Friday, December 10, 2010

Bizmology

Bizmology


What’s a hit song, anyway?

Posted: 10 Dec 2010 11:27 AM PST

Record labels are scrambling. Music retailers are moaning. Online music services are opening and closing about as fast as Lady Gaga switches personas. Even the mighty Billboard, industry bellwether for sales and trends, is busily overhauling its own crystal ball.

What constitutes a success in today’s music industry? That’s what all of these players are basically asking themselves as they peer behind the curtain to an uncertain 2011. There’s at least one thing they might all agree on: the proverbial hit song is no longer a tried and true silver bullet, at least in the traditional, top-40 sense of the term.

Look no further than teen phenom Justin Bieberfor evidence. Like him or not, the Biebs is a bonafide star. His song “Baby” spawned the most-viewed YouTube video of all time, yet it only hit No. 5 on the Billboard Hot 100 chart and No. 44 on the magazine’s list of the year’s 100 biggest songs. The video for the kid’s latest single has raked in 17 million YouTube views, yet the song itself is noticeably absent from the charts.

What gives?

“In this case, radio really doesn’t matter that much,” BMI vice president Catherine Brewton told NPR earlier this week. It’s a refrain echoed throughout the gold-record-laden halls of the music biz. Radio really doesn’t matter that much. I guess that means radio’s 240 million listeners in December, up 3 percent from last year, don’t really matter that much either.

Still, this really shouldn’t come as a surprise. More than ever, music fans are accessing tracks anywhere but radio – YouTube, ringtones and social media sites included. Oh, and let’s not forget illegal downloads. Anyway, the proliferation of all this non-radio success has led Billboard to create a wholly new tracking chart — the Social 50 — which ranks an artist’s popularity by gauging chatter across Facebook, Twitter, MySpace and the like.

While the Social 50 seems a tad late to the party, it nevertheless cements the fact that top-40 radio is no longer a game-changer for most artists. Music can be easily heard, easily procured, and easily shared with the click of a mouse. Social media has redefined what “hit song” really means. Chart position isn’t necessarily better than, say, 17 million YouTube views.

And you, just like Justin Bieber, can take that to the bank.

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Photo by Jeff Keyzer, used under a Creative Commons license.

Health reform sparks hospital merger madness

Posted: 10 Dec 2010 10:52 AM PST

Not feeling the effects of health care reform yet? Don’t worry, your time will come, maybe sooner than you think. For now, it's the health care industry players (hospitals, insurers, manufacturers) that are scrambling to comply with laws that have already come into play, and to prepare for even broader changes to come. While the full impact won't be felt until 2014, consumers are already beginning to take notice as changes made by these companies influence the care they receive.

One area where reform is starting to make big waves is the hospital industry. While medical centers were already consolidating on a regular basis prior to the dawn of Obamacare, nervous hospital operators anticipating tougher times (or seeking to maximize profits) once health care reform takes full effect are now pursuing mergers and partnerships on a broader basis.

After weathering the economic storm of 2008 and 2009, many hospitals that managed to hang on to their status as not-for-profits (typically owned by counties, municipalities, religious orders, or foundations) continue to struggle financially, and some are determining that going it alone is not the wisest course with more uncertainties to come. Others are choosing to consolidate to meet Obama's initiatives for cost-control measures and regional cooperation among facilities.

Some hospitals are taking shelter under the broad wings of well-oiled corporate hospital operators, and some regional centers are taking the tack of teaming up with nearby providers to (hopefully) reduce expenses in areas from data management and medical system upgrades to supply procurement and billing functions. For Hoover's editors (like myself), such trends keep us on our toes as we scurry to track and record deals such as Johns Hopkins Medicine's recent acquisition of Sibley Memorial and Southwest Washington Medical Center’s agreement to join the larger PeaceHealth network. 

Taking things to a higher level, this week for-profit hospital operator Community Health announced a $7.3 billion offer to purchase Tenet Healthcare. Such a merger of two large industry players could spur similar deal proposals, as successful health care providers seek an even larger slice of the pie.

Such mergers and affiliations are especially attractive as hospitals and physicians work to qualify for new financial incentives by meeting government cost-management initiatives, such as forming accountable care organizations(ACOs) and implementing electronic health record (EHR) systems.

Many care providers are seeing changes in the insurance industry, such as lower or higher reimbursement rates on certain products and services (including Medicaid and Medicare programs), as further incentives to pair up. Pharmaceutical and medical device manufacturing companies also have a direct role in how hospitals must adjust to regulatory changes. For instance, earlier this week makers of “orphan” (rare disease) drugs informed children’s hospitals that they would no longer qualify for certain discounts under new health care laws.

The cost-control measures that fuel health care reform are intended to benefit hospitals in a variety of ways, such as reducing the number of uninsured “charity” patients and providing government grants to fund quality improvements. They also aim to lower costs to consumers by increasing competition, reducing errors and fraud, and improving coordination of care. However, there is potential for many of these measures to backfire if not implemented carefully.

When it comes down to it, hospitals must find innovative ways to reduce their operating expenses so that they can continue to provide quality health care while keeping their operations in the black. And in the present environment, the most logical option for many providers is banding together. Whatever the method, if the US is to be successful in overhauling its health care system, restructuring the way that hospitals operate is a necessary component of change.

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Photo by Taber Andrew Bain, used under a Creative Commons license.

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