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| The 11th Vertical: Institutionalizing Human Capital as the Ultimate Asset ClassDerrick L. Miles, FACHE, provides the clinical blueprint for the world's most significant legacy estates. Operating at the highest tier of private health advisory, he provides dual-disciplinary oversight.
By: CourMed Yet, in this quest to preserve and multiply financial capital, there has been a glaring, unhedged risk: The Principal. We have treated the human body as a biological constant, relying on reactive, clinic-based "break-glass" Defining the 11th Vertical: Healthspan The 11th Vertical is the institutionalization of Healthspan—the period of life spent in optimal physical and cognitive health—as a core asset class. Financial wealth is managed over generations; The Market Shift: From Referral to Ownership The market is already signaling that the era of "Concierge Medicine" is ending, replaced by the necessity of Healthspan. We have observed two prominent Multi-Family Office (MFO) platforms that have recently brought healthspan capabilities in-house. They have moved beyond the traditional referral model, recognizing that outsourcing health creates a "performance leak"—where data is fragmented and client follow-through is inconsistent. By integrating clinical longevity teams directly into their firm's operational core, these MFOs are ensuring that the Principal's biological performance is tracked with the same scrutiny as their investment portfolio. Furthermore, the shift is becoming municipal. One of the wealthiest cities in America recently underwent a formal rebrand, shifting its regional identity from a traditional "Finance Hub" to the "Health & Wellness Capital." This is not a superficial marketing exercise; it is a strategic play to attract and retain the Global Principal. The Institutional Argument for Human Capital Optimization In a traditional portfolio, risk is diversified. In the 11th Vertical, we look at the Principal's biological performance as the ultimate hedge against market volatility and operational decay. The rationale is simple: A family office can have the most sophisticated tax strategy, but if the Principal suffers from burnout or preventable cognitive decline, the entire portfolio's "human capital" is compromised. Read More https://derrickmiles.com/ End
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