The Future of Hospitals

Between a “Rock and Hard Place” By Dr. David Edward Marcinko; MBA, CMP™ By Hope Rachel Hetico; RN, MHA, CMP™ A recent white paper by the Joint Commission suggests that hospitals must respond in new ways to meet the increasing complexity of patient care and to address rising health care costs. Duh! What an insight. Why [...]

Collaborative Dental Health 2.0 [Part One of a Three Part Series]

Consumerism is the Hippocratic Way By Darrell K. Pruitt; DDS The Appearance of DR. Oogle By September of 2005, when I finally worked up enough courage to ask a patient to post a review for me on DR. Oogle (doctoroogle.com) – a web-based patient referral site – my dental practice had been invisible and struggling [...]

Medical Employment, Jobs and New Positions

Advanced Medical Recruitment, Inc. ADVERTISEMENT By Otis J. Archie Many ME-P readers and subscribers have asked for us to start sending you our newsletter, with job openings. Now, we have implemented this change as an attachment. Link: advanced-medical-recruiting-newsletter Referral Bonus Also note that we pay up to $1,000 dollars for referrals that are placed on [...]

Economics of Medical Fraud

Healthcare Leads the Pack By Staff Reporters All Medical Executive-Post readers and subscribers are aware of the Federal False Claims Act. Since 1986, False Claims Act [FCA] judgments and settlements totaled over $20 billion dollars.  Of Miscreants and Feasors According to outside unverified resources, below are the top 20 alleged FCA recoveries to date. Notice that [...]

WellCare Medicare-Advantage Scandal

Company “Misled and Confused Medicare Beneficiaries”? By Dr. David Edward Marcinko; FACFAS, MBA, CMP™ According to Jacob Goldstein, of the WSJ, on February 20, 2009, WellCare the publicly traded company that some folks “love-to-hate”, and manages health coverage for Medicare and Medicaid beneficiaries, is in trouble again. In a recent letter, the Feds ordered the company [...]

About In-Situ Medical Practitioners

Searching for Definitional Clarity Staff Reporters Apparently, there is a growing trend toward so called “in-situ medical practitioners”. In this model, specialists like internists or diabetologists, add a certain medical expertise to address a large number of patients with specific needs in a general or primary care practice.  Link: www.HealthDictionarySeries.com Business Savvy This clearly indicates that physicians [...]

About Fi360.com

Education for Financial Fiduciaries Staff Reporters According to the firm and website, www.Fi360.com offers a full circle approach to investment fiduciary education, practice management and support that has established it as the go-to source for investment fiduciary insights.   The Term “Fiduciary” Defined? And, Fi360 defines an investment “Fiduciary” as: “Someone who is managing the assets of [...]

Big Blue and UHG’s New Health Plan Model

Innovative Model -or- Just another Paradigm Shift By Staff Reporters According to Reed Abelson, and David Kadlubowski of the electronic New York Times [NYT].com edition, on February 6, 2009, a new medical practice business plan and health care insurance reimbursement model could allow family physicians to practice medicine the way they used to practice. How so? [...]

Internal Healthcare Marketing and Patient Satisfaction

Managing Expectations and Perceptions By Dr. David Edward Marcinko; MBA, CMP™ By Dr. Gary L. Bode; MSA, CPA, CMP™ (Hon) Patient satisfaction occurs when patient perceptions exceed their expectations. They get an intangible “something extra” from the visit, above what they, or their TPA / health plan / Medicare / Medicaid plan, paid for.  Managing [...]

Understanding Healthcare Competition

Funneling Porter’s Five Forces of Business Staff Reporters Michael Porter PhD, of Harvard Business School, is considered by many to be one of the world’s leading authorities on competitive strategy and international competitiveness. In 1980, he published Competitive Strategy: Techniques for Analyzing Industries and Competitors, in which he argued that all businesses must respond to [...]

Goodnight Willem J. Kolff; MD

A Medical Inventor and Bio-Engineering Pioneer By Dr. David Edward Marcinko; FACFAS, MBA, CMP™ Publisher-in-Chief OK; let’s get this right out into the open. Although I did a little reconstructive bone and traumatic joint surgery in my career, I am not a cardio-vascular surgeon, nor am I a cardiologist, or even a nephrologist. But, I [...]

Seeking ME-P Viewer Help!

Goals on Thought-Leadership By Hope Rachel Hetico; RN, MHA, CMP™ Managing Editor The Medical Executive-Post blog seeks to double its membership in 2009.You can help us reach our goal to be thought-leaders in healthcare economics, finance and administration in three ways:    1. If already registered; please ask your friends to subscribe. 2. If not a [...]

Medical Practice Financial Accounting

The Three Methods of Medical Office Accounting  By Dr. Gary L. Bode; CPA, MSA Did you know that there are three recognized methods of financial accounting used in medical offices today? If not, this brief rundown on all three methods will help:  1) Cash method   Here, money is counted only as you deposit it, and “spent” [...]

Dubious Medical Practice Accounting

Why Financial Statements are Sometimes Suspect?  By Dr. Gary L. Bode; CPA, MSA, CMP Medical practice financial statements have potential problems and are often suspect for several reasons.   First, they rely on unverified information from the practitioner. A practice’s internal bookkeeping, even with the highest of intentions, is often sloppier than an accountant might hope for.  Professional liability [...]

About Phreesia Practice Access Management

What it is – How it Works By Staff Reporters Phreesia is an intentional misspelling of a flower (Freesia) and is a medical office access management product that replaces a physician’s traditional patient data-gathering clipboard with a free easy-to-use wireless touch-screen device called a PhreesiaPad. Everything else required [absent the broadband internet connection], including a [...]

Healthcare Inventory Management

Understanding Medical Inventory Cost Accounting By David J. Piasecki; CPIM  By Hope Hetico; RN, MHA Inventory cost accounting methods are seldom used by medical practitioners. After all, doctors and healthcare organizations provide a service, and generally do not sell things. However, inventory is playing an increasingly important role in the financial viability of procedurally based [...]

Dismal World Video-View of American Healthcare

BBC Documentary Takes on Obama’s Plan Staff Reporters  Did you know that a new British Broadcasting Corporation [BBC] documentary takes on newly elected President Barack S. Obama’s plans for American health care system? Emotional Pleas Tug at Citizenry Heart Strings According to Nick Cargo – of the BBC on January 25 – a January 19th [...]

Collaborative Dental Health 2.0 [Upcoming Three Part Series]

Hippocratic Dental Consumerism By Darrell K. Pruitt; DDS Even before the downturn in the economy sent dentists scrambling for new sources of patients, these were already times of revolutionary changes in the marketing of dental care. To those who are alert, the Internet-enabled chaos signals a rare opportunity if one sides with consumers rather than [...]

About ChainOnLine.org

A New AHRQ Web Site By Staff Reporters A new educational Web site offering expert perspectives, advice and guidance on drugs, biological products and medical devices is now operational. The destination site, from the Agency for Healthcare Research and Quality’s [AHRQ] Centers for Education and Research on Therapeutics [CERTs], a federally sponsored network of more [...]

Hospital Cafeteria Plan Elections

On Health and Dependent Care By Dr. David Edward Marcinko; MBA, CMP™ Publisher-in-Chief I wrote a bit about hospital cafeteria plans in an earlier blog post.   Link: http://healthcarefinancials.wordpress.com/2008/04/02/hospital-cafeteria-plans/ Now, any hospital, or other employee given the opportunity to participate in a cafeteria plan should consider the following important two elections; health and dependent care. [...]

Tax Tips for Under or Unemployed Medical Professionals

Status Still Possible for Physicians and Nurses By Sean G. Todd, Esq., M. Tax, CFP©, CPA Tax Attorney / Certified Public Accountant Certified Financial Planner™ practitioner Terminated, reduced-in-force, or out of work in 2009? As the April 15th tax deadline approaches, medical professionals and all other under/unemployed folks might have questions regarding their tax returns – [...]

Maintenance of Medical Board Certification

Status Growing in Importance – or Sham Dr. David Edward Marcinko; MBA, CMP™ Staff Reporters Increasingly, efforts to boost quality and gain better value from the world’s most costly healthcare system are including attention to Maintenance of Board Certification [BOBC], a little-understood but rigorous process by which physicians maintain board certification status and then keep [...]

Reflections on Legionellosis and the Sweet-Science

Beleaguered Grady Memorial Hospital in the News By Dr. David Edward Marcinko; MBA, CMP™ The economically dreadful status of Grady Memorial Hospital Corporation [GMHC], here in Atlanta Georgia, is well known to those in the industry. We personally wish its new CEO, Michael A. Young, of the hospital’s recently privatized BOD much professional success. As [...]

A Review of Elder Housing Protections

Home Equity Resources, Housing and Care Options Staff Reporters According to Stephanie Edelstein JD; Charles P. Sabatino JD and Nancy M. Coleman MSW MA; opining in the ElderLaw Series, until relatively recently most people in this country followed a rather typical housing pattern in their later years. They either rented or owned their homes and [...]

Financial Product Sales, Communication and Management

Techniques-of-Art for Financial Advisors By Robert Ayrer and ME-P Staff Writers Before any piece of work that requires communication can be understood, the context must be established.  Without context, words have very little reality; and without reality, there can be no communication. Communication is the “transfer of meaning.” Introduction The lack of a definitive role [...]

Defining Hospital Competitive Markets

Clarifying Often Nebulous and Contentious Terminology By Staff Reporters According to Robert James Cimasi; MHA, CMP™ of Health Capital Consultants LLC in St. Louis, MO; the definition of a hospital’s “market” is often nebulous. Link: www.HealthDictionarySeries.com Ambiguous Terms Some entities are defined by terms as ambiguous as “acute care inpatient hospitals,” “specialty hospitals,” or “anchor hospitals.” [...]

Medicare Audit Triggers

Understanding Healthcare Fraud and Abuse Complaints By Staff Reporters According to Patricia Trites PhD, complaints are the most common way that a Medicare audit can be triggered. Anyone can register a complaint. Physicians can report their colleagues, whether competitors in the same town or partners / associates. The literature mailed by Medicare encourages seniors and their [...]

Free Job Post Sign-Up

ME-P Resume Posting Service New Beta Feature Staff Writers With President Obama’s $790 billion stimulus package being voted on recently, now is the perfect time to post your resume and sign up for job alerts, as Obama says this package could result in the creation of 3.5 million jobs. Postings – Named or Remain Anonymous Anonymous or named [...]

Insight on Medicare Advantage Plans

Enter the Bounty Hunter Insurance Agents By Dr. David Edward Marcinko; MBA Publisher-in-Chief As a health insurance agent and industry insider for more than a decade, I know first hand that the agents and brokers who enroll senior citizens in Medicare Advantage (MA) plans often make more on those members than the health plans themselves.  [...]

Welcome Valued Vendors

Dear Colleagues Many thanks for reaching out to us. Advertise with Us If you want the opportunity to reach a personalized daily/weekly audience of health care industry insiders, innovators and watchers, the Medical Executive-Post may be right for you? Movers-Shakers We are discussed, read and viewed by medical students, physicians, dentists, podiatrists, optometrists and industry analysts; as well as healthcare administrators, financial advisors [...]

Video on Remote Health Data Capture

Oracle’s Next-Gen Electronic Data Capture [EDC] By Staff Reporters See why Oracle’s RDC [Remote Data Caputer] Onsite is the next generation in electronic health information data capture, with its user-friendly method to collect, clean, review and verify clinical trial data. Remote Data Capture Onsite Providing unprecedented performance with real-time data capture, Oracle RDC Onsite simplifies source [...]

Health Reform, the Stimulus and Hitler’s Aktion T-4

Overhauling the American Healthcare Industry By Dr. David Edward Marcinko; MBA, CMP™ Publisher-in-Chief According to the Washington Times on February 11, 2009, a secreted House version of the new economic stimulus bill that President Barack Obama is trying to rush through Congress, may contain the germ of a major overhaul of the American health care system [...]

NEW: Health Industry Indignation Index

Foibles of Industry Movers-Shakers New Beta Feature By Staff Reporters What it is – How it works The Industry Indignation Index [III] is an occasional survey feature of the Medical Executive-Post. Our goal is to chronicle the dubious, ironic or humiliating behavior that we humans in the healthcare industrial, financial and health economics complex are prone to do [...]

AMA Sues to Keeps Medicare Claims Data Private

AMA Wins Appeal to Blind Consumers’ Checkbook By Dr. David Edward Marcinko; MBA The Centers for Medicare and Medicaid Services [CMS] does not have to turn over physician-specific Medicare claims data requested by not-for-profit Consumers’ Checkbook under the Freedom of Information Act, the U.S. Circuit Court of Appeals for the District of Columbia ruled in [...]

The Active v. Passive Investing Dichotomy

The Controversy Continues By Amaury S. Cifuentes; CFP® Physician and all investors are often overloaded with information regarding this debate, and many advisors differ in the conclusion of which strategy is best. Stock Picking Stock picking is typically a waist of time and few investors or advisors demonstrate the constant ability in picking winning stocks. Timing the market also [...]

About XYZmoAmerica.com

Digital Solutions for Healthcare ADVERTISEMENT By Jared Sayovitz XYZmo digital signature solutions is a leading technology provider for universal, digital signature solutions, which secure and optimize your healthcare administration and business documents. The Urgent Need Paper-based processes are rapidly being replaced by electronic workflows. Whenever paper is involved, a large amount of time and money [...]

Illuminating the Congressional Federal Health Board

A Next-Gen -or- Last-Gen National Model   By Dr. David Edward Marcinko; MBA, CMP™ By Staff Reporters              Beware; all Medicare and other private health insurance recipients. Why? On December 4, 2008, and according to Robert E. Moffit PhD, the Director of the Center for Health Policy Studies [CHPS] at The [...]

About FDIC.gov

What it is – How it works Staff Reporters The Federal Deposit Insurance Corporation (FDIC) preserves and promotes public confidence in the US financial system by insuring deposits in banks and thrift institutions for up to $250,000 (through December 31, 2009); and by identifying, monitoring and addressing risks to the deposit insurance funds; and by [...]

A Six Sigma Emergency Department Case Report

Emergency Department Diversions By Staff Writers According to Daniel L. Gee MD MBA, Scottsdale Healthcare in Arizona used consultants from Creative Healthcare USA on a recent project, rather than doing a full deployment of Six Sigma in its organization, to analyze its problem of emergency department (ED) “diversions.” Emergency Department Diversions Diversions happen when emergency [...]

A Due-Diligence ‘Condom’ for Physician Investors

Using Financial Advisors with Increased Safety By Dr. David Edward Marcinko; MBA, CMP™ Following the Bernie Madoff investment scheme, and related financial industry scandals, here are seven “red-flags” that should have alerted physician-investors to proceed with extreme caution. Always consider them before making an investment with any financial advisor [FA], registered representative [RR] or financial [...]

Tragedy at William Beaumont Army Medical Center

Thousands at Risk from Needle Contamination By Staff Reporters According to Derek Shore of Veterans Today, on February 7, 2009, the Army Medical Center announced that 2,114 diabetic patients treated at the hospital may be at risk for contracting blood-borne illnesses. Improper Insulin Injections Hospital administrators reported to local station, KFOX, that diabetic patients at [...]

IBM and Google Health

Partners for Online Personal Health Records By Staff Reporters According to MarketWire, February 5, 2009, IBM, Google and the Continua Health Alliance [CHA] announced new software that will enable personal medical devices used for patient monitoring, screening and routine evaluation to automatically stream data results into a patient’s Google Health Account [GHA] or other Personal [...]

Hospital Financial Capital Capacity

An Economic Risk Measurement By Calvin Weise; MBA, CPA Hospital capital capacity is all about risk. A Risk Measurement Since capital investments have risks associated with them, capital capacity is a measurement of how much risk a hospital can bear. Capital capacity is not simple to determine. Capital investments introduce varying levels of risk, depending [...]

Wi-Max 2 the Medical-Max

An HIT Report from the Inner City Trenches By Dr. David Edward Marcinko; MBA, CMP™ Publisher-in-Chief While not an IT guru by any means, I am a prudent fan of health IT where appropriate, and have always been a bit on the curious side. A Bit about Me OK; I am a member of the American [...]

About Free-Labor Contributing Authors

The Most Important Medical Executive-Post Asset By Hope Rachel Hetico; RN, MHA Managing Editor The Medical Executive-Post is a knowledge aggregator of user-generated content. It is a network where users share, recommend, rank and comment on professional submissions by experts and thought-leaders. We believe that better submissions, lead to better actionable knowledge and professional lives. [...]

Kahn-Bahn and Patient Focused Healthcare

What it is – How it works? Staff Writers One competitive trend currently emerging is patient-focused healthcare, which focuses on patient needs and attempts to humanize patient care. Patient-focused healthcare therefore incorporates the following:   · patient education; · active participation of the patient; · involvement of the family; · nutrition; · art; and · [...]

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