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Use your social media canvas to engage, educate, and empower

Justin Chase, executive vice president of media, EVERSANA INTOUCH discusses trends in social media how healthcare communicators can leverage different…



Use your social media canvas to engage, educate, and empower

Justin Chase, executive vice president of media, EVERSANA INTOUCH discusses trends in social media how healthcare communicators can leverage different platforms to build stronger relationships with patients and HCPs.

Med Ad News: The social media landscape has changed considerably over the past couple of years. That changes and trends are you seeing in healthcare and pharma marketing?

Justin Chase:  The number of deals in the media landscape (not specific to social) went up 20 fold last year and many of these companies have technology or AI that are incorporated into parts of their business model.

The ability to create a profile, or connect and engage, is fundamentally social. In health care, having the kinds of access issues we experienced during the pandemic, it’s not hard to see why this kind of functionality or behavior, saw a demonstrable uptick. That said, there were also a number of overly hyped platforms, like Clubhouse, that we were bearish on from the start. It’s companies like these that got a lot more traction when they probably shouldn’t have.  Why? In large part this could be because of the pandemic and the very real desperation people felt personally and professionally in wanting to engage in new ways across new platforms. I hesitate to call Clubhouse innovative because I thought it was extraordinarily derivative and bound to fail.

That said, we have a tendency in the media and social landscape to jump into what’s new and what’s next. Because media as well as health and life sciences have demonstrated extraordinary innovation, it’s easy to get overly excited about a new entrant to the space. The important thing however is to look at the sustainability of the business model first. The days of growth companies garnering lofty valuations, or story companies with no fundamentals, are over.

What’s really exciting to me is this emergence of the ‘creator universe’. There’s a distinction to be made between creator universe and influencers. The creator universe is less a new platform than it is a new way to use existing platforms. Each platform is a canvas intended to convey a different message or evoke an emotive response from the end user. It’s an unbelievable way to create synergy of experience across all your platforms.

Med Ad News: What challenges are healthcare marketers facing in effectively reaching and engaging with patients and HCPs?

Chase: I’ve worked in media for 22 years and in pharma for 20 of those years. I launched the Gilenya social ecosystem in 2010, and it was the first social experience ecosystem. It was more than one platform; it was multiple connected platforms that encouraged and invited bilateral dialogue. It was the first platform in the history of pharma where you could engage directly with the brand on social media, so it was a big deal at the time. One of the challenges, or trepidation now – especially when you see how much an errant comment or negative tweet can move a market –  is there’s a very conservative approach to inviting comments on social platforms. I’ve seen many clients revert to creating a social presence but then turning commenting off. I think that is a major mistake because no matter what, if you’ve successfully commercialized a clinical asset, then there are going to be people commenting about you and your brand.  Earlier on it’s investors, analysts, and the media, post-launch it’s patients, caregivers, HCPs, and also the media. Don’t you want to be involved in that conversation to help shape the narrative? Some of these brands are choosing not to because of this extreme degree of conservatism. The best way to correct misinformation is with science and data; if you turn comments off and choose not to engage at all, you miss an opportunity to ensure for accuracy in the flow of information around your brand. You are also sending a message to patients, caregivers, and HCPs that although you choose to play on their platforms (that is, you are meeting them where they are), you are also choosing not to play by their rules.

Med Ad News: What strategies should marketers use to facilitate positive relationships and build trust between clients, patients, and HCPs?

Justin Chase, executive vice president, media, EVERSANA INTOUCH

Chase: Omnichannel is everything everybody is talking about right now. You put your patient or HCP at the center of your experience, and then surround them with triggered, dynamic sequential messaging, at scale. This sounds good and it is, but I don’t hear social media being talked about nearly as much as it should be considering the fact that in order to truly provide an omni experience, you do need to engage with people on the platforms they organically engage on – not just owned, promotional channels – and of course social is a key part of this. I think too often omni is thought of as a funnel to the site, but in reality most consumers (patients or HCPs)  are not going to actively, or consistently choose to engage there. They will, however, engage on social channels as they are spending multiple hours there every day, currently.

My point is that as you’re building and nurturing your omnichannel experience, social should be at or near the center. Then as you start to build out your first-party database, by the very nature of doing that work you start to create a flywheel, learning more about your patients, which gives you the ability to create more targeted and personalized communications. You’ll also understand their behaviors and mindsets, which will help you to create and shape a social strategy.

Med Ad News: What are your thoughts on the role of social media in health equity?

Chase: We partnered with The Chrysalis Initiative to launch a campaign called Erase the Line to more fully empower African American women with breast cancer to receive equal treatment in their healthcare journey. Outcomes for African American women with breast cancer are exponentially worse than white women, and this largely comes down to the fact that they are not given the same types of care, treatment, or educational resources. The goal of this campaign, leveraging social media, was to erase the line – the line being inequality for black women in terms of treatment, education, and health outcomes. That’s just one example, and I think the ability that social has to connect, engage, and educate is incredibly powerful. Social can be a really great equalizer in terms of empowerment at scale.

Med Ad News: Are there any interesting social media initiatives that EVERSANA and EVERSANA INTOUCH are implementing?

Chase: We’ve been incorporating AI into our workflow for the past eight to nine years inclusive of creative, copy, and insight generation. From a social perspective, this is where it gets really interesting. There are two schools of thought: one school of thought is that AI is going to totally replace social media in the next six to seven years. The idea is that because so much of the social experience is about search, it can probably do it faster and more efficiently than you, provided you learn the right queries. The second school of thought is that no matter how much we can optimize artificial intelligence, we’re never going to be able to replicate the sense of engagement and human connection that you get just from knowing there’s another human being behind the screen. I think that idea is exemplified massively in health care.

We all know someone with a chronic issue or disease. They spend a lot of time in forums, on blogs, etc. and knowing that if they type a comment in a chat group or a forum, the person  engaging with them on the other end is an actual person – that’s a really big deal. There’s the empathy component. The fact that we’re both going through the same thing at the same time [as someone else] can’t be understated in terms of importance to our mental and physical well-being.

I absolutely do not think that AI is going to replace the social experience but we are spending a lot of time thinking about the intersection of artificial intelligence and media, and certainly social media. I think the sweet spot is going to be AI as a tool for identifying other like-minded people, then rallying those people around a certain topic or theme. If you think about the number of Americans that have some sort of communication impairment, for any reason, certainly inclusive of disease or disability, the number is almost 34 million. One thing we know about AI is that it can have a dramatic impact on communication. Maybe it helps those people communicate through other sounds, images, or symbols – the possibilities are immeasurable, and that’s just one application demonstrating the synergy between AI and social.  These are the things we are thinking about and investing in.

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All Of The Elements Are In Place For An Economic Crisis Of Staggering Proportions

All Of The Elements Are In Place For An Economic Crisis Of Staggering Proportions

Authored by Michael Snyder via The Economic Collapse blog,




All Of The Elements Are In Place For An Economic Crisis Of Staggering Proportions

Authored by Michael Snyder via The Economic Collapse blog,

They were able to delay the U.S. economy’s day of reckoning, but they were not able to put it off indefinitely.  During the pandemic, the Federal Reserve pumped trillions of dollars into the financial system and our politicians borrowed and spent trillions of dollars that we did not have.  All of that money caused quite a bit of inflation, but it also created a “sugar rush” for the economy.  In other words, economic conditions were substantially better than they would have been otherwise.  Unfortunately, there will be a great price to be paid for such short-term thinking. 

From the federal government on down, our entire society is absolutely drowning in debt, and now it appears that our economic problems are about to go to the next level.

In early 2024, there are all sorts of signs that economic activity in the U.S. is really starting to slow down.

For example, we just learned that consumer spending “fell sharply” during the month of January…

Consumer spending fell sharply in January, presenting a potential early danger sign for the economy, the Commerce Department reported Thursday.

Advance retail sales declined 0.8% for the month following a downwardly revised 0.4% gain in December, according to the Census Bureau. A decrease had been expected: Economists surveyed by Dow Jones were looking for a drop of 0.3%, in part to make up for seasonal distortions that probably boosted December’s number.

However, the pullback was considerably more than anticipated. Even excluding autos, sales dropped 0.6%, well below the estimate for a 0.2% gain.

Sadly, the truth is that U.S. consumers just don’t have as much money to spend these days.

They are up to their eyeballs in debt, and delinquency rates have been spiking.

Many consumers are tightening up on their finances, and so it shouldn’t be a surprise that Disney+ lost more than a million subscribers during the fourth quarter of last year…

Disney+ Core subscribers (which include U.S. and Canada customers, as well as international users, excluding the India-based Disney+ Hotstar) dropped to 111.3 million from the 112.6 million reported in the previous quarter, according to Disney’s quarterly earnings results released Wednesday.

In early 2024, we have also seen large employers ruthlessly slash payrolls all over the nation.

The following summary of some of the most shocking layoffs that we have seen recently comes from Zero Hedge

1. Twitch: 35% of workforce
2. Roomba: 31% of workforce
3. Hasbro: 20% of workforce
4. LA Times: 20% of workforce
5. Spotify: 17% of workforce
6. Levi's: 15% of workforce
7. Xerox: 15% of workforce
8. Qualtrics: 14% of workforce
9. Wayfair: 13% of workforce
10. Duolingo: 10% of workforce
11. Washington Post: 10% of workforce
12: Snap: 10% of workforce
13. eBay: 9% of workforce
14. Business Insider: 8% of workforce
15. Paypal: 7% of workforce
16. Okta: 7% of workforce
17. Charles Schwab: 6% of workforce
18. Docusign: 6% of workforce
19: CISCO: 5% of workforce
20. UPS: 2% of workforce
21. Nike: 2% of workforce
22. Blackrock: 3% of workforce
23. Paramount: 3% of workforce
24. Citigroup: 20,000 employees
25. Pixar: 1,300 employees

During the pandemic we witnessed a lot of temporary layoffs, but the last time we saw large corporations conducting permanent mass layoffs on such a widespread basis was in 2008 and 2009.

And we all remember what happened back then.

Meanwhile, the cost of living continues to rise faster than paychecks.

For example, it is being reported that the cost of auto insurance has been increasing at “the fastest annual rate on record”

The cost of auto insurance jumped 1.4% in January, bringing the total annual gain to 20.6% – the fastest annual rate on record. When compared with early 2019, motor vehicle insurance is nearly 40% more expensive. Experts say the problem could soon get worse before it begins to improve.

Needless to say, most Americans have not seen their paychecks increase by 20.6 percent over the past year.

Of course just about everything else has been rapidly getting more expensive too, and that isn’t going to change any time soon.

On top of everything else, we are also facing an unprecedented commercial real estate crisis.

Our financial institutions are sitting on mountains of bad commercial real estate loans, and Kevin O’Leary is warning that “thousands more” will fail within the next three to five years

Regional banks are doomed.

That’s not necessarily a bad thing… if you’re prepared for it.

It’s been almost a year since Silicon Valley Bank (SVB) collapsed in March – the victim of idiotic management. But the sobering reality is the small banking crisis is far from over.

In the next three to five years, thousands more regional institutions will fail. That’s why I don’t have a dime saved or invested in a single one.

Is Kevin O’Leary right about this?

I don’t know.

We will just have to wait and see what happens.

But without a doubt, things certainly do not look good at this moment.

Needless to say, it isn’t just the U.S. that is experiencing economic turbulence these days.

Last week, we learned that the Japanese economy has officially entered a recession

Japan has lost its spot as the world’s third-largest economy to Germany, as the Asian giant unexpectedly slipped into recession.

Once the second-largest economy in the world, Japan reported two consecutive quarters of contraction on Thursday — falling 0.4% on an annualized basis in the fourth quarter after a revised 3.3% contraction in the third quarter. Fourth-quarter GDP sharply missed forecasts for 1.4% growth in a Reuters poll of economists.

The Germans are facing big problems too.

In fact, Germany is being called the “sick man of Europe” right now.

Interestingly, it is at this time that Jeff Bezos has decided to sell off billions of dollars worth of Amazon stock

Amazon’s billionaire founder Jeff Bezos has sold another $2bn worth of the company’s stock, bringing the total value of shares he has offloaded in the past week to $4bn, according to regulatory filings.

An Amazon filing on Tuesday showed that Bezos, who stepped down as the Seattle-based company’s chief executive in 2021 but remains executive chair, sold 12mn shares for about $2bn between Friday and Monday.

He certainly doesn’t need the cash.

So why is he doing this?

Does he know something that the rest of us do not?

I don’t think so.

Instead, I think that he can see what the rest of us can see.

Stock prices have risen to record highs even as the overall economy is clearly heading into a major downturn.

That makes this the perfect time to sell.

Jeff Bezos didn’t get to where he is by being stupid.  He can see what is coming and he is getting out while the getting is still good.

*  *  *

Michael’s new book entitled “Chaos” is available in paperback and for the Kindle on, and you can check out his new Substack newsletter right here.

Tyler Durden Thu, 02/22/2024 - 16:20

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Will Resurgent Inflation Savage The Tech Trade

Will Resurgent Inflation Savage The Tech Trade

By Simon White, Bloomberg Markets Live reporter and strategist

Equity markets are facing mounting…



Will Resurgent Inflation Savage The Tech Trade

By Simon White, Bloomberg Markets Live reporter and strategist

Equity markets are facing mounting concentration risks as just a handful of stocks drive returns. Not only that, the mainly tech-related names dominating the move are highly exposed to inflation which is on the precipice of re-accelerating. Investors face potentially steep downside, but it is possible to build a portfolio of companies well placed to weather a resurgence in price growth.

When one company’s earnings have the ability to influence the macro narrative and materially affect the $43 trillion S&P, it’s clear the threats from narrow breadth are elevated. Nvidia’s results, released on Wednesday evening, may have exceeded expectations and are on the cusp of taking the index to new highs, but that only underscores the reality the tech-heavy market leaves portfolios acutely exposed to inflation. This should be a clarion call that it’s time to act. What better time to fix the diversification roof than when the disinflation sun is still shining?

Concentration risks are at 50-year highs. The top five stocks in the in the S&P 500 now account for over a quarter of its market cap, from only about an eighth a decade ago. You have to go back to the time of the Nifty Fifty in the late 1960s and early 70s to see leadership as narrow as it is today.

Back then, it was the tech titans of the day — Xerox, IBM, Polaroid – that were among the few stocks disproportionately powering the advance. And in what could prove to be an omen for the current cycle, the Nifty Fifty’s fate was sealed by rising inflation, which triggered the most brutal bear market seen since the Great Depression.

It’s even more of a problem today as tech companies have high duration, leaving them singularly vulnerable to a revival in price growth. A greater proportion of cash flows in the future leaves a stock’s total present value at risk from higher real rates.

The benefits of avoiding high-duration stocks when inflation is elevated can be seen in the chart below. The blue line shows a rebalancing strategy that goes long low-duration stocks when US CPI is over its 10-year moving average, and high-duration stocks when inflation is under it (using the inverse of the dividend yield as an approximation for an equity’s duration).

As we can see, the strategy cleanly outperforms the S&P in real terms.

But we can do better than that. It’s possible to build a portfolio of stocks resilient to inflation that’s not just dependent on their duration. After all, it’s a pretty blunt instrument. Ideally we want to find stocks that should do well if inflation re-accelerates (as I expect it will – see below), but is not fully reliant on that outcome.

Companies that are capital light and have strong pricing power should be well-placed to weather – if not prosper in – elevated inflation. The companies should also have demonstrated real growth over the long term.

More specifically, screen for companies with:

  • over $1 billion market cap
  • real dividend growth and sales growth
  • low fixed costs
  • strong pricing power
  • reasonable valuations

That gives us a portfolio of about 15-20 names which is rebalanced monthly. The real return of the portfolio is shown in the chart below, along with the real returns of the S&P and the 60/40 equity-bond portfolio.

The portfolio is designed to be forward looking — the coming years are unlikely to look like the previous decades given we are now in an inflationary regime — seeking stocks that are robust to price growth that is above its long-term average and prone to lurching higher.

It is nevertheless reassuring to see that the portfolio does well on its backtest. It has outpaced the S&P in real terms over the last quarter century. It also outperformed in the rising inflation period during the pandemic. More generally, a strategy that went long the Inflation Portfolio when inflation was elevated, and long the market otherwise, fared better than the S&P over the last 25 years.

The current portfolio contains 16 names. All are good quality companies with most having reasonable valuations, the average P/E ratio being equal to the market’s. Only two are tech companies.

The most common grouping is industrials. Again, this is reassuring as in inflation regimes over the last five decades, the top performing sectors were steel, mining and chemicals.

Through the life of the portfolio (2000-2023), industrials has had the largest average weight, followed by financials.

Banks are generally not a good holding when inflation is high as they typically lend long and borrow short, and see the real value of their assets decline more than their real liabilities. But there are several non-bank financials, such as the CBOE (in the portfolio now) and MSCI, which are quality firms with strong pricing power who stand in good stead when price growth is elevated.

None of this would be necessary if inflation was going the way Team Transitory think it already has. But there is a mounting body of forward-looking indicators that expect inflation should soon re-accelerate. We may have already got a glimpse of this with the most recent hotter-than-expected CPI and PPI reports.

Still, with any portfolio screening strategy there are caveats. There are turnover and price-slippage costs that could materially affect the realized return. There is also, of course, no reason why the backtested past should look like the future.

Nonetheless, the deep concentration of high-duration stocks leaves the market as exposed to inflation as it has been since the early 1970s. The potential downside justifies a different approach that tries to mitigate inflation risks without becoming overly dependent on them. After all, we may soon find that the Magnificent Seven’s name sounds just as ironic as the Nifty Fifty’s.

Tyler Durden Thu, 02/22/2024 - 15:45

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Uncategorized Reports Active Inventory UP 15.7% YoY; New Listings up 10.9% YoY

What this means: On a weekly basis, reports the year-over-year change in active inventory and new listings. On a monthly basis, they report total inventory. For January, reported inventory was up 7.9% YoY, and down 40% compare…



What this means: On a weekly basis, reports the year-over-year change in active inventory and new listings. On a monthly basis, they report total inventory. For January, reported inventory was up 7.9% YoY, and down 40% compared to January 2019. Now - on a weekly basis - inventory is up 15.7% YoY, and that would put inventory still down about 39% compared to February 2019. has monthly and weekly data on the existing home market. Here is their weekly report: Weekly Housing Trends View — Data Week Ending February 17, 2024
Active inventory increased, with for-sale homes 15.7% above year ago levels.

For a 15th consecutive week, active listings registered above prior year level, which means that today’s home shoppers have more homes to choose from that aren’t already in the process of being sold. So far this season, the increase in newly listed homes has resulted in a boost to overall inventory, but while the added inventory has certainly improved conditions from this time in 2021 through 2023, overall inventory is still low compared to the same time in February 2020 and years prior to the COVID-19 Pandemic.

New listings–a measure of sellers putting homes up for sale–were up this week, by 10.9% from one year ago.

Newly listed homes were above last year’s levels for the 17th week in a row, which could further contribute to a recovery in active listings meaning more options for home shoppers. This past week, newly listed homes were up 10.9% from a year ago, accelerating slightly from the 9.5% growth rate seen in the previous week.
Here is a graph of the year-over-year change in inventory according to

Inventory was up year-over-year for the 154th consecutive week following 20 consecutive weeks with a YoY decrease in inventory.  

Inventory is still historically very low.

Although new listings remain well below "typical pre-pandemic levels", new listings are now up YoY for the 17th consecutive week.

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