Report guest host Mark Garrison.

A start-up incubator for veterans

Tue, 2014-07-29 02:00

Veterans often face unique challenges getting conventional employment when returning from military service; challenges which can be compounded when trying to found or staff their own business.

The Bunker, an incubator in Chicago opening later this year, looks to close that gap. Joseph Kopser is the CEO of RideScout, a company that has been selected to join.

“The first thing they have to do is learn the language,” he said. In fact, one of the chief benefits of an incubator that is veteran-focused is that it teaches participants the language of the business world, which becomes important when pitching the venture to others.

Additionally, he advised veterans reach out to former colleagues in the military who can vouch for their character. 

Click the media player above to hear Joseph Kosper in conversation with Marketplace Tech guest host Noel King.


CORRECTION: An earlier version of this story incorrectly spelled the name of Joseph Kopser. The text has been corrected.

IPOs - why the frenzy ?

Tue, 2014-07-29 02:00

The 20-plus companies that are looking to go public this week hope to collectively raise about $6.7 billion dollars, with about half of it for General Electric’s consumer lending firm Synchrony Financial.

"That's going to be a $3 billion IPO, the biggest we've seen since the May, 2012 IPO of Facebook," says Kathleen Smith, a principal with the IPO fund manager Renaissance Capital.  She labels Mobileye another one of this week’s "shiny objects." The company makes the technology that tells you when your car might hit the one in front of you. "It has about a 50 percent share of that market, very high growth and very profitable, so all investors are looking at that." 

Smith cautions that this week’s batch of potential IPOs is a big one for the market to digest.  

It’s also the right kind of market, says John E. Fitzgibbon, Jr. of IPOScoop.com.  

"You’ve got to have the bull running down the street and you’ve got to have the wind at its back," he says.  

Fitzgibbon thinks this year might even be the biggest one for IPOs since the dot-com bubble, but he points out that a lot of the offerings are fetching discounted prices. This week's IPO frenzy is an "End of Summer sale" that he predicts is just getting started.

"It’s like Macy’s department store; if it doesn’t sell, mark it down and drop it to the basement."  

Who are all these companies, anyway? We rounded up the most notable IPOs from this record-breaking week and grouped the companies up according to their business.

Consumer finance
Synchrony Financial's IPO is not only the biggest offering of the week by far, but at about $3 billion it's poised to raise more than any IPO this year. Synchrony is GE's consumer finance arm, facilitating store-brand credit cards and financing programs for big-name retailers like Amazon and Wal-Mart.

Medicine
Of the this week's huge group of IPOs, more than half are for biotechnology and pharmaceutical firms. The biggest player is Catalent, a multi-armed drug development and delivery company that's expected to offer 42.5 million shares at $19-$22 a share, according to Renaissance Capital. Catalent's nearly $1 billion deal dwarfs about a dozen other companies focused on everything from gene therapy to medical imaging to epilepsy treatment.

Technology
Mobileye is certainly a "shiny object" this week as it looks to raise half a billion dollars. The Israeli firm is the leading supplier of sensors that detect a potential collision. Investors are keeping a special eye on the company amid rumors of a potential partnership with Tesla to build self-driving cars.

Mobile gaming
It's no secret mobile gaming is big business, and developer IDreamSky has become a leader by adapting existing titles like "Fruit Ninja" and "Temple Run" for Chinese markets. That model has earned IDreamSky 100 million active users and $65 million in the year ending last March. They are looking to raise a little more than $100 million this week.

Energy
There are a handful of energy companies up for offering next week, but the largest is another big spin-off. Transocean Partners, LLC is a small portion of oil rig giant Transocean, which hopes to sell $350 million in shares. Spinning off Transocean Partner's three rigs in the Gulf of Mexico will reportedly offer Transocean more financial flexibility, but the Wall Street Journal notes this practice can be a tax dodge

Graphic by Shea Huffman/Marketplace

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