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As the official voice of emergency medicine, ACEP Now provides indispensable information that emergency physicians can use in daily practice. Written by physicians for physicians, each issue delivers cutting edge news, practice-changing tips, regulatory updates, and the most up to date information on health care reform. In ACEP Nowcast, Assistant Editor Dr. Amy Faith Ho highlights can’t-miss articles from this month’s issue of ACEP Now—and more. With a rapidly evolving heath care system, eme ...
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lets talk about Drugs, science, Popular culture, and ALL of the crazy, funny, weird stuff in-between! Join us as we dive into the NOW! Support this podcast: https://podcasters.spotify.com/pod/show/the-here-and-nowcast/support
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Welcome to NOWcast and our Game of Thrones Postcast series, where we analyse, scrutinise and occasionally sataricise the Game of Thrones HBO Series. Tune in every week and follow us after every episode as we discuss the penultimate series of Game of Thrones. Listener discretion advised.
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Business Matters

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NowMedia Group, among other businesses, were forced to determine how we can be resilient during an economic downturn and if it was possible to come out of the crisis stronger than before.
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The Broken Pie Chart Podcast offers fresh looks at investment portfolio management, economics, markets, retirement planning, and more by simplifying and explaining important aspects of financial markets and the economy in easy to understand ways.
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Derek Moore looks to answer the question on whether Hedged Equity or the 60/40 stock bond portfolio is a better fit given where we are and why. How bonds had a 40-year bull market but is it likely that is possible again given where we are? Later, looking at market returns after CNBC does their ‘markets in turmoil’ specials when markets are selling …
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Derek Moore examines markets around historical geopolitical events. Plus, the 2020s are trending to be the most volatile decade and by the way we are up over 80% so far. Then, looking at the pop in gold and crude oil this week and perspective on where those markets are. Plus, a contrarian take that housing is actually cheap. Later talking semicondu…
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Derek Moore looks at how companies in the S&P 500 are not correlated while the equal weighted S&P 500 is correlated closely with the weighted S&P 500 Index. Later, looking at historical rolling 10-year returns in the market and why it’s rare to have periods that are negative over longer time frames. Plus, touching on single stock risk a la Elon Mus…
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Derek Moore explains how what sometimes seems obvious isn’t what happens as we can see with inflation numbers that continue to move lower despite consumer sentiment surveys expecting 6.6% inflation in the next year. Plus, NVDA had its earnings and the stock’ forward PE is lower due to the next 12-month analyst estimates being near all-time highs. P…
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Derek Moore talks about seeing stories of exploding 30-year yields but what if they are low compared to historical relationships between the fed funds rate? Then, looking at how correlated the 60/40 portfolio has been over the last 5 years begging the question, did it do anything for investors? Later, looking at NVidia implied volatility ahead of i…
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Derek Moore reflects on market reaction to the 2011 US debt downgrade and explains what S&P, Fitch, and Moody’s have for ratings. Plus, are markets poised for more positive returns based on several indicators? The bear case against the markets would be a reduction in profit margins. Later, Derek reviews some data of future 12-month returns when con…
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Derek Moore discusses whether MSTR MicroStrategy will wind up in the S&P 500 Index and do we want that given it just holds bitcoin with some ratio between its intrinsic value and the MSTR market cap. Plus, where to look for upcoming prospects for the S&P 500 Index and why the index is actively not passively managed and changes can drive earnings gr…
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Derek Moore talks through what caused the negative GDP number and compares it to 2022 Q1’s more negative print. Hint, it’s those darn imports and exports. Should you sell in May and go away? Plus, whether the Fed may do anything at the May meeting. Unemployment was ok while inflation hasn’t gone back up so why won’t they cut? What happens 1-year la…
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In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Howard W. Levitin, MD, FACEP, and Evan Springer, DO, about hyperglycemia management. Insulin supplies_resources (1) ED Glycemic Mngt v9 04_24_25 Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes. Catch up on all of ACEP Now in past issues.…
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Derek Moore goes through how markets have bottomed (maybe?) and are now up 10% since then. All the while investment banks have now started moving their 2025 year end targets down. The bear case on corporate net profit margins (and bull case). Plus, how max bearishness against US equities at market lows may have been a contrarian signal. With more e…
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Derek Moore talks about airport business as a sign or lack thereof of recessions. Gold makes another all-time high while the safety trade like treasuries and the US dollar aren’t working lately. Plus, looking at typical widening of high yield spreads during recessions compared to today. Later, the VIX Index is still not appropriately pricing in his…
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Derek Moore reviews the surge in bond yields, and why the VIX Index should have been 100-125 this week as there is a mismatch between expected volatility and realized volatility. Earnings season begins but will analysts start downgrading their S&P 500 Index forecast? Why does the market often bottom out ahead of whatever reason its scared happens. …
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Derek Moore is joined by Mike Puck to compare this selloff to others like 2020, 1998, 2015, 2000 and more. Then they talk about how the Trump administration is arriving at their tariff percentages. Later, they discus how the market didn’t price in the eventual announcement. How things like the VIX Index and the High Yield Bond spread Thursday weren…
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Derek Moore reviews two paths for market post -10% correction with and without a recession. Plus, talking through the difference between expectations miss vs the actual data through the lens of YoY PCE Core Inflation. Later, confidence in the stock market plummeted. Oh, and like clockwork, the first investment bank lowered its year end S&P 500 Inde…
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Derek Moore is back to discuss markets, volatility, and the economy through the prism of intra year drawdowns, Spot VIX vs Vix Futures prices, and LEI or Leading Economic Indicator. Why are the Fed’s Dot Plots useless (still). Thoughts on the idea that Buffered strategies don’t beat the market. How different markets have performed since the first F…
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Derek Moore is back to break down the wild week including Nvidia rallying when against the bearish tide. How the US Dollar index pulling back might be bullish for earnings. Plus, have we reached max panic and max bearishness setting up for a near term bottom in markets? Later, looking at the Fear and Greed Index, the VIX Inversion and what that mea…
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Derek Moore is back together with Jay Pestrichelli this week to react to the market turmoil. What is going on and is this just a revaluation or something worse? Plus, now the Fed Funds’ futures indicate 3 rate cuts. Looking at the Mag 7 selloff compared to the rest of the market. Unemployment was fine so what’s the big deal? Later, looking at wheth…
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Derek Moore goes through last week’s pullback and Nvidia’s post earnings move. Then, looking at the AAII survey where investors got really bearish. Later, he looks at how the Mag 7 hasn’t made a new high since December but other things have. The yields are dropping at the same time forward PE ratios are lower after a slight increase in forward earn…
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Derek Moore and Mike Puck talk about the resurgence of international stocks against the US. Plus, how the rest of the market has a similar performance to the Mag 7, indicating a broadening out of stocks in the S&P 500 Index. Later, they discuss what markets historically have done after being up in January and February. Profit margins are rising out…
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In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Michael A. Granovsky, MD, CPC, FACEP, to discuss the impact of the Washington leadership transition on health care in the first 100 days of the new administration. Additional links: Legislative & Advocacy Conference acep.org/lac Reimbursement and Coding Conference https:…
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Derek Moore revisits the 1994-95 interest rate and market environment against the current backdrop regarding treasury yields and future S&P 500 Index returns. Plus, going through the case for higher for longer, whether that is good or bad for markets, and the adjustment the market would need to go through. Later, quantifying how sensitive the S&P 5…
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Jay Pestrichelli is back with Derek Moore to react to the unemployment report. Was it good or bad for the markets and why? Plus, they review the last trade and tariff war from 2017-2018 and how the market actually did pretty well. Later, the latest survey on forward inflation expectations is now over 5%. Finally, they compare MicroStrategy’s implie…
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In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Rade B. Vukmir, MD, JD, FCCP, FACEP, FACHE, about employment contracts and what to look out for when emergency physicians are reviewing their contracts. Read more on ACEPNow.com Revisit ACEP Nowcast podcast episodes. Catch up on all of ACEP Now in past issues.…
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Derek Moore previews Palantir, Amazon, and Google earnings implied volatility expectations based on the option market. Plus, how currency movements may or may not mute new tariffs. Later, Derek answers a listener question on why mortgage rates (and bonds) have a spread between their rate and the 10 Year Treasury yield. Plus, digging into new data t…
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Derek Moore previews Apple, Tesla, and Microsoft earnings by looking at the implied moves around earning by the options market. Plus, Bloomberg comes out with a new inflation gauge called The Bacon Egg & Cheese Sandwich index. Later, Derek talks about a new study which shows the percentage of time in recessions by decades. Oh, and reacting to a hea…
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Derek Moore is joined by guest co-host Mike Puck to talk markets including how people seem to think making money in Bitcoin is too easy and what that means. Plus, why the S&P 500 Index concentration may not be as big of a deal when looking at how the index changes. Comparing the top 10 market weighted stocks in 1997 to today. Later they discuss val…
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Derek Moore is joined by guest co-host Spencer Wright to discuss the surge in bond yields, the surge in the US Dollar Index, and whether those two things might cause some near-term pain for equity markets. Plus, discussing whether AI Artificial Intelligence is a true next technological revolution and what it means for earnings. Then they talk semic…
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In this episode of ACEP Nowcast, host Amy Faith Ho, MD, MPH, FACEP, interviews Andrea L. Austin, MD, about her book Revitalized: A Guidebook to Following Your Healing Heartline. The book draws from Dr. Austin’s experiences as a physician in the Navy and with the challenges of emergency medicine during the COVID-19 pandemic to discuss the impact of …
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Derek Moore talks about the level of implied volatility in MicroStrategy and its performance relative to bitcoin. Plus, looking at how much future fed cut expectations have fallen for 2025. Later, Derek explains what drives returns looking at the forward p/e ratio vs forward analyst eps estimates for the S&P 500 Index, 2/10s US Treasury spread wide…
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Derek Moore and Jay Pestrichelli round out the year with some 2025 predictions on markets, rates, bonds, oil, bitcoin, the dollar, GDP, inflation, and gold. Plus, does Bitcoin have a Quantum Computing problem? What’s going on with deflation in China and is it the answer to potential tariffs? And news flash, the inverted yield curve is no more as th…
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Derek Moore and Jay Pestrichelli react to the Fed meeting where people are calling it a hawkish cut and a reset of future expectations of where interest rates end up. Plus, the Dot Plots say long run PCE Inflation will only go to 3% not 2%. Later looking at the Trade Weighted Dollar Index breakout and if it will become a problem for earnings growth…
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Derek Moore and Jay Pestrichelli gather once again to discuss whether inflation is too high for the Fed to aggressively cut rates more. Then, they talk about the probability of the S&P 500 closing or getting to 7000 by year end 2025. Plus, is inflation still too high looking at Core CPI and CPI Supercore for the fed to cut rates as much as projecte…
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Derek Moore and Jay Pestrichelli cover markets including the news on the CEO of United Healthcare, the Hawk Tuah meme coin alleged scam, unpacking the latest unemployment report, how markets go up 29% or more in a year more often than you’d think, and how the rotation of voting members of the FOMC might be hawkish in 2025. Plus, checking in on the …
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Derek Moore and Jay Pestrichelli join up once again to talk about whether the forward PE ratio is getting overextended. Then, they discuss where we are in the 4-year Presidential market cycle, years with the most all-time highs, the US Dollar and interest rates, and PCE inflation numbers. Later, they get into the dynamics of the MicroStrategy conve…
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Derek Moore and Jay Pestrichelli are back on the big 300th episode to discuss whether Michael Saylor’s ‘Bitcoin Yield’ makes sense and looking at why people are buying MicroStrategy vs just buying Bitcoin. Then they talk Nvidia earnings and how it is getting cheaper on a forward 12-month PE ratio basis even as the price has moved higher. Plus, they…
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Derek Moore and Jay Pestrichelli talk through the latest market action including the forward PE ratio looking frothy, yields continue rising, probability of rate cuts dropping, and when and if the US Dollar strength will be a problem. Plus, talking about Barron’s article comparing the market cap of MicroStrategy vs the value of their Bitcoin holdin…
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Derek Moore and Jay Pestrichelli decide who got the S&P 500 Index 6000 prediction right. Then they talk about Bitcoin running to new highs and some theories about a Bitcoin strategic reserve now that Trump is the President Elect. Later, they review some data pointing to bond yields remaining high (or going higher). Then discussing how investment ba…
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Derek Moore and Jay Pestrichelli go through the recent unemployment numbers to see whether it was as bad as reported. Plus, did the recent hurricane throw off the surveys? Then they look at next week’s prediction for interest rates for the Fed Meeting. Derek and Jay pull up the 30-year mortgage rate vs the 10-year treasury and talk about what’s hap…
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Derek Moore and Jay Pestrichelli talk about everyone talking about Goldman’s 3% annual return target for next 10 years. What’s behind their analysis includes whether the S&P 500 Index has too much concentration. Then they discuss what is responsible in retrospect for markets going up or down including profit margins, sales, buybacks, dividends, and…
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Derek Moore and Jay Pestrichelli are discussing what segments of the market are now working on in October plus whether new auto loan delinquencies are something to worry about. Then, reacting to Barron’s headline saying Warren Buffett selling Apple shares may have resulted in leaving $25 billion on the table. Later, they get into whether the compar…
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Derek Moore and Jay Pestrichelli are back again to discuss whether the level of the VIX Index at all-time market highs is a predictor of future market moves. Then, with earnings season kicking off in earnest, reviewing the analyst lofty estimates including some very surprising numbers for Russell 2000 Index companies. Later, Derek goes through some…
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Derek Moore and Jay Pestrichelli ask whether the VIX is too high given markets are at all-time highs and compare today to some previous periods. Then, they delve into the employment report which surprised in a positive way. Was good news good news for once? What this means for probabilities of future rate cuts by the Fed, the port strike that wrapp…
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Derek Moore and Jay Pestrichelli this week answer some audience questions plus comparing 1995 first Fed rate cut to today’s market and asking if the next year can be a repeat of the 1995-96 period. They also dispel the myth that the Fed has never cut rates when markets are at all-time highs. Later, they look at the China and Emerging markets surge …
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Derek Moore and Jay Pestrichelli are back to do a post Fed 50 basis point cut analysis. What typically happens a year later in markets after the first interest rate cut? Maybe there isn’t election volatility priced into the VIX and it’s all to do with interest rates. Plus, looking back at the S&P 500 year end 2024 predictions top investment banks m…
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Derek Moore covers what you need to know going into the fed meeting. Plus, reviewing whether the Fed has ever cut rates with a forward price to earnings ratios this high? Then looking at potential technical analysis outcomes on the S&P 500 Index include a cup with handle, triple top, and more. Historical Forward PE ratios at Fed cuts VIX Index does…
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