Aryan Singhal

[Aryan Singhal @aryansinghal21]

@Akshat_World I think that through this increase in slabs can lead to change in perspective regarding base income and also lead to increase of salaries in future

[Michael Morelli @morellifit]

Europeans can be in amazing shape & live to 100+ while:

• Eating carbs 24/7
• Rarely going to the gym
• Drinking alcohol every day

But when Americans do it?

They become obese & get sick.

It took some time...

But I think I found what EXACTLY is going on:

🧵

[Aryan Singhal @aryansinghal21]

@SnitchB69 I am interested in being a flatmate in borivali for 2 months from May to July

[Rahul Mathur @Rahul_J_Mathur]

On 3rd January, Narayana Hospitals received authorization from the IRDAI to start its own health insurance company.

Narayana is 2nd hospital group to get this permission: In 2014, Manipal Group launched Manipal Cigna Health Insurance - a JV with US based Cigna.. But, something is different here ⤵️

In 2023, two things happened:

(1) In a SEBI disclosure, the group mentioned a new subsidiary Narayana Integrated Healthcare company

(2) In a CNBC interview, a senior executive spoke about “Narayana One” - a membership plan system to avail of healthcare benefits

😮So, here’s a question - WHY would a Hospital Group set up its own insurance company?

→ The biggest “payer” of medical services for a hospital is usually insurance companies.

→ There are numerous inefficiencies: cost mark-ups, paper trails, interpretation of policy TnCs, involvement of more intermediaries (TPAs) etc

Narayana Group has ~4K doctors, 21 hospitals, 18 primary care facilities i.e. it has the ability to administer healthcare.
- Now, with an insurance company in the Group, it is legally allowed to solicit “insurance plans” i.e. it can deliver Healthcare + Health Insurance - an edge that few in India have…

🧠Narayana One would be classified as a “managed care” or vertically integrated health provider (from payer to provider to administrator)

💡The idea of managed care is that you get a membership card - you walk into a provider owned clinic or hospital - (mostly) without paying a single ₹. The “ultimate” healthcare & insurance experience.

➡️To understand the significance of Narayana One - let’s look at the landscape of “managed care”

(1) US Example #1 - CVS Group
- CVS clocks $300bn+ in annual revenue
- It owns the entire value chain except for the tertiary care facilities (i.e. hospitals)
Drug manufacturing via Cordavis
Drug stores via CVS Pharmacy
PBM (Pharmacy Benefit Management) via CVS Caremark
Health Insurance via Aetna
At-home care via other subsidiaries

(2) US Example #2 - Kaiser Permanente
- KP is the closest to Narayana One’s vision; it has ~12.6 million members on its health plans and does ~ $100bn in annual revenue
- It owns the entire value chain except for drug manufacturing.

(3) What’s happened so far in India?
- In 2014, Manipal Group pushed the envelope in Health Insurance by offering Health Maintenance Benefits (HBM) & Outpatient Cover.

- Around the COVID era, private companies raised over $100M to chase managed care models in India
Clinikk - owns clinics in Bangalore; insurance via partners
Loop - focused on employer health plans; partners with clinics & hospitals
Even - partners with clinics & hospitals; membership plan based

Disclaimer: Views are my own; not endorsed by my employer. This isn’t financial advice; do your own research before making any decisions.

The concept of health plans has caught on within some pockets in India (above startups have ~ 500K+ members signed up cumulatively)

➡️Unlike small private entities, Narayana Group has the firepower (hospital network, doctors on roll, capital) to pursue managed care in India.. I’m excited to see this :)

[Rahul Mathur @Rahul_J_Mathur]

A YouTube channel I've been binge watching lately is the Master's Union channel.

They send their MBA students out into the field to interview / study a bunch of well run family businesses which have scaled.

In the process - they record the students conversing with the owners; covering topics like unit economics, generational transition, store opening plans etc

3 great interviews which they did were:
(1) Hori Lal Paan
(2) UClean
(3) Sita Ram Diwan Chand (Chole Bhature)

My flatmates & I usually end up discussing learnings from these videos (quality / depth is comparable to the GrowthX & ThinkSchool channels); worth watching!

[Aryan Singhal @aryansinghal21]

@Rahul_J_Mathur Yes, this trick really works and I also have a story related to it in which someone else booked a ride for me and he had already made the payment through a card while booking the ride and then during the ride, the driver forced me to pay in the form of cash.

[Aryan Singhal @aryansinghal21]

Being from a background where people always find ways and try to mock each other it is an incredible feeling to see that students are supporting each other with such variety among the people

[Janhavi Jain | Building SKIPD @janwhyy]

When you’re in a different country, you step into a new reality, all your standardisations and how world normally looks, changes

One of my professors walked in with fluorescent green and yellow hair, Another professor is dyslexic, and she told us in the very first class how to be more supportive. One of my team members has ADHD and needs constant support, and everybody is so nice about it. One of my friends came out as trans to a bunch of us last week.

Everyday is a reminder that diversity is not just about places, but people too and you have to constantly accommodate people and be okay with it. You have to be kind and everybody is so unique and so beautiful

[Aryan Singhal @aryansinghal21]

@Rahul_J_Mathur Right now it is hard to agree on this phrase in this part of life but I find this thought very interesting

[Value Theory @ValueInvestorAc]

I Used to Struggle to Read Annual Reports

Until I discovered this 6-step process

From "The Dean of Valuation" Aswath Damodaran

On what to look for and why, when trying to value a company

Here it is:

🧵

[Dr. Julie Gurner @drgurner]

Leadership is lonely. Ambition is lonely. Building is lonely.

Even if you have a great company or great spouse, a lot of the journey is internal & you're on your own.

It's really hard to bear, and people will drop out over time.

You have to want it in your core.

[Aryan Singhal @aryansinghal21]

It's one of the historic moments for the future of the Indian space industry 🎉 and it is not just a mission it is a mission that is going to inspire a whole new generation to take an interest in the space field to achieve new milestones 🚀

[ISRO @isro]

Chandrayaan-3 Mission:
'India🇮🇳,
I reached my destination
and you too!'
: Chandrayaan-3

Chandrayaan-3 has successfully
soft-landed on the moon 🌖!.

Congratulations, India🇮🇳!

#Chandrayaan_3
#Ch3

[Aryan Singhal @aryansinghal21]

This has the potential to change the future of MSME in India it will give power to them having a facility for loans at a click!

[Rahul Mathur @Rahul_J_Mathur]

If you want to read about OCEN 4.0 / the credit rails for India Stack - here's a nice blog + YT video on the same below:

https://t.co/9EG6RWIb8b

[Aryan Singhal @aryansinghal21]

These are mind-boggling figures 🤯

[Kunal Shah @kunalb11]

Meta revenue. US versus India.

India is a MAU farm for global companies.

[Aryan Singhal @aryansinghal21]

@kumarsamit @Dwari1008 @Captain_Mani72 @iRadhikaGupta @monikahalan @SanjayRaghurama This video is a great addition to a changing society

[Aryan Singhal @aryansinghal21]

@RamaniSumit It's not that people who are working in these jobs always have unworthy jobs, some people are working in a lot of good jobs but due to a lot of factors, they are working in that environment.

[Aryan Singhal @aryansinghal21]

It's always better to be a resourceful person than to be on the other side of the table

[Kunal Shah @kunalb11]

Resourceful people navigate problems better.

Those who aren’t resourceful often play the victim and succumb to hurdles.

Resourcefulness is an attitude first and then eventually a skill.

Those who suck at giving, suck at being resourceful. Resourceful people are net givers.

[Aryan Singhal @aryansinghal21]

I believe it is true for a lot of people
and how we can't worry about this in such a changing environment
and I believe we are all trying to figure out how to manage in such an environment and make the best of it

[Sikandar @VinamreKasanaa]

I’m 26 and I still think the world is moving too fast for me. I just can’t keep up. AI, fintech, new social media platforms — it’s like right when you finally stand straight, someone pulls the carpet from under your feet.

A part of me revolts at this pace of change.
A part of me exploits it for money and influence.

But then there’s a part of me that pines for a more self-directed life. A life without FOMO. A life where the metrics for success are so clear that there is no reason to open Instagram.

But then I’m afraid I’ll lose my edge.

That if I sit in my garden chair to read a classic, some kid in a Hyderabad basement will make an AI tool that makes reading useless.

It’s a strange kind of powerlessness.

Or maybe it’s the beginning of peace.

I don’t know yet.

[Aryan Singhal @aryansinghal21]

@ItsKieranDrew Interesting idea

[Vala Afshar @ValaAfshar]

I have missed more than 9,000 shots in my career. I have lost almost 300 games.

26 times I have been trusted to take the game's winning shot and missed.

I have failed over and over and over again in my life, and that is why I succeed.

—Michael Jordan https://t.co/UfDZDa05YK

[Patrick Bet-David @patrickbetdavid]

Marriage is risky.
Staying single is riskier.

Having children is risky.
Being childless is riskier.

Believing in God is risky.
Not believing in God riskier.

Discussing politics is risky.
Being silent about politics is riskier.

Being part of a startup is risky.
Choosing a safe route is riskier.

It’s not the risk that’s scary.

It’s the commitments that comes with the risk.

Choose your commitments wisely.