Health outcomes are determined by a variety of factors that live outside the healthcare setting, such as housing, access to healthy food, education and employment. Over the last two years, there has been a shift away from the traditional view of addressing health, which previously looked exclusively at a person from a clinical perspective towards a view that takes into account the whole person. Despite the challenges associated with transforming the health system, there are many innovative programs that are working towards building a better health system and an evolution of thinking, commonly referred to as Population Health.
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Does the intersection of two market anomalies set the stage for outsized performance? The first is what is known as the Presidential Cycle. This theory goes that equity returns during the third and fourth years of a President’s term are more favorable than the first two years. A second market bias is the large outperformance of small cap stocks in January. Historically small caps outperformed large caps in 80% of all Januaries by 3 percentage points per year. Historically across the 48 months in the four year cycle the January of Year 3 is the single biggest outperformer with median returns since 1927 of nearly 8% a month for small caps. Does this mean that January is guaranteed to be great? Again, nothing is guaranteed – Year 3 Januaries have varied from 27% to down 10%. While many of these tendencies are just that, investors can view them as head or tailwinds that could give bulls and bears pause.