Keep legal spend in check, even when the economy is unpredictable

Keep legal spend in check, even when the economy is unpredictable

Thanks to the residual effects of the COVID-19 pandemic and uncertainty about the around-phrase long run of economies all-around the world, company authorized experts are at this time dealing with major unpredictability. This provides a layer of issue to the already tricky activity of preserving shell out in examine although retaining ideal legal section functionality. To assist you thrive in your attempts, our authorities have put alongside one another a checklist of steps that can help you regulate expend.

At a high stage, our information is to aim on three locations that strongly influence a authorized department’s ability to handle spend: the authorized invoice assessment procedure, law agency panel management, and outdoors counsel budgeting, When these a few main factors of your devote administration software are optimized and balanced, you will be superior positioned to take on unpredicted financial difficulties and weather them with negligible authorized expend leakage.

Here’s why we experience strongly that concentrating on these capabilities can enable:

Authorized bill assessment: Billing suggestions are integral to your devote management plan. Even though outdoors counsel corporations concur to these pointers when you interact them, it is typical for firms to violate these suggestions if your team does not make an lively exertion to implement them. The stop outcome is that you pay back far more than you have agreed to for the products and services presented. By tightening up this very widespread legal ops weak point, legal departments usually see fast improvement in devote command.

Panel management: The purpose of a legislation organization panel is to assure that the legal group engages the proper exterior counsel firms for every of their matters. When your panel management technique is strong, authorized industry experts are far better capable to discover people firms that offer the most price to your firm. The alternative of panel firms is consequently carefully tied to your legal department’s functionality and means to achieve the company’s organization targets. A facts-driven technique can aid give your group self-confidence in the firms they pick out to function with.

Budgeting: Budgets give lawful departments a degree of predictability on issues, or even distinct issue phases, that facilitates the elaborate job of monetary scheduling. A normal comparison of budgeted to real expend empowers lawful teams to respond rapidly when a make any difference is not progressing as prepared. Budgets also give you the info you will need to determine alternatives for price-preserving actions, these as alternate payment arrangements.

Any lawful section can gain from a well-managed expend command prepare, in particular in uncertain economic situations. Improving upon the central aspects of your plan is a trustworthy way to cope with instability. For a lot more information and facts on the steps that can assistance you improve these important areas of your expend management application, down load our checklist: How to handle authorized expenses in an unsure economic ecosystem.

A Progress Check on Hospital Price Transparency

A Progress Check on Hospital Price Transparency

For decades, U.S. hospitals have frequently stonewalled people who wished to know ahead of time how significantly their treatment would price tag. Now which is transforming — but there is a vigorous discussion over what hospitals are disclosing.

Underneath a federal rule in outcome given that 2021, hospitals nationwide have been laboring to post a mountain of knowledge on-line that spells out their costs for each individual support, drug, and product they offer, including the true costs they’ve negotiated with insurers and the amounts that money-having to pay individuals would be billed. They’ve finished so begrudgingly and only following dropping a lawsuit that challenged the federal rule.

How very well they’re undertaking is dependent on whom you check with.

The rule aims to pull back the curtain on opaque medical center costs that could differ commonly by hospital for the exact same company or even within just the very same healthcare facility. The expectation is that price tag transparency will raise competition, giving shoppers and employers a way to examine costs and make knowledgeable choices, ultimately driving down the value of treatment. No matter whether that will materialize is not nonetheless crystal clear.

Insurers and massive employers are also needed to publish their negotiated charges with all their suppliers, underneath independent rules that took effect very last summer time.

Hospitals have designed “substantial development,” according to an investigation by the federal Facilities for Medicare & Medicaid Services of 600 randomly picked hospitals that was printed in the journal Health Affairs final month. The company looked at no matter if hospitals experienced satisfied their obligation to publish selling price data on the internet in two critical formats: a “shoppable” listing of at the very least 300 solutions for buyers, and a thorough machine-readable file that incorporates all the services for which the healthcare facility has typical expenses. This file ought to be in a format that will allow scientists, regulators, and others to examine the info.

CMS discovered that 70{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} of hospitals released both lists in 2022. An additional 12{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} revealed a person or the other. By distinction, the agency’s prior progress assessment in 2021 uncovered that just 27{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} of 235 hospitals experienced each styles of lists.

The 2022 analysis “represents a marked improvement,” explained Dr. Meena Seshamani, deputy administrator and director of the Centre for Medicare at CMS, in a assertion. But she also stated the advances are even now “not sufficient” and CMS will continue to use “technical support and enforcement activity” so that all hospitals “fully comply with the regulation.”

The American Clinic Association mentioned the CMS assessment shown the progress hospitals experienced designed below quite demanding conditions as they grappled with the covid-19 pandemic.

“These are complex policies that went into result in the most sophisticated time in hospitals’ heritage,” claimed Molly Smith, group vice president for coverage at the trade association. “And we have observed boosts in compliance around the past 18 months.”

Some groups that have looked at the hospitals’ posted cost facts, although, were being much less upbeat. In an examination released previous month, Individual Rights Advocate examined 2,000 hospitals’ listings and found that only 489 of them, 24.5{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} of the overall, have been compliant with all the prerequisites of the rule. An previously evaluation in August 2022 observed that 16{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} met all the needs.

The advocacy group’s assessment coated not only the two types of lists that CMS seemed for but also checked whether the hospitals incorporated required information on specific types of standard costs for each provider made available, these as the gross or “chargemaster” demand ahead of any discount rates are utilized, the discounted hard cash cost, and the negotiated demand by insurance company.

Even though most hospitals have published information online, much too typically the info is incomplete, illegible, or not clearly related with unique well being designs or insurers, claimed Cynthia Fisher, founder and chair of Individual Rights Advocate, which promotes health care price tag transparency.

“As hospitals continue to submit incomplete documents with swaths of missing prices, people are unable to properly compare costs throughout hospitals and throughout ideas to make the best well being treatment selections and safeguard by themselves from overcharges,” Fisher explained. This sort of hospitals were being regarded as noncompliant in the PRA assessment.

The clinic affiliation faulted PRA’s analysis. The contracts that hospitals have with wellbeing plans change substantially from a person to the upcoming, and rates are not always based on a simple greenback sum, mentioned Terry Cunningham, AHA’s director of plan. They could be dependent on a bundle of companies or on volume, for instance, he reported.

“It’s the two irritating and problematic for these other corporations to be weighing in, stating, ‘This mobile should not be blank,’” Cunningham explained.

In their 2020 lawsuit, hospitals argued that they need to not be demanded to disclose privately negotiated charges, and taken care of that performing so would confuse clients and direct to anti-aggressive habits by insurers.

Very last summer time, rate transparency necessities took result in the wellbeing insurance policies marketplace as properly, complementing and providing a cross-reference tool for what hospitals have posted. The insurer transparency requirements are even broader than all those for hospitals: Insurers and self-funded employers have to listing each individual negotiated level they have with every medical doctor, medical center, and other overall health treatment suppliers.

Some critics cost that details isn’t consumer-pleasant both. Sens. Maggie Hassan (D-N.H.) and Mike Braun (R-Ind.) sent a letter March 6 to CMS Administrator Chiquita Brooks-LaSure encouraging the company to consider steps to near “technical loopholes” such as huge documents and a lack of standardization that make it hard to use the facts they are reporting.

That’s where pricing platforms like Turquoise Overall health occur in. The data starting to be obtainable from hospitals and insurers is a vast treasure trove the business is mining to devise user-helpful equipment that customers and firms can use to explore and assess selling prices.

In its have examination of how successful hospital price tag transparency efforts had been in 2022’s third quarter, Turquoise Well being located that 55{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} of the more than 4,900 acute care hospitals that posted device-readable data files ended up “complete,” this means they posted the funds, list, and negotiated costs for a “significant quantity” of products and services. 20-four percent of hospitals have been judged to be “mostly complete.” (The evaluation did not examine the second kind of posting, the record of shoppable services.)

According to Chris Severn, Turquoise Wellness co-founder and CEO, the company utilizes a scoring algorithm of 60 variables to evaluate how complete a hospital’s file is.

“What you finish up with is a a lot more nuanced search at these data files that ideally usually takes into thing to consider shades of grey,” Severn reported, somewhat than a straightforward go-fail rating.

Regardless of the variances in how the clinic disclosures are evaluated, experts typically agree that CMS need to have to have facts be described in a standardized structure for ease of comparison and enforcement. CMS has created a template, but hospitals are not demanded to use it.

For rate transparency to function, enforcement also demands steady attention, specialists say. The Biden administration improved the greatest possible penalty to more than $2 million on a yearly basis per healthcare facility for 2022. Nonetheless, final yr CMS penalized just two hospitals for noncompliance even even though 30{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} of hospitals didn’t satisfy the need to publish both of those a equipment-readable file of price ranges as nicely as a shoppable list.

CMS offered specialized assistance to quite a few hospitals to assist them appear into compliance, mentioned Seshamani, and it also ideas much better enforcement steps.

She explained the agency will “continue to expedite” the time frame hospitals have to arrive at total compliance after submitting a corrective action prepare, which signifies they have fallen small on some submitting demands. “CMS also strategies to acquire intense extra actions to identify and prioritize action towards hospitals that have failed entirely to submit data files,” she stated.

KHN (Kaiser Wellness Information) is a national newsroom that generates in-depth journalism about well being difficulties. Together with Policy Examination and Polling, KHN is just one of the 3 important working packages at KFF (Kaiser Relatives Foundation). KFF is an endowed nonprofit business furnishing details on health challenges to the country.

USE OUR Articles

This story can be republished for cost-free (specifics).

Fact check: Biden makes false and misleading claims in economic speech

Fact check: Biden makes false and misleading claims in economic speech


Washington
CNN
 — 

President Joe Biden delivered a Thursday speech to hail economic progress during his administration and to attack congressional Republicans for their proposals on the economy and the social safety net.

Some of Biden’s claims in the speech were false, misleading or lacking critical context, though others were correct. Here’s a breakdown of the 14 claims CNN fact-checked.

Touting the bipartisan infrastructure law he signed in 2021, Biden said, “Last year, we funded 700,000 major construction projects – 700,000 all across America. From highways to airports to bridges to tunnels to broadband.”

Facts First: Biden’s “700,000” figure is wildly inaccurate; it adds an extra two zeros to the correct figure Biden used in a speech last week and the White House has also used before: 7,000 projects. The White House acknowledged his misstatement later on Thursday by correcting the official transcript to say 7,000 rather than 700,000.

Biden said, “Well, here’s the deal: I put a – we put a cap, and it’s now in effect – now in effect, as of January 1 – of $2,000 a year on prescription drug costs for seniors.”

Facts First: Biden’s claims that this cap is now in effect and that it came into effect on January 1 are false. The $2,000 annual cap contained in the Inflation Reduction Act that Biden signed last year – on Medicare Part D enrollees’ out-of-pocket spending on covered prescription drugs – takes effect in 2025. The maximum may be higher than $2,000 in subsequent years, since it is tied to Medicare Part D’s per capita costs.

Asked for comment, a White House official noted that other Inflation Reduction Act health care provisions that will save Americans money did indeed come into effect on January 1, 2023.

– CNN’s Tami Luhby contributed to this item.

Criticizing former President Donald Trump over his handling of the Covid-19 pandemic, Biden said, “Back then, only 3.5 million people had been – even had their first vaccination, because the other guy and the other team didn’t think it mattered a whole lot.”

Facts First: Biden is free to criticize Trump’s vaccine rollout, but his “only 3.5 million” figure is misleading at best. As of the day Trump left office in January 2021, about 19 million people had received a first shot of a Covid-19 vaccine, according to figures published by the Centers for Disease Control and Prevention. The “3.5 million” figure Biden cited is, in reality, the number of people at the time who had received two shots to complete their primary vaccination series.

Someone could perhaps try to argue that completing a primary series is what Biden meant by “had their first vaccination” – but he used a different term, “fully vaccinated,” to refer to the roughly 230 million people in that very same group today. His contrasting language made it sound like there are 230 million people with at least two shots today versus 3.5 million people with just one shot when he took office. That isn’t true.

Biden said Republicans want to cut taxes for billionaires, “who pay virtually only 3{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} of their income now – 3{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502}, they pay.”

Facts First: Biden’s “3{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502}” claim is incorrect. For the second time in less than a week, Biden inaccurately described a 2021 finding from economists in his administration that the wealthiest 400 billionaire families paid an average of 8.2{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} of their income in federal individual income taxes between 2010 and 2018; after CNN inquired about Biden’s “3{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502}” claim on Thursday, the White House published a corrected official transcript that uses “8{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502}” instead. Also, it’s important to note that even that 8{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} number is contested, since it is an alternative calculation that includes unrealized capital gains that are not treated as taxable income under federal law.

“Biden’s numbers are way too low,” said Howard Gleckman, senior fellow at the Urban-Brookings Tax Policy Center at the Urban Institute think tank, though Gleckman also said we don’t know precisely what tax rates billionaires do pay. Gleckman wrote in an email: “In 2019, Berkeley economists Emmanuel Saez and Gabe Zucman estimated the top 400 households paid an average effective tax rate of about 23 percent in 2018. They got a lot of attention at the time because that rate was lower than the average rate of 24 percent for the bottom half of the income distribution. But it still was way more than 2 or 3, or even 8 percent.”

Biden has cited the 8{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} statistic in various other speeches, but unlike the administration economists who came up with it, he tends not to explain that it doesn’t describe tax rates in a conventional way. And regardless, he said “3{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502}” in this speech and “2{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502}” in a speech last week.

Biden cited a 2021 report from the Institute on Taxation and Economic Policy think tank that found that 55 of the country’s largest corporations had made $40 billion in profit in their previous fiscal year but not paid any federal corporate income taxes. Before touting the 15{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} alternative corporate minimum tax he signed into law in last year’s Inflation Reduction Act, Biden said, “The days are over when corporations are paying zero in federal taxes.”

Facts First: Biden exaggerated. The new minimum tax will reduce the number of companies that don’t pay any federal taxes, but it’s not true that the days of companies paying zero are “over.” That’s because the minimum tax, on the “book income” companies report to investors, only applies to companies with at least $1 billion in average annual income. According to the Institute on Taxation and Economic Policy, only 14 of the companies on its 2021 list of 55 non-payers reported having US pre-tax income of at least $1 billion.

In other words, there will clearly still be some large and profitable corporations paying no federal income tax even after the minimum tax takes effect this year. The exact number is not yet known.

Matthew Gardner, a senior fellow at the Institute on Taxation and Economic Policy, told CNN in the fall that the new tax is “an important step forward from the status quo” and that it will raise substantial revenue, but he also said: “I wouldn’t want to assert that the minimum tax will end the phenomenon of zero-tax profitable corporations. A more accurate phrasing would be to say that the minimum tax will *help* ensure that *the most profitable* corporations pay at least some federal income tax.”

There are lots of nuances to the tax; you can read more specifics here. Asked for comment on Thursday, a White House official told CNN: “The Inflation Reduction Act ensures the wealthiest corporations pay a 15{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} minimum tax, precisely the corporations the President focused on during the campaign and in office. The President’s full Made in America tax plan would ensure all corporations pay a 15{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} minimum tax, and the President has called on Congress to pass that plan.”

Noting the big increase in the federal debt under Trump, Biden said that his administration has taken a “different path” and boasted: “As a result, the last two years – my administration – we cut the deficit by $1.7 trillion, the largest reduction in debt in American history.”

Facts First: Biden’s boast leaves out important context. It is true that the federal deficit fell by a total of $1.7 trillion under Biden in the 2021 and 2022 fiscal years, including a record $1.4 trillion drop in 2022 – but it is highly questionable how much credit Biden deserves for this reduction. Biden did not mention that the primary reason the deficit fell so substantially was that it had skyrocketed to a record high under Trump in 2020 because of bipartisan emergency pandemic relief spending, then fell as expected as the spending expired as planned. Independent analysts say Biden’s own actions, including his laws and executive orders, have had the overall effect of adding to current and projected future deficits, not reducing those deficits.

Dan White, senior director of economic research at Moody’s Analytics – an economics firm whose assessments Biden has repeatedly cited during his presidency – told CNN’s Matt Egan in October: “On net, the policies of the administration have increased the deficit, not reduced it.” The Committee for a Responsible Federal Budget, an advocacy group, wrote in September that Biden’s actions will add more than $4.8 trillion to deficits from 2021 through 2031, or $2.5 trillion if you don’t count the American Rescue Plan pandemic relief bill of 2021.

National Economic Council director Brian Deese wrote on the White House website last week that the American Rescue Plan pandemic relief bill “facilitated a strong economic recovery and enabled the responsible wind-down of emergency spending programs,” thereby reducing the deficit; David Kelly, chief global strategist at J.P. Morgan Funds, told Egan in October that the Biden administration does deserve credit for the recovery that has pushed the deficit downward. And Deese correctly noted that Biden’s signature legislation, last year’s Inflation Reduction Act, is expected to bring down deficits by more than $200 billion over the next decade.

Still, the deficit-reducing impact of that one bill is expected to be swamped by the deficit-increasing impact of various additional bills and policies Biden has approved.

Biden said, “Wages are up, and they’re growing faster than inflation. Over the past six months, inflation has gone down every month and, God willing, will continue to do that.”

Facts First: Biden’s claim that wages are up and growing faster than inflation is true if you start the calculation seven months ago; “real” wages, which take inflation into account, started rising in mid-2022 as inflation slowed. (Biden is right that inflation has declined, on an annual basis, every month for the last six months.) However, real wages are lower today than they were both a full year ago and at the beginning of Biden’s presidency in January 2021. That’s because inflation was so high in 2021 and the beginning of 2022.

There are various ways to measure real wages. Real average hourly earnings declined 1.7{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} between December 2021 and December 2022, while real average weekly earnings (which factors in the number of hours people worked) declined 3.1{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} over that period.

Biden said he was disappointed that the first bill passed by the new Republican majority in the House of Representatives “added $114 billion to the deficit.”

Facts First: Biden is correct about how the bill would affect the deficit if it became law. He accurately cited an estimate from the government’s nonpartisan Congressional Budget Office.

The bill would eliminate more than $71 billion of the $80 billion in additional funding for the Internal Revenue Service (IRS) that Biden signed into law in the Inflation Reduction Act. The Congressional Budget Office found that taking away this funding – some of which the Biden administration said will go toward increased audits of high-income individuals and large corporations – would result in a loss of nearly $186 billion in government revenue between 2023 and 2032, for a net increase to the deficit of about $114 billion.

The Republican bill has no chance of becoming law under Biden, who has vowed to veto it in the highly unlikely event it got through the Democratic-controlled Senate.

Biden said that “MAGA Republicans” in the House “want to impose a 30 percent national sales tax on everything from food, clothing, school supplies, housing, cars – a whole deal.” He said they want to do that because “they want to eliminate the income tax system.”

Facts First: This is a fair description of the Republicans’ “FairTax” bill. The bill would eliminate federal income taxes, plus the payroll tax, capital gains tax and estate tax, and replace it with a national sales tax. The bill describes a rate of 23{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} on the “gross payments” on a product or service, but when the tax rate is described in the way consumers are used to sales taxes being described, it’s actually right around 30{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502}, as a pro-FairTax website acknowledges.

It is not clear how much support the bill currently has among the House Republican caucus. Notably, House Speaker Kevin McCarthy told CNN’s Manu Raju this week that he opposes the bill – though, while seeking right-wing votes for his bid for speaker in early January, he promised its supporters that it would be considered in committee. Biden wryly said in his speech, “The Republican speaker says he’s not so sure he’s for it.”

Biden claimed the unemployment rate “is the lowest it’s been in 50 years.”

Facts First: This is true. The unemployment rate was just below 3.5{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in December, the lowest figure since 1969.

The headline monthly rate, which is rounded to a single decimal place, was reported as 3.5{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in December and also reported as 3.5{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in three months of President Donald Trump’s tenure, in late 2019 and in early 2020. But if you look at more precise figures, December was indeed the lowest since 1969 – 3.47{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} – just below the figures for February 2020, January 2020 and September 2019.

Biden said that the unemployment rates for Black and Hispanic Americans are “near record lows” and that the unemployment rate for people with disabilities is “the lowest ever recorded” and the “lowest ever in history.”

Facts First: Biden’s claims are accurate, though it’s worth noting that the unemployment rate for people with disabilities has only been released by the government since 2008.

The Black or African American unemployment rate was 5.7{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in December, not far from the record low of 5.3{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} that was set in August 2019. (This data series goes back to 1972.) The rate was 9.2{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in January 2021, the month Biden became president. The Hispanic or Latino unemployment rate was 4.1{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in December, just above the record low of 4.0{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} that was set in September 2019. (This data series goes back to 1973.) The rate was 8.5{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in January 2021.

The unemployment rate for people with disabilities was 5.0{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in December, the lowest since the beginning of the data series in 2008. The rate was 12.0{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in January 2021.

Biden said that fewer families are facing foreclosure than before the pandemic.

Facts First: Biden is correct. According to a report published by the Federal Reserve Bank of New York, about 28,500 people had new foreclosure notations on their credit reports in the third quarter of 2022, the most recent quarter for which data is available; that was down from about 71,420 people with new foreclosure notations in the fourth quarter of 2019 and 74,860 people in the first quarter of 2020.

Foreclosures plummeted in the second quarter of 2020 because of government moratoriums put in place because of the Covid-19 pandemic. Foreclosures spiked in 2022, relative to 2020-2021 levels, after the expiry of these moratoriums, but they remained very low by historical standards.

Biden said, “More American families have health insurance today than any time in American history.”

Facts First: Biden’s claim is accurate. An analysis provided to CNN by the Kaiser Family Foundation, which studies US health care, found that about 295 million US residents had health insurance in 2021, the highest on record – and Jennifer Tolbert, the foundation’s director for state health reform, told CNN this week that “I expect the number of people with insurance continued to increase in 2022.”

Tolbert noted that the number of insured residents generally rises over time because of population growth, but she added that “it is not a given” that there will be an increase in the number of insured residents every year – the number declined slightly under Trump from 2018 to 2019, for example – and that “policy changes as well as economic factors also affect these numbers.”

As CNN’s Tami Luhby has reported, sign-ups on the federal insurance exchange created by the Affordable Care Act, also known as Obamacare, have spiked nearly 50{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} under Biden. Biden’s 2021 American Rescue Plan pandemic relief law and then the 2022 Inflation Reduction Act temporarily boosted federal premium subsidies for exchange enrollees, and the Biden administration has also taken various other steps to get people to sign up on the exchanges. In addition, enrollment in Medicaid health insurance has increased significantly during the Covid-19 pandemic, in part because of a bipartisan 2020 law that temporarily prevented people from being disenrolled from the program.

The percentage of residents without health insurance fell to an all-time low of 8.0{515baef3fee8ea94d67a98a2b336e0215adf67d225b0e21a4f5c9b13e8fbd502} in the first quarter of 2022, according to an analysis published last summer by the federal government’s Department of Health and Human Services. That meant there were 26.4 million people without health insurance, down from 48.3 million in 2010, the year Obamacare was signed into law.

Biden said, “And over the last two years, more than 10 million people have applied to start a small business. That’s more than any two years in all of recorded American history.”

Facts First: This is true. There were about 5.4 million business applications in 2021, the highest since 2005 (the first year for which the federal government released this data for a full year), and about 5.1 million business applications in 2022. Not every application turns into a real business, but the number of “high-propensity” business applications – those deemed to have a high likelihood of turning into a business with a payroll – also hit a record in 2021 and saw its second-highest total in 2022.

Trump’s last full year in office, 2020, also set a then-record for total and high-propensity applications. There are various reasons for the pandemic-era boom in entrepreneurship, which began after millions of Americans lost their jobs in early 2020. Among them: some newly unemployed workers seized the moment to start their own enterprises; Americans had extra money from stimulus bills signed by Trump and Biden; interest rates were particularly low until a series of rate hikes that began in the spring of 2022.

MLB rumors: Yankees check in on Jacob deGrom; Cody Bellinger seeking one-year deal

MLB rumors: Yankees check in on Jacob deGrom; Cody Bellinger seeking one-year deal

While it’s possible there’s a minor flurry of moves here in the Major League Baseball offseason, Thanksgiving looms in a few days and that means it’s likely to be a slow week. Still, very few free agents have signed and most big names rumored to be on the trade block have thus far not been dealt. That means we’re bound to see a bevy of rumors this week. 

Let’s round up the rumors for Monday, Nov. 21. 

Yankees check in on deGrom? 

The Yankees have requested medical information on Jacob deGrom, according to SNY, though the report comes with the caveat that this doesn’t necessarily mean the Yankees are going to pursue deGrom in free agency. It seems as though this is merely a due-diligence-type request. 

The Yankees’ top priority this offseason remains bringing Aaron Judge back. Until then, they’ll likely continue to work backup, contingency plans that they hope won’t be needed. 

DeGrom, 34, has been one of the best pitchers in baseball since his debut in 2014 and he’s been outrageously good since the start of 2018 (2.05 ERA, 0.87 WHIP, 876 K, 645 1/3 IP), but arm injuries have held him to 26 starts in the last two seasons combined. 

In addition to the Mets, the Braves and Rangers have also been mentioned as deGrom suitors. I’ll speculatively add the Dodgers, too. 

Bellinger wants one-year deal

Given that he’s a former MVP and only 27 years old, it might surprise some to learn that Cody Bellinger is seeking a one-year deal in free agency. That’s exactly the case, reports Ken Rosenthal of The Athletic, quoting Bellinger’s agent, Scott Boras. 

“I’ve already been offered multi-years,” Boras said. “Most likely, because of his age, we don’t want a multi-year.”

The rationale here is that Bellinger and Boras believe the 2020 shoulder injury lingered into 2021 and affected his performance even into 2022. They’d like a one-year deal to rebuild value before hitting free agency for a big payday on a long-term deal, then. 

It’s been quite a ride for Bellinger. He won MVP in 2019 with the Dodgers and then played through a separated shoulder through a portion of 2020. He had surgery to repair it in November of that year. He then hit .165/.240/.302 in 95 games in 2021 and .210/.265/.389 in 144 last season. The Dodgers non-tendered him Friday, sending him to free agency. 

There’s already been a ton of reported interest in Bellinger. Even though the Dodgers didn’t want to retain him — which seems like it should be a red flag, on the surface — he’s a plus defender in center field who can also handle first base. He runs the bases well, too, so even if he doesn’t hit, he could be helpful for many teams. He’s also not that far removed from hitting .305/.406/.629 with 47 homers and 115 RBI in his MVP campaign. 

The Blue Jays are one of the teams that have shown interest in Bellinger, reports Jon Morosi of MLB.com. The Cubs are another team connected to Bellinger, via The Athletic. 

Three teams showing interest in Haniger

Free agent outfielder Mitch Haniger has spent the overwhelming majority of his big-league career with the Mariners and a return there remains a possibility. There are other suitors, too, though. The Dodgers, Angels and Rangers are in talks with Haniger, according to Morosi. 

Haniger will be 32 next season and he’s shown major offensive upside when he’s been able to stay on the field. He had 39 homers and 100 RBI in 2021 and he has a 126 OPS+ in 530 games for Seattle. Of course, he only played in 63 games in 2019, missed 2020 and managed just 57 games last season. Interested teams will need to balance his offensive capabilities with his durability questions. 

D-Backs could deal from strength

As noted in Rosenthal’s column at The Athletic, the Diamondbacks have four left-handed-swinging center fielders in Corbin Carroll, Daulton Varsho, Alek Thomas and Jake McCarthy. As such, they are open for business to trade one of them. 

First off, fret not, D-Backs fans: Carroll is off limits. The 22-year-old former first rounder is someone they are looking to build around. 

Varsho is also unlikely to be moved, especially with him being able to play catcher, too. 

That leaves Thomas and McCarthy as the trade chips. 

Thomas, 22, hit .231/.275/.344 as a rookie last season, but there’s more upside there and he’s a great defender. McCarthy hit .283/.342/.427 (1118 OPS+) with 23 stolen bases and 2.4 WAR in 99 games last season, finishing fourth in NL Rookie of the Year voting. 

If the D-Backs do deal Thomas and/or McCarthy, they are reportedly looking for right-handed power and big-league-ready pitching.