Risk in Insurance: Meaning, Types and Its Transfer

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How I got a (not really an) HOA disbanded - and destroyed a bitchy "President of the HOA" in the process. Warning: LONG ASS READ!

I was invited by one of the mods to share this here as a mega thread, so here goes...
Edit - apparently this saga was so long that I had to split it into two parts. This is part 1-4.


Well, apparently I need to put this in here. I do not give consent for my posts to be read/interpreted/posted to any monetized or ad-supported platform. Examples include YouTube or other platforms. Short version: If you make money off reading someone else's posts, I do not give consent for you to make money off of my posts.

PART 1:
After years of hearing stories of problems with HOA's (and having no tolerance for busybodies ourselves) my wife and I were both solidly in agreement that we would never purchase a home in an HOA.
When we finally did find a house and purchased it, we knew for a fact that we were NOT in an HOA. However, just behind us, we learned there was a (not really) HOA.
About a week after we moved in, there was a knock on the door. One of the neighbors behind us, announcing that she was President of the HOA, and welcoming us to the neighborhood. Seems civil enough, but we asked, "what HOA".
"Oh, we're behind you, the home behind yours is where the HOA starts."
"Ok, that's nice, nice to meet you..." Just general pleasantries.
We were hopeful. We were shocked, even. Someone associated with the management of an HOA that wasn't a complete busybody psychopath!
How wrong we were.
The way our lot was, there was a sliver of green space between our property line and the sidewalk, in a somewhat triangular shape (the street ran west southwest, our property line ran due east-west). So there was a wedge of land there. We'd always been told that this belonged to the HOA, yadda yadda - no big deal, just meant we didn't have to deal with the upkeep of this land.
Now that this set up is all in place, it's time to start the story of how we got the (not really an) HOA dissolved.
We had a couple of trees in our yard. Literally on the property line, so we took responsibility for taking care of these things. They're *MASSIVE*. They're also a pain in the butt, incredibly dense/heavy, and because of the way the limbs grow, they're prone to splitting and dropping limbs. There was a huge limb that extended way out into the street adjacent to the green space owned by the HOA. This thing was a major risk of dropping and severely injuring/killing someone. We didn't want that on our conscience (or our insurance!) and so we decided to take that limb down entirely, as well as clean out a lot of the deadwood in the two trees. Hired an arborist, they came out, did their thing. $1400 later, we were left with some decent sized rounds that we were going to move over the next weekend (I was out of town the first weekend after we removed the limb). I should not that the wood was neatly stacked in the green space on the barkdust, out of everyone's way, and in no way a hazard or eyesore.
Enter the shrieking harpy...er.. .President of the "HOA". My wife had stepped out the door the day I had left on my trip and she pulls up into our driveway, rolls down the window, and starts yelling at my wife:
"YOU NEED TO MOVE THAT WOOD NOW!!!!! THAT'S PRIVATE PROPERTY OF THE HOA!!! MOVE IT NOW!!!!"
My wife is *not* a confrontational type. She's also somewhat petite, and tried to explain to the harpy that I was out of town and that we would be moving it as soon as I got back in town the next weekend.
Nope, not good enough. She shrieks at my wife some more, and my wife ends up grabbing the wheelbarrow and somehow moves this stack of rounds (some of them weighed close to 100 lbs) around the fence, up our driveway, and into the backyard. She was pissed.
So was I. We knew where the harpy lived, so when I got back I went over to talk to her, and explain that I was rather displeased in how she treated my wife. Didn't pound on the door, wasn't aggressive or anything.
They wouldn't answer the door. Cowards (we knew they were home).
This left us with a bit of a displeased taste in our mouth. The next spring, the hedge that is planted outside of our fenceline, well, it wasn't maintained very well, and pushed over two sections of our wooden fence. So I emailed the harpy and explained that their hedge had damaged our fence.
"It's not our hedge!"
"um... it's growing in your green space"
"That's not our green space!"
Waitwut?
"Then why the [censored] did you decide to screech at my wife last summer when we had the wood stacked there
Silence.
Well, at that point I fixed the fence so our dog wouldn't escape, after pruning the laurel back sufficiently that it wouldn't damage the fence again. And started making some phone calls. I contacted the county, and ended up speaking to about seven different departments in order to figure out who actually owned that strip of land. After probably two weeks of trying to find the right people to talk to, I got to the roads division. The green space was marked as part of the right of way for the road, and therefore no one actually "owned" that space.
"So I can chop down that ugly overgrown hedge that's encroaching on the sidewalk and knocking down my fence?"
"Yep," says the kind gentleman from the roads division.
"As an aside," he asked, "you mentioned something about there being an HOA associated with the plots to the east of your property?"
"Yeah?"
"well, part of what took me so long to get an answer for you is that it turns out there is no HOA registered with the county there, so we were looking in the wrong place entirely......"
"Wait, there's no HOA there?"
"No, hasn't ever been one since that subdivision was built..."
"Huh.... Interesting...."
And a plot was hatched.
We had befriended a couple of people within the neighborhood behind us, and they were rather fed up with Ms. "President of the HOA" and her antics. She was the typical busybody, bullying anyone she didn't like, and apparently for the last 10 years or so had been collecting HOA "dues" from everyone in the neighborhood to the tune of $300/year. There were 36 homes in the "HOA". Right around $100,000 in dues. For a non-existent HOA. With no real maintenance. Oh, they hosted an annual block party - potluck style.... They pulled weeds from the green space - on a volunteer basis.
So I did what any red-blooded American would do. I got 36 envelopes. 36 stamps. And printed off 36 copies of a letter with my findings from the county that there was not now, nor ever had been for the recorded history of the subdivision, any HOA, neighborhood association, or any similar organization. And that they, collectively, had paid in excess of $100,000 in dues over that time to a non-existent entity, plus any fines the non-existent HOA had decided to levy.
The neighbors, in turn, did exactly what any red-blooded American would do.
They sued the hell out of her for every penny they'd paid over the last 10 years.
Won, too.
And there's no longer an "HOA" behind us.
EDIT: Forgot to mention this. In all the digging into this mess, we learned she's a real estate agent. I figure I'll wait until she pisses me off again and report this whole mess to the state's real estate licensing board. *evil grin*\
Edit to the edit: as others have pointed out, this needs to be reported to the licensing board. Will look into that process....
Edit of the edit to the edit: I have sent an initial e-mail to my state's Real Estate licensing board (Real Estate Agency), and will post any updates as things develop. I did look her up in the licensing system, apparently she's licensed as a principal broker for her agency. This should get interesting.
Edit the fourth: And this should be interesting - her license is up for renewal at the end of this month. This should put one hell of a speed bump in that process. *evil grin*
Regarding the criminal charges, since I wasn't a victim of the fraud, that's not something I can pursue. However, I spoke w/ my friend who was one of her victims and he and his wife are talking to other people they trust about coming together and seeking criminal charges.

PART 2:
Today, my wife and I had dinner with our friends who were among the victims of this psycho. And I learned a lot. Probably definitely more than I should have. I learned a lot about the lawsuit that was filed when I sent out the letters revealing that there was no HOA. There was, in fact, a settlement to make the lawsuit go away. I will say this, the Harpy got a good lawyer. A *really* good lawyer. One of the terms of the settlement was that the total amount remain undisclosed, but our friends confirmed that they were made whole. Another part of the settlement was a pretty stringent non-disclosure agreement.
I'm gonna have to start pretty far back in this mess, because it explains a lot about how this all went down. The subdivision that Harpy lives in was built back in 2000. And it turns out that at the time the subdivision was built, she was the first one to buy in this brand new neighborhood. The developer had actually planned to set up an HOA (the correct way) but because of delays in construction and selling the homes, they never actually set it up. [Based on one of the comments below and a glance at the relevant state law, this is apparently bad information that was passed on to me.] That didn't stop Ms. Harpy though, not at all. So as soon as the next owners moved in, she reached out to them. "Hi, welcome to the neighborhood. We are setting up a neighborhood association, a voluntary HOA if you will. That way we can take care of the common areas, and keep property values up." The usual excuses behind an HOA.
Well, after the first 5-6 houses were bought and the owners moved in, and agreed to this voluntary "HOA", well... The pitch changed. It went from a "neighborhood association" to just a straight, "Hey, welcome to the neighborhood. I'm the president of the HOA, nice to meet you!" Most people went along with it. They figured they had missed something in the disclosures, or in the listing, or something. But this was a brand spanking new subdivision. And at the time, you couldn't find a brand new subdivision that *didn't* have an HOA. There were a few people that *did* in fact pay attention. When called on it, she would change her pitch back to the "Well, it's not *really* an HOA.... It's more a voluntary neighborhood association... But we do have some rules we've all agreed to (that it turns out she wrote all on her own), and we do collect a small amount of money, just $25 a month, that's not unreasonable, is it? Just to keep up the common areas, and the rules help keep everyone's property values up!"
All of that came to light during the depositions and testimony in this lawsuit.
And she sold them on it. Everyone signed the "rules" (She even called them CC&R's - with the argument that this gave them a certain legal weight to be able to enforce the rules), either under the guise of the "HOA", or the "Neighborhood Association". By the time all the properties were initially sold, it was roughly 2:1, those that thought it was an HOA, and those that thought it was just a voluntary association. And as people sold, and new owners moved in, well, the HOA pitch just got easier to sell. To the point that at the time of the lawsuit, it was somewhere between 3:1 and 4:1.
As testimony was wrapping up, her attorney put forward a proposed settlement. I was able to find out from my neighbor that in this proposed settlement the only people that would be, in the legal jargon, "made whole" were the ones that signed on under the impression that it was a legitimate HOA. Her attorney successfully argued to the judge that the people who signed up under the "voluntary neighborhood association" were not actually defrauded, and therefore couldn't be a part of the settlement. That *really* pissed off those people.
Because of the timing of the whole house of cards tumbling down around her, she had sufficient equity in her house that she was able to refinance her mortgage and pay the settlement amount. So she had to pay a lot of people back out of her own pocket, losing that equity that she had built up over the last ten years. I'm guessing that her husband was *not* in on the scam, as he was not one of the named parties in the suit, and he filed for divorce in the middle of the lawsuit. As for how he didn't know? No clue. Maybe she just had him convinced that her commissions from real estate sales were just that good. I have no idea what the terms of the divorce were, but it was apparently rather acrimonious. Our friends more than once heard shouting matches from the Harpy's house as they were out walking the neighborhood.
So hopefully that clarifies how she was able to sucker people in. Our friends were some of those that were convinced that it was a legitimate HOA, and they told us that she was so smooth, so convincing, that they didn't doubt it for a minute. At least that meant that they were "made whole" even though they couldn't legally disclose how much they got back.
Now, for more recent happenings. One of the things we talked about tonight was our neighbors going to the district attorney and pursuing criminal charges. Well, they talked to the DA's office this morning, and apparently the statute of limitations has passed. For a crime like this, even though it would be a felony level charge, the statute of limitations is only 3 years for that type of crime. BUT I passed on to them the idea of reporting her to the IRS. Since they were among those who lost money, I figure it's only fair that they get the reward if there is one. They both got a rather gleeful look at that idea. So yeah, that should be interesting.
One of the reasons that I said the Harpy got a good lawyer was that one of the terms of the non-disclosure agreement was that if they signed on to the settlement, they agreed not to report her to any professional board or any licensing agency. So she obviously had concerns that something like this might possibly, just maybe, perhaps have an impact on her license as a real estate agent.
Too bad for her that I wasn't part of that settlement. Because after my initial email to the state Real Estate Agency, I got a response back this morning, and after a couple of more e-mails back and forth, I was interviewed over the phone by the head of the professional standards division. They appeared to be *very* interested to hear what I had to say. I gave a recorded statement on the grounds that it would remain confidential (don't want her trying to make my life a living hell). And at dinner tonight, I learned that our friends have a pretty good friendship with several of the people that were *NOT* paid off in the settlement agreement, since they signed up under the "voluntary neighborhood association". The ones her lawyer insisted were not defrauded and therefore couldn't be part of the settlement. Which means they also are not covered under that pesky little non-disclosure agreement.
Before I started writing this update, I e-mailed the names and contact information for three of those owners who still live in the neighborhood to the head of the professional standards division. Because while I had to deal with her craziness and general pain-in-the-assitude, I didn't actually lose any money. But actual victims of her scam? I imagine their testimony will carry quite a bit more weight with professional standards. I also (solely for their convenience) included the state court case number for the lawsuit. Who knows, maybe they can see the records of the lawsuit and the terms of the settlement since they are a state agency.
That, kind Redditors, brings us up to today. If I hear more updates (which hopefully I will through my friends) I will gladly share them here, and I'll happily answer any questions I can.
PART 3:
And now, for Part 3 ladies and gentlemen, a couple of new characters have been introduced. Government agencies have gotten involved.
My friend and neighbor texted me this afternoon, saying only, "CALL ME!!!"
As soon as I was able to, I gave him a call. And he could barely stop chuckling.
He caught me up a bit. After we'd talked the other evening, he'd started talking to some of the people in the neighborhood. And it turns out that Ms. Harpy of the Not-Really-an-HOA is apparently kind of a slow learner. Because in the last couple-three years, while she hasn't tried to bilk anyone else out of their money, some of the newer owners in the neighborhood were being told that there was still a "neighborhood association" and she kept trying to enforce arbitrary rules on people. Except everyone had heard about her antics. And promptly told her to get bent. So if anything, her nonsense has actually created a more cohesive neighborhood. Everyone is united in hating her! :D
But that's not the reason he was chuckling. He was chuckling because he'd just gotten off the phone with an IRS agent. Now normally, that's not your expected reaction when speaking to anyone from the government with the word "Agent" attached to their title in any way. But no. He was chuckling after he spent over an hour on the phone detailing everything he knew about her dealings as "president of the HOA". As well as providing contact info for quite a few others in the neighborhood who knew what had happened over the years. I *really* hope I get to hear more about what happens with the IRS.
As if that wasn't enough good news, I popped over to the state real estate licensing board website (I've been checking it every day since I spoke to the head of professional standards) and saw this:
https://i.imgur.com/4zpahUU.jpg
Sorry I had to redact the hell out of that, but I really want to try to keep this entertaining for you all here while maintaining anonymity.
If I may direct your attention to the section titled "License Information" the column titled "Status"
Additionally, if I may direct your attention to the "Disciplinary Action" section, specifically the columns titled "Resolution" and "Found Issues".
From a little cursory reading of state law and associated regulations, this decision is temporary until the full investigation is completed. Once that happens, the professional standards board will decide if there is to be permanent action against her license. If there is, then there will be a date in the "order signed date" column, and a *really* entertaining link in the "documents" column in the disciplinary action section that lays out the entire case, from start to finish. (I've read a couple of documents in other cases I found where there was a final order - and wow, they lay *EVERYTHING* out).
So there we have it Reddit. I was almost kinda feeling bad for bringing up stuff from years ago to government agencies, but the fact that she is *still* trying to pull off this crap (albeit without the money part) made any of that evaporate like the HOA she thought she had. So it may be the end, or it may not, but at least for now, we've reached the conclusion of the saga of the Harpy of the Not-Really-an-HOA.
PART 4
For those who have read my scribbling on here regarding the Harpy of the Not-Really-An-HOA, hopefully you have enjoyed the saga so far. I am adding this last post on here as a place to put the aftermath of this saga and any updates that I may hear. Because unbelievably, this is a crazy situation that just keeps on giving.
When last we left Ms. Harpy, she was being investigated by the state Real Estate Licensing board, as well as the IRS.
Well, I learned something interesting in this whole saga. Apparently, while the statute for limitations for criminal tax evasion is only three years (or possibly 6 years, depending on the situation), there is apparently no statute of limitations on how far back they can go in civil court. So while she may dodge any federal charges of tax evasion, the IRS will be crawling up in her business however the heck far they want. I suspect that will end.. poorly (and expensively) for her.
Additionally, the state department of revenue has also caught wind of this. Can't imagine how that may have happened. Similar to the feds, while they can't charge her criminally on the tax evasion, I'm sure they also will be digging through all of her tax records for the last, oh, FOREVER.....
I've already had an interview with a rather pleasant IRS agent, and was able to go through everything that I knew, the timeline for what happened, and how it was that I discovered there was not an actual HOA there. When I explained how this all started because she decided to be a bitch about a couple of relatively small issues, and it has since snowballed into, well, THIS, she (the agent) laughed so hard it took us several minutes to get back on track. And she continued to chuckle and giggle throughout the rest of the interview.
And the state department of revenue has contacted me as well, wanting to set up a time for an in person meeting. So that will be fun. :)
I've considered going to the local news media about this as some suggested, but decided against it for a couple of reasons. The story isn't really as fresh as it was 7 or so years ago when it was all going down, and I doubt the news medias ability to keep my name out of it... Maybe not on the air, but somehow it would slip. And that would add needless complication to my life. If somehow she avoids getting her real estate license revoked, maybe that will change the equation enough to where it might be worth letting the media know. Plus it gives them a recent hook to tie the story into. "State Real Estate board refuses to revoke license of crooked agent! News at 11!". You get the gist.
I don't have the screenshot of it, but on the state licensing board website, there's three new items in the "Disciplinary action" section of her license. An additional proposed suspension sanction, and two proposed revocation sanctions. I'm guessing the second proposed suspension is so she can't default back to a "regular" real estate agent. And the proposed revocation sanctions are for her Principal Broker and regular Real Estate agent licenses as well. So that will be interesting to see what happens once it's finalized. I imagine that process will not be quick. Once I get home tonight and have a chance to redact the relevant information from the screenshot, I'll post that as well.
I've heard through my friend who lives in the subdivision that there have been several people contacted by the state Real Estate board, as well as the state department of revenue and the IRS to set up interviews (and some have already been completed).
And just out of curiosity, I checked the website for the local branch of the national real estate company she works for. And lo and behold, she's no longer listed on there as either the principal broker or an agent, and someone else is listed as principal broker. I'm going to take this development as a cautious agency making sure they don't get caught up in any legal messes. But I think someone just learned the lesson, "you are merely a cog in this machine. you are easily replaced."
In a final bit of entertainment for this saga, I was shown several screenshots by my friend of a post in the subdivision's Facebook page that was quite, well, I guess entertaining would be a great word. She's since deleted the post, but essentially she was on there shrieking about how they were "all" under a non-disclosure agreement, and she was apparently threatening to sue any of them that talked to anyone for violation of the NDA. This was met by cricket chirps from anyone who knew what was going on, but there were several "what the hell is she talking about" type of posts by a few of the newer owners who weren't in the know. But my favorite response was by someone who apparently is an attorney (based on how they phrased things) who wasn't here when the not-an-HOA was in effect (she's only lived in the neighborhood for about a year) but apparently caught a quick heads up from somebody. The short version of her post was that while she wasn't aware of the particulars of what was going on, she stated that NDA's don't cover someone answering questions from a regulatory or investigatory agency, either state or federal, as well as not covering any testimony being given under oath. And trying to bully someone into not speaking to such an agency by means of an NDA or otherwise might even be considered witness tampering or intimidation. And a few hours later the Harpy's post (and all the associated replies) mysteriously disappeared... But you know, FB will gladly hand over the whole conversation with a subpoena. And the IRS does not mess around with the possibility of witness tampering. So maybe she might end up facing criminal charges after all. Depends on how stupid she gets, I guess. If past performance is any kind of indicator, she may very well get to spend some time in the gray bar hotel.
And as any more updates come in, I'll add them on as edits to this post so there's one convenient place to watch for updates.
MAJOR UPDATE!!! See the attached photo. The state Real Estate Agency has finalized their orders on her license. Folks, I wish I could share the text of the final orders associated with this action. But because it is public record, it is also searchable, and would all too easily reveal her identity and open the doors to headaches for me and my family. So I'll summarize. The first revocation for Fraud or Dishonest Conduct and Failure to Disclose is of her Principal Broker license. The second revocation, for Incompetence or Untrustworthiness and Records, that's for her regular real estate agent license. There are some bombshells in the final orders. Apparently, as a few people suspected in the comments, there was a lot more happening than just what was happening in her neighborhood. I was shocked at how quickly the final order was released (from what I was seeing in other cases of revocations, the investigation usually lasts anywhere from three to six months). But reading the final orders, the Principal Broker revocation was based mostly on the information in the lawsuit that was filed by the neighbors back in 2012 and the ensuing settlement. However, their investigation apparently turned up quite a bit of other STUFF. Including lying to clients, falsifying records, not disclosing relationship between herself and sellers or buyers, and other instances of outright fraud. I will quote one line nearly verbatim from both final orders... Because it's just so delicious to read:
"While this Board has taken the strongest action granted by the [APPLICABLE STATE STATUTES], much of the information that was discovered during the course of this Board's investigation is beyond the purview of this Board. Therefore we are turning over all records and witness testimony to the [REDACTED] County District Attorney and the [STATE REDACTED] Department of Justice, Criminal Justice Division for further action."
https://imgur.com/qDKNVTg
ANOTHER UPDATE!: Folks the world of legal hurt his woman has brought onto herself just continues to avalanche. This morning, I had walked my daughter to her school bus stop (right on the corner where the not-an-HOA starts) and a unmarked SUV with government plates comes around the corner. Picture every unmarked law enforcement SUV you've seen in a movie. That stereotypical. And they park a couple of doors down from the Harpy's house. I risked being a couple minutes late to work to watch what was about to unfold. And was not in the least bit disappointed. Because out of the vehicle step two individuals wearing dark blue jackets with bright yellow letters. Some very specific letters. BIG letters that may or may not have spelled out "IRS" and underneath in smaller letters the words "Special Agent".
I may have giggled when I got to my truck. I may have laughed uproariously on my drive in to work. Because the first thing I did was look up just how big of a poop-pile she may have landed in. Apparently, a really deep one. Because from what I could find, the only people authorized to wear the "Special Agent" jacket are in the IRS's Criminal Investigation Division.
I texted my friend who lived in the neighborhood this as I was leaving for work around 7:15 this morning.He texted me back around 10ish.... He's been watching all of this unfold out his front window since I texted him. In addition to the original SUV (which is now right in front of her house) there's another SUV there as well. Apparently some other people wearing IRS jackets (just without the "Special Agent") got out of the second SUV, and he just saw them carrying out some "banker's boxes" sealed with red tape, and a couple of computers. And because this poo-pile is not yet deep enough, apparently they were checking something (assuming VIN) on the Mercedes SUV she started driving a few months ago.
I'll update this as he sends me more info. We're seeing the undoing of the Harpy in nearly real-time.... Oh, how sweet it is.
The second post (parts 5-8) can be found here: https://www.reddit.com/NuclearRevenge/comments/kst2vl/how_i_got_a_not_really_an_hoa_disbanded_and/
submitted by AmbulanceDriver2 to NuclearRevenge [link] [comments]

Investment theory and penny stocks

I've taught college-level investments classes, and I think a lot of you people would benefit from some of what we talk about in there.
It's important for you to understand what exactly risk is, in the finance sense. Watch this video and think about how you would react in this scenario. The expected value (average value of all possible outcomes) of the case is $500,000.50. I have a feeling that if you sold that case on the market you'd find a market price below that; the difference between the expected value and the market price (assuming a fully liquid market) is the risk premium
A central concept of finance and investments is this: the more risk you take, the more return you get. The safest thing you can do is convert your holdings to cash and stick it in your wallet, but you would get zero return (and lose purchasing power due to inflation over time). Technically, sticking money in a savings account is riskier, though interest rates on savings deposits is essentially zero these days and deposit insurance removes most of that risk. Any market play that gets you massive returns is putting a bunch of capital at risk (think about that WSB guy who put $700,000 into GME options; imagine what happens to the guy if the price doesn’t move). The reason the most common investment advice is to fire everything into low-cost index funds is because it’s low risk and low cost (active management of mutual funds rarely justifies the extra cost, but that’s a different discussion entirely). If you’re undertaking extra risk, you theoretically should be getting extra return to justify that risk. Think about a lottery ticket. If the jackpot is high enough, the expected value (the averaged return you get from all possible outcomes) of a lottery ticket is higher than the price you pay for it. However, given the limited set of outcomes that a lottery ticket gives you and the likelihood of the worst case scenario (you lose your entire investment), the risk is too high for most people to seriously invest in (and if you do “seriously” invest in the Powerball, you’re probably not having a good time).
Another important consideration is liquidity. If you're selling a Stradivarius violin, you're going to have to spend a lot of time searching for a buyer who will pay full price OR you’ll have to sell it for less than it’s worth. In the market, this tends to be reflected in the bid/ask spread. We like to think about the market as a monolith, but in reality it’s just an aggregation of all the investors out there. That means liquidity isn’t a problem when it comes to most stocks on the NYSE and NASDAQ (eg. At the time of this writing the bid/ask spread on AAPL was $.01 for a price of $136.79), but when you head to OTC territory you might start seeing bid/ask spreads that can be up to 10% of the price for some of those real “no man’s land” stocks. That means that the price you pay (the ask price) and the price you can sell at (the bid price) can be wildly different. That also means that any “at current market price” order you send (especially in pre-market) may be filled at a price different than the price you think it’s going to be filled at.
A third concept to think about is market efficiency. The central idea of market efficiency is that the price reflects all available information (different forms of efficiency consider private/public/historical info). A truly efficient market will react instantaneously and accurately to any new information that is created/released, eg. A firm releases earnings and beats expectations, therefore the price jumps up.
If market efficiency is a product of investors discovering information and acting on it, that means your best opportunities are in places that are less visible to the aggregate investing public. That’s where pennystocks comes in. Do a search on most of the tickers listed here, and you’ll see a bunch of summary stock profiles and not much else. Do a search for any S&P 500 company and you’ll find an incredible amount of news, branding, and other information. If you’re looking for “good” penny stocks to buy up, you’re looking for an information advantage over the “average” investor. However, there is the hazard (that’s been around long before the internet) of bad or fake information.
Remember that the market is an aggregate of all the investors out there, and those investors are subject to psychological biases, differences in personal attitude, and individual risk tolerance. That’s why you see some interesting reactions to events: remember when TSLA stock dropped because Elon Musk was smoking marijuana? There’s nothing about the CEO smoking marijuana that should change the fundamental value of the company, but investors collectively seemed to think this was a negative for the long term prospects of TSLA.
A few common investor biases:
• Losses are treated as more impactful than a gain. Think about if you buy into a stock and it immediately drops $.10. Compare this to how you react if you buy in and it immediately jumps $.10; the average investor is going to react more strongly to the former.
• We all hate having made a “loser” trade. The effect is usually that investors hold on too long to a poorly performing stock in hopes that it will rebound.
• Investors tend to anchor their perception of a stock’s performance based on their entry price. A $.10 drop in price hits worse if it takes you below your purchase price
• Playing with “house money” (ie. your gains) is treated differently than your initial principal. In practice, this means that an investor that has done well recently is more risk-tolerant (and not always in a good way)
• Investors are susceptible to "herding" behavior, where they follow what someone else is doing not because they know what that someone else is doing is good, but because they think that someone else knows something they don't.
Stock prices are subject to the principles of supply and demand, ie. increased demand will raise the price, and people looking to sell more than buy will lower the price. This is especially important when it comes to momentum (the principle that an increasing stock price will continue to increase and a falling price will continue to fall). This is why you see overreactions to news items and a subsequent reversal; a news item creates a buying/selling frenzy that pushes the price until cooler heads walk in and say “maybe this price is wrong”. This is where swing traders try to profit: among other things, they look for stocks that have a drop that is unjustified in material info or in the degree of drop, buy up at “downward momentum” prices and sell after the reversal. Day traders also try to benefit by buying stocks with positive momentum and selling the second that momentum reverses.
So what does this mean for us at pennystocks? A few considerations that are unique for penny stocks:
1) I already mentioned it, but liquidity is a big consideration: Bid/ask spreads may be larger than normal and many brokers either don’t let you trade below $.01 or make you pay a fee to do so. This also means that options covering penny stocks are either sparse or nonexistent.
2) Information coverage: information can be hard to find, and sifting through good and bad info can be a chore
3) Low market participation: The smaller number of traders means that it takes fewer people to influence the price in a material way. This is what makes penny stocks susceptible to pump and dump schemes: A bad actor just needs to convince a (relatively) small number to buy in to a stock to bump up the price, then the dump can crater the price leaving a bunch of bag holders in their wake.
This also means that the price is subject to more psychological bias on the part of investors.
4) There are a lot of biotech firms in penny-stock land. The fortunes of these companies rest entirely on the outcomes of drug trials and/or acquisition by larger firms, which means you can see massive swings in price.
This scene from The Wolf of Wall Street should be required viewing for anyone wanting to jump headfirst into penny stocks. The modernization of trading means that commissions are drastically reduced, but the lessons here still apply. I’m not saying “don’t invest” because there are some mighty gains to be had if you do it right. I’m saying “be cautious” and certainly don’t trade on emotion. Understand that what we’re doing here is speculation, and that many stocks with penny prices are trading at penny prices for a reason. Increased volatility in the penny stocks market is going to make you feel a lot of things, but it’s important to compartmentalize this emotion and trade logically. The moment you start treating it, consciously or unconsciously, like a casino, you’ll get casino-like returns (spoiler alert, the house always wins in the end)
A few closing thoughts:
• Like another recently popular post here said, don’t be afraid to walk away for a few days to cool off.
• FOMO is the gains killer; there will always be a New Moon in terms of penny stocks.
• Pay attention to the sector you’re buying in and understand how that might influence the volatility of the stock’s price. Be especially wary of anyone trying to sell you on a “sure thing” biotech firm.
• MLFB to the moon! (Just kidding, don't rely on me to tell you what to buy) (EDIT: By Request 🚀🚀🚀)
And finally
• Do your own research! There are some legitimate DD threads on here, but you should do your own research and make sure they’re legit. Some threads here sound a lot like Jordan Belfort in the video above.
Further reading:
Wikipedia’s very long list of cognitive biases
Efficient markets hypothesis
Behavioral finance
submitted by belangrijke_muis to pennystocks [link] [comments]

On the verge of a total mental breakdown, don’t know how to cope. Anyone else feel like they have no rights at all?

This may be a long rant, but I can’t help but feel like I’m continually getting screwed over. Trying to be fair and reasonable has gotten me nowhere.
For a bit of background, my soon-to-be ex wife and I were together for 14 years. We have two kids together (2 and 5). Shortly after the birth of our daughter, my wife started experiencing postpartum depression. Her method of coping was to spend tens of thousands of dollars buying stuff off Amazon, to the point where the basement of our house was unusable due to the sheer amount of clutter (I made the mistake of leaving her in charge of the finances, so she was able to hide from me the amount of debt she had accumulated). I would ask her from time to time to stop buying so much stuff, but also made a point to not get upset with her about the issue.
Around 5 years ago, I suffered a crippling hip injury that left me in debilitating pain every waking minute of my life, which really fuelled the breakdown of our marriage. She had very little sympathy for me, and not only blamed me for not taking the proper steps to get it treated (it took 3 years and 16 MRI’s just to get a diagnosis), but she also accused me of faking it. During the final months of our marriage, I would come home from work to find the house completely turned upside down. She would leave garbage absolutely everywhere, and the amount of toys the kids would leave on the floor would create a real hazard. I would clean up after her as much as I was physically able to, but it was never enough for her. Coming home from work and then cleaning until I could no longer stand up was physically and mentally exhausting.
Around the beginning of summer, someone (who I’m now almost certain was one of her friends) called child protective services (FACS) to report that I had been yelling at the kids. My ex moved out shortly after and was now claiming that I had been emotionally abusing both her and the children. Because she was claiming abuse, she was given transitional housing for abused women, meaning she was now receiving subsidized housing. She later claimed in her responding affidavit that she didn’t know she was being abused at the time. She also took an extended leave from work claiming that she needed to care for the children full time. But that also meant she was becoming increasingly desperate for money (according to her own financial statement, she had been spending upwards of $4,500/month - $300 on toys alone - which is almost twice my monthly income).
During the first month of our separation in June, she had lied to me about FACS requiring that my time with the kids be supervised by my parents. She had also asked me to allow her and the kids to move to another province so she could move in with her parents, to which I refused (during our marriage she often complained about how horrible her childhood was, as she felt she was being raised in a religious cult). After waiting a month with no response from the FACS legal department to find out more about this supervised visitation order, I took it upon myself to call the case supervisor only to find out that there was no such order in place, so I was able to see my kids with no supervision during all of July (the FACS case was closed in November when they found no evidence of abuse taking place). After I confronted her for lying about supervised access, we had worked out a verbal agreement between the two of us where we each had the kids almost equally.
Then in August, she decided to completely withhold the kids from me (and the rest of my family) after my daughter bumped her head while playing in my living room, claiming that I was neglectful for not rushing her to the hospital (I iced her head and monitored her, but apparently that wasn’t enough - it ended up being a very minor injury in the end). She refused to let me see the kids in person unless I signed an agreement giving her sole custody, with my 3 hours a week access she offered me going back to being supervised. I was forced to bring an emergency motion against her - which took almost 4 months for a date to be given. She had allowed me to video chat with the kids on a nightly basis, but it was never the same as seeing them in person.
During the emergency motion in December, I was finally granted 3 hours on Wednesdays, and every other weekend with the kids. The judge also ordered that more access could be agreed to between us - thinking that we could still solve things amicably. And although there was no evidence of abuse found in the FACS report, she has continued to claim that I’m abusive towards the kids, desperately grasping at straws with every allegation she can throw against the wall. She even accused my parents of crying in front of my son to manipulate him into revealing his address. Also, I had taken her off my work provided benefits back in August (as she was no longer considered by my insurance company to be a spouse, and she had her own benefits until a month ago), and am not able to put her back on.
The case conference happened last night, and the judge (the same judge who presided over the original motion) completely glossed over every instance of her lying/manipulation mentioned in my case briefing, and instead grilled me for refusing to speak to her during pickups/drop offs (I told the judge I wasn’t interested in more allegations of abuse/harassment, so I would prefer ALL communication to be written), and confronted me about her false allegation that I was talking about guns in front of my son. Even though I denied that conversation took place at all - because it didn’t - the judge reminded me that it was inappropriate to discuss weapons with the children. Her lawyer also lied and said that I had not requested any additional time with the kids until after they had submitted their case briefing.
It’s now looking like I’m going to be paying for my ex’s benefits out of pocket, even though I wasn’t paying for them when she was still on my plan, and they won’t allow her back on as a dependent. I’m paying the full amount of child support, which is almost as much as my mortgage payments, and it’s also looking like I’ll need to give her back payments for the months she withheld the kids from me. I’m almost certainly going to lose my house, and am now on the verge of a total breakdown knowing that I won’t be able to afford to pay rent anywhere, let alone a new mortgage. I’ve long since cleaned out every penny from my savings, and am now digging into my retirement funds to pay for legal fees (she is receiving legal aid, which is almost literally 10 times less than I pay, and I know this because she had used our joint bank account to pay her lawyer multiple times). It’s also looking like I’m going to be responsible for the insane amount of debt she accumulated without my knowledge.
So it seems she can lie with absolute impunity, as the judge has now completely sided with her on two occasions. I have no say in when I’m able to see my children, as it’s now completely up to her to allow me more access. And since she was pissed off when I told her I planned on doing everything I can to keep the house, she’s desperately trying to ruin me financially. The kids both told me that they wished they lived with me (without her), but that doesn’t seem to matter either.
Anyone else experienced anything similar? Everyone - including my lawyer - keeps telling me that she’ll get what she has coming to her, but that just doesn’t seem to be the case. I’ve desperately tried to reason with her, only to be met with more allegations that I’m trying to control her. I’ve been requesting shared custody with the kids through the courts, because despite everyone telling me I should be seeking sole custody, I think it’s important for the kids to have both parents in their lives equally. There seems to be no recourse for fathers, and absolutely no consequences for her lying/manipulation. I strongly suspect that if the tables were turned, and I was the one denying her access to the children, that I would now be sitting in a prison cell. I’m hoping things will get better, but from how things are going, I suspect things are only going to get worse.
Thanks for taking the time to read about my frustrations.
submitted by kickintheface to Divorce [link] [comments]

Clover (IPOC) CEO response to Hindenburg Research piece from yesterday

from the SEC:
https://www.sec.gov/Archives/edgadata/1801170/000119312521029637/d66346dex991.htm
click for all the tables/images.

EX-99.1 2 d66346dex991.htm EX-99.1
Exhibit 99.1
In Response to Short Seller Firm’s Questions
📷
Andrew Still-Baxter 18 min read
From:
Vivek Garipalli, CEO and Andrew Toy, President of Clover Health
Clover’s mission is to improve every life. We do that by scaling the Clover Assistant platform across physicians to drive a meaningful positive clinical impact towards as wide a percentage of our membership as possible. We align our incentives for the Clover Assistant by embedding our software platform inside of the business of our Medicare Advantage plan. As we improve outcomes, and lower costs, Clover can pass those savings on to consumers, improving the attractiveness of our plans and spurring rapid growth. We ultimately seek to transform healthcare for each and every one of us.
Clover welcomes questions about our business, as it gives us the opportunity to share our vision and to address any skepticism, whether founded or unfounded. As you will see from our detailed,
point-by-point response to the short seller firm’s questions, the alleged “report” is rife with ad-hominem attacks, sweeping inaccuracies and gross mischaracterizations. Importantly, the short seller firm did not contact Clover, and we had no knowledge of the short seller report prior to it being made publicly available. In our view, it belies a desperate attempt for publicity while sacrificing any regard for the truth.
In addition, we would note that the report’s title specifically calls out the involvement of “The King of SPACs,” Chamath Palihapitiya, and accuses him of a dearth of diligence. This, as we will show, is completely untrue, and we suspect this was done in order to sensationalize what is otherwise a rather underwhelming piece of research. Given the market’s latest views on short sellers, we believe that Hindenburg, which takes pains to call out their altruism in saying that they are not short on CLOV stock, is foolheartedly seeking to redeem itself by posturing as a white knight of the financial markets.
We’ve put together this response as rapidly as possible. We hope you will find it extremely informative.
##
  1. Did Chamath and/or Clover know about the ongoing DOJ investigation? If so, why was it concealed from investors?
Chamath and Clover were fully aware of the DOJ inquiry.
To be clear, Clover does not believe it is, or has been, in violation of any rules or regulations related to the inquiry.
We went through both an IPO and de-SPAC due diligence process, and this subject received extensive focus and attention. Consistent with the views of Clover’s outside counsel, Social Capital’s outside counsel, and independently retained outside counsel of third parties, including IPO underwriters’ counsel, we concluded that the fact of DOJ’s request for information was not material and was not required to be specifically disclosed in our SEC filings.
How could a DOJ inquiry not be considered material information? As heavily regulated organizations participating in Medicare Advantage, Clover and its peers receive frequent requests for information from regulatory bodies. These are typically confidential. We promptly respond to these requests as and when they come in. As the short selling firm points out, the DOJ also often reaches out to ex-employees, including by civil investigative demands, as part of their information-gathering process.
For absolute clarity:

Clover Health believes it has made all appropriate disclosures, which were reviewed and vetted by outside counsel to all parties.

Clover has not received any civil investigative demands or subpoenas from the Department of Justice.

Clover has received a request for information from the Justice Department, to which, as we do with all requests from regulatory bodies, we responded. This was on a voluntary basis.

Clover has conducted a detailed review of matters potentially addressed by the DOJ request for information and has concluded that it is in compliance with all laws and regulations material to its business.

Up until the publishing of the short selling report yesterday morning, Clover was unaware of any other ongoing investigations of the Company, its officers, or any companies with which they are affiliated.

Following the report yesterday, Clover received notice of an investigation from the SEC. We believe this inquiry is based on the short selling report issued yesterday morning.
  1. Is Clover aware of any other regulatory investigations into the company or Vivek Garipalli and his related companies? If so, what are the details?
Clover is unaware of any other ongoing regulatory investigations, except, as noted above, following the short selling firm’s report yesterday morning, Clover received an inquiry from the SEC. We believe this request is based on the short selling report issued yesterday morning.
  1. Has Clover received any subpoenas or civil investigative demands from regulators? If so, how many and from which regulators?
No. Clover has not received any civil investigative demands or subpoenas from the Department of Justice. Clover has received a request for information from the Justice Department, to which, as we do with all requests from regulatory bodies, we responded on a voluntary basis.
  1. Why does Clover’s subsidiary, “Seek Insurance” operate a website called “SeekMedicare.com” claiming to offer “independent” and “unbiased” advice on selecting Medicare plans without disclosing that it is owned by a Medicare plan provider, representing a blatant conflict of interest?
Seek Medicare is a startup that was incubated and set up as a separate company from Clover — it has its own management team, outside investor (a nationally-recognized public company), board and employees. Clover and the outside investor share in governance of Seek at the board level, including decisions such as the nomination of the CEO. Clover has the right to appoint a Board Member (currently Andrew Toy, Clover’s President & CTO), the outside investor has a right to appoint a Board Member (currently an employee of the outside investor), and the third Board Member, the CEO, must be mutually agreed upon. In addition, this investor has a unilateral contractual option to convert its investment into 50% equity ownership of Seek.
It’s not unusual for payors to create or have stakes in FMOs. What makes Seek different is its fundamental belief that Medicare consumers are simply not well-informed and that hurts their ability to get affordable, great healthcare. Seek is purpose-built to deliver against that problem. In order to make sure it could effectively pursue its goals, Seek was set up as a separate company, and it has raised nearly all of its capital from the outside investor.
At Clover, we obviously want everyone to pick a Clover plan, but we want to earn that business by providing great and affordable healthcare coverage. The most important thing is that Medicare eligibles end up in the right plan for them.
One final note here: Seek is a brand new startup, and its website is still in version 1.0. Please take a look back next week when its planned version 2.0 comes out.
  1. Clover’s subsidiary, Seek Insurance, claims on its website “We don’t work for insurance companies. We work for you” despite literally being owned by Clover, an insurance company. What is your response?
While Seek is an affiliate, as we said, it operates separately from Clover, with its own financing and its own goals, which are to provide neutral, objective advice to Medicare eligibles and to empower, educate and assist them. Seek offers Clover plans but, more importantly, Seek also offers many more coverage options. In fact, in every market in which Seek operates, Seek endeavors to offer at least 80% of available plans in that market.
Even though Seek began very recently, it was able to stand up its agency in the most recent AEP and also launched a pilot in ~100 retail locations in six states, with a focus on markets in Georgia, New Jersey and Texas.
If you want to see the objectivity of Seek, we think the results of Seek’s initial sales period speak for themselves:
Percent of Seek sales, by insurance plan, in the most recent AEP:
1.
Cigna: 20%
2.
Humana: 20%
3.
CVS/Aetna: 17%
4.
Clover: 13.5%
5.
UnitedHealth Group: 11.3%
6.
WellCare: 8.5%
7.
Horizon: 5.7%
8.
Other (unrelated to Clover): 4.0%
In terms of scale, applications from Seek totaled less than 1% of the total applications Clover received in the most recent AEP.
  1. How much has Clover paid B&H Assurance, the undisclosed outside brokerage firm run by Hiram Bermudez (its Head of Sales) since inception?
Clover has paid approximately $160k directly to B&H since 2017.
Hiram has disclosed the following in connection with his B&H relationship:

He does not receive any compensation, direct or indirect, from B&H Assurance for any work related to Clover.

He maintains a 50% ownership interest in B&H Assurance, which he has owned since before he joined Clover.

Hiram’s only work on behalf of B&H Assurance is monitoring compliance and negotiating contracts, from time to time, with parties that do not include Clover.

He maintains an ownership interest in B&H Assurance so that, in case he separates from Clover, he has the option to go back to the brokerage agency he co-founded and not have to start over.
As a general matter, Clover engages with brokers in each of its markets in order to distribute its plans. This is standard operating procedure in the Medicare Advantage space. Broker payments are statutorily defined by state insurance regulators, broker scripts are actively monitored by both internal compliance and CMS — including via “secret shopper” and other methods — and we take our obligations to CMS, our members and potential members very seriously. We believe our marketing materials and the brokers that represent us accurately reflect and portray our plans to our members and potential members and do so with transparency and integrity.
  1. What portion of Clover’s business has been referred by B&H Assurance since inception? How many members?
Approximately 8,200 of our current members were referred by B&H Assurance to Clover.
While B&H has been a strong producer, we strongly disagree with the statement that B&H alone has “fueled” Clover’s growth. We believe that all Medicare Advantage plans have key producer relationships, and to say those relationships somehow illegitimately fuel growth is a misnomer.
We believe Clover plans are appealing because they are often amongst the lowest cost plans in our established markets, and they offer the same cost-sharing for in-network and out-of-network primary care and specialist visits. As we expand across the country, we intend to establish relationships with additional brokers and key producers.
  1. Former employees told us that the relationship between Clover and B&H Assurance was transferred into the name of Hiram Bermudez’s wife “for compliance purposes”. NAIC filings confirm it was transferred into his wife’s (maiden) name weeks after the go-public announcement. What is the explanation for this?
The statement underlying this question is false and misleading. The reason that B&H Assurance’s appointment list does not include Clover is that B&H has what is referred to as a “downline” relationship with Ritter Insurance Marketing, which contracts directly with Clover (note that it appears B&H does contract directly with a number of other plans based on the cited NAIC record page). Rather than a nefarious circumstance, this is also a standard construct in the Medicare Advantage world.
Further, the statements interpreting Yesenia Rivera (Bermudez)’s NAIC profile are incorrect in their conclusions: (1) there was no transfer of any relationship between Clover and B&H Assurance from Hiram to his wife; (2) the NAIC filing simply shows that on August 14, 2020, Mrs. Bermudez was directly appointed by Clover Health to be able to sell Clover plans as an agent.
For context, Hiram underwent a major organ transplant surgery at the end of last summer due to chronic kidney disease. He, thankfully, is doing very well healthwise after the surgery. Hiram informed us that he and his wife made a decision for her to go through broker certification so that, if his condition deteriorated further, she would be able to take over his 50% ownership in B&H.
No one should ever feel compelled to share this type of personal and private health information publicly, but we deeply respect Hiram’s desire to disclose this to make clear he had no malicious intent. Hiram is highly mission-oriented and an amazing teammate at Clover, and pathetic attempts to slander him are shameful.
  1. Will Clover produce the agreement showing the transfer of the relationship into Hiram Bermudez’s wife’s name? Who signed off on the agreement and which senior members of management knew about the deal?
See previous response.
  1. Is Clover aware that disclosure of significant transactions with key senior employees is something investors like to know about, so they can be made aware of potential material conflicts of interest?
Consistent with applicable laws and regulations, Clover has conflict of interest policies requiring employees to disclose any existing or potential conflicts of interest. Clover follows SEC rules and regulations regarding the public disclosure of these relationships.
  1. Was Chamath aware that the DOJ was looking into issues of potential upcoding when he mentioned, unprompted, on CNBC “they don’t motivate doctors to upcode or do all kinds of things in order to get paid”?
We agree (as does Chamath) that upcoding is a significant problem in the Medicare Advantage industry, and Chamath was fully aware that we have built the Clover Assistant to address the problems in the approaches used by other insurers.
To be clear, Chamath’s statement that “we do not motivate doctors to upcode or do all kinds of things to get paid” is accurate:

We pay Clover Assistant Primary Care physicians a fixed, flat payment per office visit.

Unlike other plans, we never compensate more for agreeing with the Clover Assistant. We never pay less for disagreeing with the Clover Assistant. This payment is fixed and guaranteed, and physicians use their own judgment on what they believe is clinically correct in relation to their direct understanding of the patient.

Put another way, a clinician could choose to disagree with every suggestion, which means there are no additional diagnoses and no additional risk adjustment codes, and they still get paid the exact same amount as if they did agree. There is NO financial motivation that we provide to physicians to answer in any particular way.

This is why we specifically do not believe in capitation contracts the same way that others do. These contracts often share risk adjustment back to physicians — i.e., an indirect way to reward them for coding more. Clover does not support those types of strategies.
To be clear, the focus of the Clover Assistant is driving clinical value. Because of its important role in early and improved detection of disease burden, accurate risk adjustment is one of the byproducts of clinical engagement with the Clover Assistant. Notably, however, much of the content in the Clover Assistant has absolutely nothing to do with risk adjustment. More than 50% of the clinical data we capture through Clover Assistant visits has no risk score impact whatsoever.
Here are just a few examples of the Clover Assistant driving clinical value:
📷
Colorectal Cancer Screening
Medication Therapy Management:
📷
For Chronic Kidney Disease
📷
For Statins
Addressing risk:
📷
Fall Risk
📷
Mortality Risk
Covid — 19 Response
📷
Mail Order and Home Drug Delivery
  1. Clover reported that “onboarded” physicians used Clover Assistant for 92% of member visits in 2019, but never defined “onboarded”. We found that less than half of Clover’s in-network doctors are considered “Clover Preferred”. What is the definition of an “onboarded” physician? What percentage of Clover’s in-network doctors actually use the Clover Assistant?
This is a good question. Similar to enterprise software, there are two phases of bringing on physicians to Clover Assistant:
Contracting: Where we explain the benefits of Clover Assistant to the physicians and they have agreed to use the software.
Onboarding: Where the physicians have received their initial training and have created their accounts, and we have answered their questions. Basically, they’re ready to use the software. We also refer to the physicians as the “Live” physicians.
We use the Onboarded/Live number (as opposed to Contracted) when discussing engagement because that correlates to the physicians that are trained and ready to use the Clover Assistant. We typically have a pipeline of Contracted physicians waiting to be onboarded at any given time, and our goal is to go from Contracted to Live within 60 days.
Speaking to the second question, currently 22% of all in-network Primary Care Physicians are Live. This correlates to 4% of the total in-network physicians (including PCPs, specialists, etc.), but the Clover Assistant is currently built as a tool for PCPs, so we believe 22% is a more useful number.
That said, we don’t view either of those figures to be particularly relevant to the scalability and impact potential of the Clover Assistant. Instead, we focus on membership coverage. More specifically, as of YE 2020, 56% of our membership were attributed to one of those 22% Live PCPs. An additional 11% are attributed to a PCP who is contracted but in the onboarding pipeline (bringing us to 67% total coverage for Clover Assistant as of YE 2020).
This is because as we bring on physicians, we focus on contracting and onboarding those with more Clover members first, so a disproportionate number of our members are attributed to Clover Assistant-Live PCPs. As we continue to deploy the Clover Assistant, we intend to bring on the remainder of these physicians and we expect to see these numbers converge more. Right now we’re very proud of that 67% coverage number of all Clover members as of year-end 2020.
  1. If Clover’s software is so “delightful” to use, why does Clover have to pay doctors extra ($200 per visit) just to use it?
We think this is a big part of the innovation model of Clover and why it’s so important that we build this tool internally as a payor.
The Clover Assistant is a SaaS-type enterprise clinical decision tool, but rather than charge physicians to use it (like regular software startups), we instead reimburse PCPs to encourage them to use it and to recognize the incredibly important role PCPs play in assessing and taking care of our members and controlling costs. PCPs receive less than 5% of total medical expenses in the US, and we believe that to solve the ballooning health care expenses in our country, we need to shift more of our focus, resources, and compensation to primary care doctors.
To be clear, the “extra $200 per visit” is not incremental or “just to use” the Clover Assistant, but represents the overall payment that covers both the PCP office visit and the use of the Clover Assistant. This translates to roughly twice the traditional Medicare fees paid to PCPs for an office visit, more in line with fees paid to specialists.
Most critically, this is a flat fee. We don’t pay them more to agree with us, or less when they disagree. A lot of programs effectively do this, and that creates moral hazards like upcoding or trying to skimp on care. We pay the flat fee because we want to reward PCPs for great data-driven primary care without creating those moral hazards and bad incentives.
Speaking to the delight point — we measure this in an objective, standard way in the form of Net Promoter Score surveys. We run these surveys within Clover Assistant for all Clover Assistant users on a quarterly basis to see how we’re doing in terms of user satisfaction and delight. We’ve traditionally received a score between 55–63 which we think is excellent — particularly for healthcare.
Here’s a screenshot of our NPS survey:
📷
Clover Assistant NPS Survey
📷
Our most recent NPS results from the end of last year.
As you can see, most of our Clover Assistant survey respondents give us very high ratings. There are a few “middle” scores, and there are, of course, some detractors who give us low scores. When we receive detractor feedback, we strive to send our Product and User Research teams to interview these users to find out how we can do better. We’re not perfect, but our fast iteration rate (releasing a new Clover Assistant version on average every 3–4 weeks) helps us continuously improve our platform.
  1. Multiple doctors explained that it was difficult to remove prior diagnoses from the Clover Assistant. Is Clover aware of this? And can Clover guarantee that in future versions of the software doctors will be able to remove prior diagnoses, so as to ensure accuracy and cost efficiency?
For clarity, every diagnosis that appears in the Clover Assistant is for physician consideration, and they can choose to tell us they don’t think that diagnosis is currently relevant. Here’s a screenshot of how it’s shown.
📷
Every suggestion made is based upon clinical data that we have at Clover and personalized for each specific patient. Then the physician can tell us whether they can confirm the diagnosis. If they cannot confirm, they can easily select that option (shown above), and we ask them to share the reason why so we can update our internal data.
Note that when a physician tells us a diagnosis is not currently relevant, we do not show that diagnosis again that calendar year unless there is a new reason to believe that the diagnosis applies (e.g., new clinical data).
We may also resurface a diagnosis the following calendar year for reconfirmation. There’s a reason for this: many chronic diagnoses may come and go in terms of their diagnosis state. For example, diabetes may resolve (removing the diagnosis) if a patient loses weight, but if the patient puts the weight back on, diabetes will come back. Or, active cancer may go into remission, then unfortunately return. As such, it’s clinically appropriate to track these previous diagnoses.
Bonus Question: Is Clover Assistant actually helpful to physicians in providing better care above and beyond their EHR?”
This wasn’t actually in the list of questions addressed to us but was implicit in the short-selling firm’s commentary, so we wanted to hit this on the head, too.
We are incredibly proud of the ways, in only a few short years, we have been able to build the Clover Assistant platform in order to support PCPs in providing better care for our members. The Clover Assistant is not attempting to be an EHR; rather, we are focused on building a product that is supplemental to the EHR and driven by physician feedback.
We’ve supported the rapid transition to remote visits during the outbreak of COVID-19 this past spring, we’ve supported members getting their medications delivered to them when they couldn’t leave their home, and we’ve gotten clinical information otherwise not available to PCPs into the hands of those most equipped to utilize that information.
We also surface evidence-based protocols specific to a member’s disease profile. To be clear, we do this in order to help our members receive the right medications, access the right testing, and achieve better outcomes. By doing so, we pay more money now in order to decrease costs and patient suffering down the line.
If you take a look at our most recent investor presentation, you can easily see a view of that functionality on page 10. On page 19 of the same deck, you can also see a view of the Clover Assistant’s impact outside of accurate diagnosis capture.
We are just starting this journey, and know that, like with any software, there are plenty of opportunities for fine tuning and further improvement. But we are motivated by those challenges and solicit that feedback from the healthcare community and our in-network physicians regularly.
— The Clover Product, Clinical, and Engineering Leads
  1. A former employee explained that Clover handed out gift cards to doctors and nurses to generate patient leads, a practice prohibited by CMS. These gift cards were justified as being for everything but recruitment, including “morale,” a “thank you,” “motivation,” and “friendship.” How do you respond?
Clover does not provide gift cards to doctors and nurses to generate patient leads.
Clover prides itself on a strong culture of compliance. If we were to discover any violation of CMS regulations or any applicable law or regulation, our compliance department would take decisive and strong corrective action.
  1. Does CEO Vivek Garipalli deny that his CarePoint hospitals at one point charged the highest emergency room prices in the entire nation?
It is important to note that CarePoint is a separate and independent business entity, with different management teams, investor structures, and boards of directors. We do not comment on its operations. We also do not respond to ad hominem attacks against our officers.
  1. Why did CEO Vivek Garipalli make a secret $1 million donation to the Mayor of Jersey City?
The aforementioned contribution to a PAC has been reported in the media. Like any private citizen, Vivek makes contributions. As our first market, New Jersey is near and dear to us, and Vivek believes the Mayor of Jersey City has done a commendable job of attracting businesses and developing affordable housing policies.
Vivek also donates to other causes in New Jersey and elsewhere — such as a $1MM contribution to the Goodwill Rescue Mission homeless shelter in Newark, NJ.
  1. Why has Clover had such extensive executive turnover, with 3 CFOs, 3 COOs, and 2 General Counsels in the last 4 years?
Clover has evolved significantly over the past four years, and we needed different people with different skill sets at each stage of our journey. We are grateful for the contributions of every one of our employees, past and present, and are proud of our current management team. As is evident from our team’s background, they bring extensive experience across their areas of expertise. We believe we should always be looking to bring on more and more talented and mission-oriented individuals as we evolve and grow.
In particular, we are grateful to our co-founder Kris Gale for his work as the original Clover CTO to build the fundamentals of the Clover data platform. When Andrew Toy, our current President and CTO, came on board, one of the first things he did was focus on the creation of a way to turn data into improved care by physicians. The result of that was the Clover Assistant.
submitted by InverseInception to SPACs [link] [comments]

EP barely cares for safety of EK

Im a professional mover, and because of this I end up working with a lot of rich families, and as such run into a LOT of entitled people in general. But this one really just blew me away.
The roster is as follows: B: My boss, T: coworker who loads our truck, Q: coworker, Me, EP, and EK (about 10)
So we get to this job site, 3 story house with about 80 pieces of furniture and a good 150 boxes. A really big move, but nothing me and my crew cant handle. We meet the customer, EP, and I can tell right away its going to be an unpleasant experience.
B: Okay, so now that we're here and we can take a look at what were actually working with, unfortunately the estimate our sales team gave you on the phone most likely isnt going to be how long this takes. We're looking at around 12 hours of work here.
The issue here being that our sales team, gets the number of boxes and furniture and tries to guess how long its going to take. However, because we cant physically see what we're working with until we get there, usually the estimate is off by an hour+. She was given an estimate of 9hrs, but we knew we wouldn't be done by then.
EP: Okay, well Im still going to be paying the price they told me on the phone right?
B: Well Ma'am unfortunately the sales team only gives estimates, and we can't know exatly how long a job will take until we get here and see it for ourselves.
They argued back and fourth about how we are a service, and we charge for how ever long it takes to get the job done, but eventually she gives up and lets us get started. It went smoothly for the most part, we got 1 truck fully loaded and we had just started on the second truck when shit got wacky.
We start loading the second truck, but its taking a while because we are unloading the sports equipment from the second floor, having cleared out the top floor and a good portion of the main level. It took all 4 of our guys to get things down the stairs as it was a tight squeeze and there was a sharp corner at the bottom of the staircase. Eventually we get it out the front door, only to find EK on our truck, fucking with the stuff we already had loaded. We have to set down the piece we were carrying and have the kid get off the truck. Q tries first.
Q: hey kiddo, you cant be up here, its dangerous to be in here, and we gotta keep bringing stuff on.
EK: well it's my stuff, so im allowed to be here. Plus my mom said I could come help you guys if I wanted, so Ill help!
At this point B has already walked off to find EP so she can call her son off the truck.
Q: Well little man, its very nice of you to want to help, but we cant have you up here, like I said its dangerous. We are carrying heavy stuff, and we don't want anything falling on your head
B comes back with EP, furious. I thought maybe at her son, but no, of course not.
EP: Leave him alone! He is just trying to be helpful.
B: I understand that Ma'am but we can't have him on the truck, as if he pulls something out, stuff could fall and crush him. It's a liability issue, and just a safety hazard.
EP: Well things wouldn't fall if you packed the truck properly, maybe you should just get better at your job
At this point shes yelling at us, and T is getting tired of this lady already.
T: With all due respect, I have been doing this for 20 years, so I know what the fuck Im doing.
EP: Excuse me? If you knew what you were doing, it wouldn't be dangerous on the truck!
B tries to calm the situation down: Ma'am, we need him off the truck. Hes in the way, and we don't want him to get hurt.
EP: I don't care what YOU want, you're here working for ME. Im the boss here. You will let him be wherever he wants to be.
EK at this point has sat down in an office chair that was waiting to be added to the stack, clearly pleased with himself.
EP storms inside, leaving all of us a bit shocked. We sorta huddle up near the cab of the truck to discuss options. Our issue being, at this point we cant do anything until the kid is out of the way, and clearly the mom is of no help. We cant do anything to physically move the kid, since that would lead to all sorts of issues we didnt want to deal with. After half an hour of debating on what to do, EP comes back outside, furious as ever.
EP, screaming at this point: WHY THE FUCK HAVEN'T YOU GUYS BEEN MOVING ANYTHING! YOU REALISE IM PAYING BY THE HOUR
Q and T get in their already loaded truck, as neither of them are very good at keeping their temper in check with customers like this, leaving me and B to deal with her, but B being team lead, took her on for the most part.
B: Well Ma'am, to be frank there's nothing we can do until your son is out of the way. He's a insurance liability and we cant continue until hes off.
She takes a moment to try and collect herself a bit, then responds in the most venomous tone possible
EP: Fine! But you bet your ass your boss will be hearing about this! EK, im sorry but these mean men wont let you be a kid, so you have to come down.
He cries and moans but comes off after a minute solid of him stomping his feet trying to get his way.
The rest of the move went without too much issue, other than EP being aggressive every time we asked a question about where something was going or letting her know of any pre-existing damage on stuff, etc.
We decided not to mention to her that we are contractors, and as such we dont really have a boss. Not only that, but the company would have our backs because it's a liability for the company as well to have people, much less kids, on the trucks. At the end of the day it took 12 and a half hours, and to no surprise to any of us, we didnt get a tip.
TL:DR EP was letting EK stay on moving truck that she knew was dangerous, and got mad at us for it.
Edit: punctuation
submitted by D0ctorGamer to entitledparents [link] [comments]

My Big Recommendations List for the Steam Winter Sale

This has been an absolutely miserable year but finally it’s coming to an end, and even looking up now that Facebook and Google are being sued by Federal and State governments. If you played Cyberpunk I’m sure you’ll also have your fingers crossed that both companies get the sledgehammer into little pieces, with Amazon and the App Store soon to follow. Next year is up in the air right now; it could be the year XR is completely strangled by those soulless corpo’s at Facebook, or it could be the year that OpenXR, anti trust action, and consumer apathy towards VR cut their legs out from under them. Things look completely up in the air at this point. So take the holidays and enjoy VR while you still can, next year we might just be playing Valve’s Citadel while the ship goes down.
Well Steam’s Winter Sale is here and it’s a great time to pick up a lot of great games, hidden gems, and so on. This is my list of games to pick up. Some of them are the best prices these games have ever had. I categorized them by price tier, and I put a few standouts in bold either because they’re a great game or a great deal, or both.
Merry Christmas
[I also made a hardware guide for headsets and PC components, a guide to using steamVR, a guide about how to use the Index for AR, and a master acab list of great VR games, demos, and software]
The Sale ends on January 5th at 10AM PT






Also worth taking a look at, over at Fanatical they’re doing a “make your own bundle.” 2 games for $6.99, 3 games for $9.99, 5 games for $14.99
submitted by OXIOXIOXI to Vive [link] [comments]

Notes and Highlights of Kentucky Governor Andy Beshear’s Live Update February 3, 2021

Notes and Highlights of Kentucky Governor Andy Beshear’s Live Update February 3, 2021
Notes by mr_tyler_durden and Daily Update Team
Watch here:
Headlines
Full Notes
(continued in stickied comment)
submitted by mr_tyler_durden to Coronavirus_KY [link] [comments]

company hazard insurance meaning video

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What Is an Indirect Loss in Insurance? : Basic Insurance Advice

What does MORAL HAZARD mean? MORAL HAZARD meaning & explanation. MORAL HAZARD meaning & explanation. In economics, moral hazard occurs when one person takes more risks because someone else bears ... What Is the Meaning of FHA Risk-Based Insurance? : Insurance Info by ... How to Obtain Hazard Insurance : Insurance Info by ... How to Deal With Insurance Companies After an Accident : Insurance ... This video will be very beneficial for the students of standard 11th to understand the meaning, causes and Types of business risk. It contains topics of busi... Make sure to watch our videos; Cargo Misappropriation : Marine Insurance https://youtu.be/upqZKLDDu7A Risk Pool in Insurance : Meaning & Purpose https://yout... Hazards in Insurance ... Definition for Loss Payee With Insurance : Basic Insurance Advice - Duration: 1:14. ehowfinance 1,517 views. 1:14. PART 3- Introduction to insurance - PURE AND SPECULATIVE ... From Texas Enterprise ( http://texasenterprise.org/series/lingo ): What happens when someone is insulated from the repercussions of their actions and never h... You don't need Dialysis, not yet health insurance healthy snacks healthy recipes healthy breakfast health partners health department healthgrades health equi... to find an insurance company that can cover you from a week to 6 months. This insurance will not effect the car owners policy. You don't need to own the car you are practicing in but it does need ... The controversy over "risk corridors," used by insurance companies for when they get into a new and unpredictable market, shouldn't be controversial at all. Visit HSPH's Affordable Care Act page ... http://www.theaudiopedia.com What is LIABILITY INSURANCE? What does LIABILITY INSURANCE mean? LIABILITY INSURANCE meaning - LIABILITY INSURANCE d...

company hazard insurance meaning

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