For this shortened Thanksgiving week let’s look at where the markets are now, sort of a mid-quarter update. You’ve likely noticed that stocks have done well over the past few weeks and bonds have perked up a bit too. The positive performance hasn’t been evenly distributed and this can lead to some head scratching when looking at your investment performance.

For example, here’s a chart showing the year-to-date (through last Friday) performance of major market indexes. You’ll see how the standout is the tech-heavy NASDAQ with the S&P 500 close behind. Then the bottom four lines on the chart are Developed Foreign stocks, the Dow Jones, Emerging Markets, and the US bond market, respectively. This same dynamic has been playing out across sectors as well with Tech, Communication Services, and Consumer Discretionary leading the other eight sectors by a wide margin.

Now let’s stretch our timing back a bit to January 2022 before inflation and interest rates became big issues. You’ll see how the Dow Jones has held up well, followed by the S&P 500 and Developed Foreign stocks. Other areas of the markets, such as the NASDAQ, are still net-negative even with how well they’ve done this year. Core bonds have been the biggest heartbreaker of the bunch, down 12% since 2022 began.

Looking at it this way should help make sense of how your overall performance is dependent on the amount money you have allocated to each of these areas. More risk tolerant investors have been making up for ground lost last year while, ironically, more conservative investors have been dragged through the mud first by inflation and then the Fed’s fight to tame it.

Here’s a chart showing how Fed policy walloped bond prices as our central bank stair-stepped short-term rates higher to fight inflation. You’ll see those steps matched pretty closely by the yield on the 2yr Treasury, for example. Bond prices move in the opposite direction of yields, so you’ll also see how this impacted core bond prices as measured by the iShares US Core Aggregate Bond index fund.

But tame inflation they have, or at least that’s the narrative that’s been helping stock and bond prices recover in recent weeks. Yes, some prices in the economy remain high but on average they’ve been falling back toward the Fed’s 2% inflation objective. One example of this is gas prices. While the Fed doesn’t include gasoline prices when it assesses inflation, the national average gas price is 15% lower since Labor Day and this absolutely moderates inflation within the broader economy.

This next chart clearly shows the quick runup and nearly as fast decline of the Consumer Price Index that includes energy prices and it’s “Core” sibling over the past three years that doesn’t. Look at those lows in the lower-lefthand corner of the chart – that’s a dramatic change in average prices and it’s overwhelmingly positive that it’s been tapering off so rapidly.

I mention this recent history because it’s been fundamental to the markets this quarter and still is today.

As mentioned above, investors have been growing optimistic about inflation coming down and staying there, that the Fed has stopped raising interest rates, and that the fabled soft landing for the economy might actually be happening. We won’t know the answer to that until well after, unfortunately, so these issues will be prevalent into next year.

That said, here are a few things to consider related to your portfolio as we prepare to close out the year.

1. Harvesting losses – This would likely relate to bonds or bond funds and is only relevant for non-retirement accounts. Look at your “unrealized gain/loss” detail within these accounts. I’m happy to help with questions about this, but Google the topic and closely follow the steps to offset other capital gains you might have or, at minimum, use up to $3,000 in losses as a tax deduction. Unused losses carry over to following years.
2. Rebalancing – Go back to the first two charts above. Performance has likely been mixed across your portfolio and some areas may be out of balance. Assuming you have target weightings for each of your holdings, you may want to add a bit to bonds from stocks and to emerging market stocks from domestic to bring them back to target.
3. Start planning for next year’s cash – Harvesting losses and rebalancing present opportunities for generating spending cash for the next 6-12 months. For example, you could sell some of your bond funds now if they’re at a loss and then leave the proceeds in a good money market fund or a CD that matures when you’ll need the cash. This, instead of planning to repurchase the harvested shares only to resell them in a few months. Better to keep that short-term spending money away from market risk and earn a good rate on cash while it lasts.

As a reminder, I’m handling these topics on your behalf if I’m managing your portfolio but let me know of any special cash needs.

I’m also happy to help hourly clients with these topics but time is scarce as we approach year-end.

Happy Thanksgiving!

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The stock market just had its best week of the year last week and bonds also performed well. I call your attention to that because it seems like it’s been a while since the markets had a good week. That sounds a bit funny when I read it back to myself because, even with all the recent volatility, broad stock market indexes like the S&P 500 and NASDAQ are up year-to-date by about 15% and 29%, respectively. That shows how mood impacts our outlook, right?

Again, I mention last week’s performance because the mood can be rather gloomy out there as we head into the end of the year. But it’s ironic and absolutely true to form for the markets that several days of good performance get strung together when most investors aren’t expecting it. It’s just Mr. Market’s way of keeping us interested.

Along these lines, my research partners at Bespoke Investment Group came out with a chart yesterday illustrating something you’ve likely heard before, that it’s time in the markets and not timing the markets that builds wealth over time.

Bespoke looked at the growth of $100 invested in the S&P 500 at the beginning of 2010 and held since, versus a hypothetical investor who missed the best week of each year because they were trading in and out, or maybe sitting on the sidelines. While both made money it was the investor who stayed the course who saw their $100 grow to $391 while the shorter-term investor’s money grew to only $194. Sometimes traders get lucky and that success keeps them going for a time, but I can attest after 20 years in this business to how hard it is for that luck to hold year after year.

Here's a chart illustrating this.

As I mentioned above, it wasn’t just stocks that did well last week. Bonds perked up a bit to get to about even for the year. This lagging performance has weighed on balanced portfolios so it’s good to see something positive coming from bonds.

Prices rose on hopes that the Fed is done raising interest rates this cycle and could even start reducing rates by next Spring. As of yesterday, investors were pricing in a 24% chance of a rate reduction in March, over 50% in May, and about 90% by July. That’s not guaranteed, of course, but bond (and stock) investors responded well to various “Fed speak” last week that seemed to indicate a “dovish” tilt in interest rate policy. This might partly be due to recession expectations coalescing around next Summer, but also because inflation has been coming back down to manageable levels. And we had news last week of the economy cooling a bit further. While you might not expect that news about our economy slowing down would be good for stocks and bonds, it is if it means the Fed stops raising interest rates. Assuming this narrative holds for a while, stock and bond prices will be volatile but will still show bursts of energy from time to time like they did last week.

What’s my point with all this? Growth, like opportunity, often appears when you least expect it, but you maximize its impact by being prepared for it. A good way to do this is to draw some clear lines in your finances between what you need to keep short-term and liquid, and what you can let ride in the markets for long-term growth to fund retirement, college costs, and so forth. Assuming you draw this distinction you should start seeing volatility as an ally instead of an enemy.

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Sometimes it’s hard to tell if there’s more news on a topic lately or if it’s just the Great Algorithm in the Sky feeding me more of what it thinks I like. In any case, there’s been (or at least seems to be) an uptick in news about housing affordability in recent weeks.

There are good reasons for this. Here are some that come to mind.

The national average for a 30yr mortgage is now 8%, as measured by Bankrate.com. My system and the Wall Street Journal show it at 7.6%, but Bankrate tends to be a little better at determining loan terms actually available in the marketplace. In the grand scheme of things that’s close to the long-term average of about 7.7%, according to Freddie Mac. That’s small consolation, however, for new borrowers who feel they missed the boat on the sub-3% lows of the Covid-era.

The yield on the 10yr Treasury bond is bouncing around 5%. This imperfect but typical benchmark for mortgage rates has been rising relentlessly but gained momentum in the last month or so, driving mortgage rates higher. This has a lot to do with the Fed raising short-term rates but is also about inflation, expectations for growth, and how parts of our economy and financial markets are still struggling to find equilibrium post-Covid. The bond market is expecting rates to come down a bit in the second half of next year, but not dramatically. Higher interest rates make borrowing more expensive, but how long is a potential homebuyer willing to wait based on market expectations that are often wrong?

Redfin reports that 38% of recent homebuyers under 30 needed family money to cover their downpayment. This is higher than normal but understandable given the circumstances. It’s interesting that these “nepo-homebuyers” (meaning they rely on nepotism – I had to Google it) are still deciding to buy even though affordability is seen as a huge problem.

My research partners at Bespoke Investment group updated their numbers for housing affordability and it confirms the anecdotes – buying a home is expensive! The chart below shows how many hours of non-supervisory average hourly earnings (i.e. blue-collar workers) it takes to save a downpayment when buying at the national average home price. Magnify this by a homebuyer’s personal situation, such as not earning as much while living (or wanting to live) in a more expensive area, and it’s easy to see how unaffordable, or simply unattainable, homeownership can be for many people. That helps explain the nepo-buyers, right? Family help to buy a home is a head start or perhaps a cut in line, depending on your perspective.

Along these lines, analysis from JPMorgan of recent Fed data shows how checking and savings balances by income level have changed from 2019. The light blue is the amount of drawdown from saving stimulus payments while the dark blue is the current balance for low-income to high-income folks, from left to right. JPMorgan talks about how surprising this data is given recession narratives and how this cash savings is part of what’s helping support consumption in the economy. The analysis doesn’t get into the home affordability concept, but it seems obvious where downpayment help is coming from, at least on average.

So what’s my point with all this? Buying and owning a home is expensive, we all know that. Nonetheless, many people still want to be a homeowner and I agree with them. Buying a home is an optimistic act and a commitment to the future that some, for a variety of reasons, aren’t ready, willing, or able to make and that’s fine. However, there’s a sense of security and freedom that comes from owning your home that’s hard to replicate. Yes, I can’t readily move as a tenant can at the end of their lease, but I can buy a dog and paint my walls mauve if the mood strikes, so it’s a fair trade. And it’s not like renting is a cheap option right now anyway. Even as inflation comes down, the relative cost of renting versus buying has remained high. (My opinion on home ownership is biased, by the way, because my wife and I have been homeowners for nearly 30 years after buying our first home at age 19 as nepo-buyers with maybe 3% down and haven’t looked back.)

Financially, after factoring everything in over the long-term, you usually come out ahead by owning versus renting. You benefit from the principal and interest portion of your mortgage being fixed (ideally) because, over time, inflation reduces the size of your mortgage payment relative to your overall income.

You can also expect the value of your home to grow at least by the inflation rate; a default long-term savings plan for your downpayment and monthly principal payments. If your home value grows faster and you make more than that, great! If you’re able to resize later to a nicer but cheaper home while paying down or paying off your mortgage, even better! Contrary to popular stories about people getting rich after mere months of home ownership, these outcomes are absolutely possible but usually take a long time to materialize.

So if you feel ready to be a homeowner, both emotionally and financially, go for it. It’s expensive but that’s normal and often worth it. Graciously accept help from family if it gets you into a home you can build from. Just don’t let yourself be overly swayed by outside opinions and risk overextending yourself. The National Association of Realtors and Redfin suggest you’ll stay in your home from 9-13 years on average, so the first or next home you buy likely won’t be your “forever” home. Be patient as you look for the right fit.

Remember – unless you’re actively flipping homes or are otherwise engaged in the real estate business, your home is your home first and an investment second. Begin with that in mind and you’ll likely be better off as a homeowner.

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I’m not a futurist and my interest in science fiction is probably about average. I also try not to be a Luddite when it comes to embracing new technologies. And I try not to be a sensationalist, an alarmist, or a conspiratorialist when the conversation turns to AI. Actually, if I’m any “ist” at all I hope it’s a realist and an optimist, even if that’s challenging these days.

A growing number of news stories have told us about how neural-net technology and artificial intelligence could lead to the best or worst of us, and nobody reasonable is certain which it will be. So should we fear AI, embrace it, or grudgingly accept it? Unfortunately these questions take longer to answer than the rate at which this technology grows.

Now, I’m looking at all this AI stuff from my little corner of the world and, as I’ve already indicated, it’s not my specialty or even of great interest beyond the big picture questions that no one knows the answers to yet. However, practical considerations are popping up in my industry as in others. That, plus a couple of articles I read in recent days have precipitated this morning’s post.

The first article is from Axios and is titled, “Behind the Curtain: What AI architects fear most in 2024”. The information is summarized and is a quick if disturbing read. Check it out because, as one estimate suggests, by 2025 90+% of online content may have been created by AI. There’s more to the article but think about using an Internet where most or perhaps substantially all of what we see could be fake (meaning produced by AI versus by a human). Writing, images, you name it. Or perhaps we’ll have grown even more used to it by then…

https://www.axios.com/2023/11/08/ai-fears-deepfake-misinformation

The second article talks about the recent launch of something startling, a pendant directly tied to an AI-driven platform that could change the way you interact with the world. Or maybe it’s a looming fad that’s doomed to failure, but I don’t think so. I honestly don’t know what to make of this, so you can look for yourself. And the article links to a couple videos about the technology that are worth watching.

https://www.theverge.com/2023/11/9/23953901/humane-ai-pin-launch-date-price-openai

My main point with sharing these articles is as a leadup to something I refer to as my Never List. There’s lots of change all around related to AI, but there are things I’ll never do as part of my work for you. Instead of a line drawn in the sand, these are etched into stone.

I’ll Never…

Use AI to screen or respond to your emails. I know this offers cost savings and lots of businesses are excited about it, but I’m not going there. Every email from me or someone on my staff will be written by a human, not a bot.

Use AI to generate blog posts. This is another obvious time saver and time equals money, yada, yada. But I’ll always write my own posts. If I ever get completely blocked, and I’ve felt close to that multiple times, I’ll either write nothing or leverage links to other stories. It will be authentically me, for better or worse.

Use AI, or any third party for that matter, to manage your money. Advisors hiring others to manage a client’s money and then playing it off as being managed by the advisor has long been a problem in my industry. I’ve always chafed at it for a variety of reasons. I’ll never go that route even if AI makes it cheaper because it can never be better, at least in my view. Human intelligence, empathy, and judgement are important parts of the work I do and shouldn’t be delegated to some outside investment shop and certainly not to AI networks.

That said, I don’t fear technology and am not anti-technology either, as I mentioned already. Instead, I enjoy innovation and have reaped major benefits from the growth of the Internet, cloud computing, and so forth. I try to leverage this tech in my personal and professional life while respecting its immense power, its limitations, and its risks. We’d all probably say something similar.

However, the articles above and others like them make me feel uncomfortable in ways that are hard to express. I don’t like the idea of being inundated with fake stuff and the idea of handing over too much of my life to the growth of AI is, well, let’s just say it’s unappealing. We can and should continue to use the amazing tools available to us to enhance our lives and the lives of those around us. But we should also be careful about how far we’re willing to let all this go. That’s easier to define in business than in life, of course.

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For many months analysts have been saying a recession is on the horizon. They’ve detailed the reasons why and I’ve reiterated certain points at various times. Recession should occur within such and such months because it always has when indicators X, Y, and Z have looked like this, and so forth. I can’t tell you how many comparison charts I’ve seen in the past couple of years that offer a compelling case for a near-term recession. It’s out there somewhere, no doubt about it. But, as explorers of old quickly figured out, the horizon line never gets any closer.

Even though our economy continues to sail along nicely, dour predictions continue. Current expectations are for a broad-based slowdown sometime during the second half of next year. Whenever a recession occurs, and one will occur eventually because our economy is cyclical, what’s more interesting right now are the variety of explanations for why our economy has been so resilient.

One of the charts I shared last week offered a reason: wealthier households flush with cash are still happily spending. This surprised analysts because the consumer is supposed to be so unhealthy right now. Government subsidies ending and student loan payments resuming were supposed to cause consumption problems, and they have. However, the thinking is that a host of other factors, from homeowners having locked in low mortgage rates as incomes and home equity rose, along with remnants of Covid-era stimulus payments, continue to free up spending cash for many (but not all) households.

Here's a look at that chart from JPMorgan again.

Then this week it’s another article from the Wall Street Journal about how Americans can’t stop spending and offers reasons why with profiles of real people. This is fascinating because it dovetails perfectly with the chart from last week.

I think the bottom line is that economists and analysts are leaning on this sort of data in real time because, as with so much else post-pandemic, past isn’t always prologue. Eventually consumers will spend less and that will impact the economy. Until then we seem to be in good shape. But how long that lasts is truly anybody’s guess.

I’m only including snippets below but a link to the article will be at the end. As before, let me know if you’d like the whole thing and I can send it to you from my account if you run into the WSJ’s paywall.

Snippets from the WSJ…

Americans’ prolonged spending spree has confounded economists and resulted in a surging U.S. economy. What’s keeping their feet off the brakes?

A strong labor market, resilient savings stockpiles and rising values of their homes have consumers feeling good and willing to spend. Despite complaints about high prices, they are taking their children to concerts, packing movie theaters, booking luxury vacations, buying cars and covering the costs of rent and dinners out.

Strong spending caused economists to be wrong about a 2023 recession, though they still predict cutbacks ahead.

There are signs that Americans’ elevated spending habits aren’t sustainable. Some 60% of Americans said they have fallen behind on emergency savings this year, according to a Bankrate survey. In September, they saved 3.4% of their income, about half the rate they saved in the fall of 2019, the Commerce Department said. And long-term interest rates—which make it more expensive to buy homes and cars and to borrow money—may only now be reaching the point where they will slow Americans’ roll.

Nevertheless, many of the factors that have driven the 2023 spending binge remain intact.

Americans are feeling rightfully confident about their job prospects and paychecks. 

“The strength of the labor market and the strength of household balance sheets has helped Americans weather some of that storm” of inflation, said Daniel Zhao, an economist at the jobs website Glassdoor. 

The cost of financing a home has marched higher since 2021, putting the average 30-year fixed mortgage near 8% and keeping many would-be buyers on the sidelines. Plenty of Americans who locked in low mortgage rates, though, have extra cash. 

Roughly 90% of mortgaged homes have a rate below 6%, according to calculations from Mark Fleming, chief economist at First American Financial Corp. About two-thirds of American households own their home, according to the Census Bureau. 

The pandemic gave Americans the opportunity to stockpile savings, and many are still benefiting from that cushion.

Overall, Americans accumulated more than $2 trillion in savings above the prepandemic trend by August 2021, according to estimates from the Federal Reserve Bank of San Francisco. Recent estimates of the remaining excess pandemic savings range from $190 billion from the San Francisco Fed to between $400 billion and $1.3 trillion from economists at RSM.

Pandemic-era savings also went to paying down debt, said Jonathan Parker, a professor of finance at MIT Sloan. That gives consumers room to borrow, even if they have burned through some of the extra savings, he said, adding that, “People have a fair bit of debt capacity before they start hitting constraints.”

Prices for many items are rising more slowly than they were a year ago. But consumers remain fixated on how much lower they were before the pandemic, a mindset that may be driving some people to buy a car or fix their home while they can still afford it.   

The experience economy continues to boom, with Delta Air Lines reporting a record 30% jump in earnings in the quarter ended in September and Ticketmaster selling more than 295 million event tickets in the first six months of 2023, up nearly 18% year over year. 

Again, here’s the link to the article that includes profiles and some interesting charts.

https://www.wsj.com/economy/consumers/5-things-us-economy-8a588781?mod=hp_trending_now_article_pos3

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Medicare isn’t something I hear much about as a financial planner until there are problems. It might be having to change doctors because they’re no longer taking your insurance, or you’re forced to navigate within an HMO. Or maybe it’s medical bills that are much larger than expected due to out-of-network procedures and even denied coverage. While the former is at best a nuisance, the latter can substantially impact your bottom line.

While I’m not a Medicare expert, I’ve learned in my years working with clients that there are common threads to the various problems people report having. These often start with following inadequate or inaccurate sales pitches masquerading as advice. This is an unfortunate but understandable reality since Medicare, and our healthcare system more broadly, is so incredibly complicated. You have to trust somebody, right? Yes, but ideally you should also verify. And when in doubt, which should be most of the time when it comes to this stuff, it’s best to lean on official information and then pick up the phone to verify your understanding.

Open enrollment started this past weekend so it’s a good time to review these issues if you’re new to Medicare or are considering switching plans.

The following article from the WSJ looks at common enrollment pitfalls. I’ve left some of the hyperlinks to sources of helpful information and have italicized a few sections for emphasis while trimming the article down a bit. There’s a link to the full article below. Let me know if you bump into the WSJ’s paywall and I can send it to you from my account.

From the WSJ…

Seniors choosing Medicare coverage often fall into hidden, costly traps that can leave them stranded—and unable to get the healthcare they want. But there are ways to avoid the pitfalls, if you know how.

Lothaire Bluteau, 66 years old, an actor who lives in West Hollywood, Calif., last year enrolled in one of the private plans known as Medicare Advantage. After he was diagnosed with prostate cancer last May, he discovered the specialists he wanted to see weren’t in his UnitedHealthcare HMO’s limited network. He faced delays getting tests and treatment.

He got a bigger shock when he tried to get access to more doctors by switching to traditional Medicare, run by the federal government. Bluteau worried about the steep out-of-pocket costs, so he tried to get a fill-in policy known as a Medigap plan that would cover many of those expenses. Yet health insurers said no because of his cancer diagnosis.

He didn’t realize he could be rejected. “I didn’t inform myself enough,” Bluteau said. “I was so stupid.”

Medicare’s open-enrollment period [began last] Sunday and goes until Dec. 7. During that time, beneficiaries can pick new plans for next year. The options include traditional Medicare from the government, or the wide array of Medicare Advantage plans, which are private-insurance products that wrap in the same benefits.

For those going through Medicare open enrollment this fall, here are five of the biggest pitfalls—and how to avoid them.

Medigap Trap

One of the biggest traps is the one that claimed Bluteau. Patients with health issues may want to move to original Medicare, but they can’t buy Medigap policies. “This is where people get stuck,” said Kata Kertesz, a senior policy attorney at the Center for Medicare Advocacy. “They get really sick, and they can’t switch.”

Medigap, or Medicare supplement insurance, doesn’t have the same rules as most health insurance. For other types of coverage, insurers can’t reject you or charge you more based on your medical conditions. With Medigap, such guarantees are available only at certain times. 

Medigap is vital for many people who enroll in traditional Medicare. The original government program can leave beneficiaries with big out-of-pocket bills for their care, and there is no cap on how high that tab can go. Medigap policies help cover those costs. They have standardized designs, listed here.

Your best chance to get Medigap is when you first join Medicare as a senior, after you turn 65. Then you have a six-month window when you can buy a Medigap policy, and insurers can’t turn you down or charge you more because of your health conditions. 

There are a few other times when you have that federal “guaranteed issue” right, including if you opt out of Medicare Advantage during a limited initial “trial period.” You can find them here. When you aren’t in a protected window, however, you might not be able to get a Medigap plan.

Wrong Doctors

Another common trap that can ensnare people who sign up for Medicare Advantage plans: a lean menu of doctors and hospitals. The plans—particularly health maintenance organizations, or HMOs—can have limited networks that sometimes mean beneficiaries can’t go to the doctors or hospitals they want.

They may also have a hard time getting care if traveling outside their home region.

When Bluteau chose his HMO plan on the advice of an insurance agent, he said, he didn’t realize it lacked doctors he would want to see. He was ultimately able to switch to a different UnitedHealthcare Medicare Advantage plan, a preferred provider organization or PPO, that included them.

UnitedHealthcare said it has the largest national network and a range of plans and “supporting Medicare consumers in finding the right plan is a top priority for us.”

You can find directories of in-network doctors on the insurers’ websites, but be careful. “They can be wildly inaccurate,” said Julie Carter, senior federal policy associate at the Medicare Rights Center, a nonprofit. “It’s a mess, and we don’t really have a great solution other than doing a lot of legwork.”

Don’t just trust—be sure to verify. You should call the doctor offices and hospitals that matter to you, and consider looking up other providers you might need unexpectedly, such as nursing homes. You should call the insurer, and be specific about what plan you are researching and which doctors and hospitals you want.

Paperwork Problems

Medicare Advantage plans can sometimes delay or block access to care. A recent government investigation found some beneficiaries were denied services that should have been covered. You might need to get approval from the insurer before you get a surgery, or a referral from your primary-care doctor to see a specialist. You may also find that those nifty extra benefits touted in ads are extremely limited.

To understand the hurdles, you should look at plans in the Medicare.govtool. As you scroll down each table, you will see small “limits apply” notices next to specific types of care, such as inpatient hospital use or radiology scans. Click on them, and you will find more details about what requirements you might face to get that kind of service, such as prior approval from the insurer. 

Drug Deficits

Your drug coverage can come through a stand-alone Part D plan—needed if you are in traditional Medicare—or wrapped into your Medicare Advantage. Either way, you can use Medicare.gov to see if your prescriptions are included. This is worth doing every year. You may also want to go to the insurer’s own website and look for restrictions on access as well as the “comprehensive formulary” document that lists all covered drugs. Here is an example, and here is another.

Biased Advice                                                                                                            

Be careful where you turn for advice. Ads peddling Medicare Advantage plans may flash pictures of government Medicare cards and include a toll-free hotline that looks official but isn’t the real federal number. Watch out for websites tied to particular insurers or online agencies that may have strong incentives to push certain plans.

A good bet is to favor sites ending in .gov or .org. To find real, impartial information, it is best to start with Medicare’s own website. The State Health Insurance Assistance Program has counselors in every state, and you can find them here—they are typically very knowledgeable. The Medicare Rights Center maintains a national helpline. KFF, a health research nonprofit, has helpful background, as does the Center for Medicare Advocacy. Local agents or consumer advocates with whom you have a relationship can also be helpful. 

Here's a link to the full article...

https://www.wsj.com/health/healthcare/medicare-advantage-enrollment-risks-923e7952?mod=wknd_pos1

Have questions? Ask us. We can help.