Ronovech, portfolio manager at Paradigm Value Fund and Paradigm Opportunity Fund, is back for the third time.

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Although this new type of payment concept has not yet begun to shift payment to reward value, the feeling is that this will be how healthcare is ultimately packaged, managed, and delivered in our new value-based paradigm.

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Those components of the traditional management paradigm are the natural consequences of choosing shareholder value as the goal of the firm.

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It goes without saying that there are many wrinkles and kinks when it comes to valuing a company, but the bigger a company gets, the more true it becomes that its value is based on the above paradigm.

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Before we too easily accept that fundamental indexing--relying on style tilts toward dividends, value or smallness--is the new paradigm, we need a longer sense of history.

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The paradigm goes: invent a new product based on a new technology that creates new value for customers, price it high to capture the value, market it aggressively, and make lots of money.

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There are many devices out there that could add value, but we need to upgrade the rules and regulations that are based on the old paradigm to make them work with the needs and technology that we have today.

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Engagement metrics can even identify a suitable medium and combinations of media platforms for brands, providing value above and beyond exposure, audience numbers and CPMs. By adopting a new engagement-powered ROI paradigm, marketers, media companies, and planners can not only guarantee that brands will better connect with consumers but can now predict returns on their investments.

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