Services Economy with Fexingo: Healthcare, Finance, and the Modern Service Sector

Lucas and Luna unpack the transformation of skilled nursing facilities from healthcare providers into real estate investment vehicles. They trace how REITs like Welltower and Ventas acquired thousands of nursing homes, the financial engineering that created opaque ownership structures, and the perverse incentives that affect patient care. Using a specific case — a 200-bed facility in Ohio that cha...

Episode 3 of Services Economy with Fexingo dives into the opaque world of healthcare pricing in the United States. Lucas and Luna explore how hospitals set prices using chargemasters, the role of insurers in negotiating discounts, and the wider economic impact of medical debt. They discuss the Hospital Price Transparency Rule and why only a quarter of hospitals are complying. The episode also look...

Lucas and Luna dive into the often-overlooked driver of service sector growth: business-to-business services. They examine how companies like Microsoft and Salesforce have shifted from product sales to service subscriptions, and why the B2B service economy now accounts for over half of US GDP. With specific numbers on the rise of professional and technical services, they explore what this means fo...

In the premiere episode of Services Economy with Fexingo, Lucas and Luna drill into the $220 billion medical debt crisis that touches one in five American households. They trace a single ICU stay from a Texas hospital to a credit report, explore the opaque world of hospital price transparency rules that went into effect in 2021 and why they mostly failed, and examine how non-profit hospitals like...