About Bond Uni-Trusts

What they Are -  How they Work By Staff Reporters Bond uni-trusts are a type of closed-end investment company. Their funds issue a fixed number of shares, and the value of the shares is determined by the market for them. Obtaining unit trust bonds A physician-investor wishing to buy into a closed-end fund must buy shares [...]

On Drug Reps as Future Dinosaurs

More Doctors Closing Office Doors to Drug Salesmen By Staff Reporters According to Kevin B. O’Reilly, of the AMNews on 3/23/09, drug reps may soon become dinosaurs-of-sorts. And, the relationship between doctors and drug reps is cloudy, darkening and may never be the same again. Changing Relationships Pharmaceutical companies, battered by sluggish drug pipelines, the looming [...]

Usual and Customary UnitedHealthcare?

More on “Sleazy” Healthcare Stakeholders By Darrell K. Pruitt; DDS If the leaders of the American Dental Association have the power and stoic determination to casually sweep aside trouble-making members who might tarnish their image, one would think that they could certainly avoid associating with sleazy healthcare stakeholders; such as UnitedHealthcare. The Insurance Giants  Have you [...]

Understanding Managed Bond Funds

Considerations for the Physician-Investor By Staff Reporters Proper diversification among types of bonds is an important investment objective. The maturity schedule and the number of issuers are often very important, along with the issuers’ creditworthiness. Individual Constraints The constraints on purchases of individual bond issues often put the physician-investor at a disadvantage. Minimum amounts of [...]

Exercising Healthcare Employee Options

Vital Information for Medical Professionals and Heathcare Workers By Staff Reporters To a large degree the decision to exercise a stock option will depend on whether the medical professional, hospital or other healthcare services employee is going to hold the stock following the exercise or is going to sell the stock immediately. A Bifurcated Decision [...]

ME-P is Sponsored by the Certified Medical Planner™ Program

Advertisement Advisors and Consultants Raising the Bar to Physician Specificity By Ann Miller; RN, MHA Welcome to the virtual community of physician focused financial advisors and accountable medical management consultants.   We have more of what you want and need for your physician clients; essential information for all financial advisors and consultants; online education, fiduciary responsibility, peer-review publishing [...]

Reflections on a Tent Hospital

Thoughts on Pop-Up Healthcare Facilities By Dr. David Edward Marcinko; FACFAS, MBA, CMP™ Publisher-in-Chief According to the Philadelphia Inquirer, February 10, 2009, it took Mark Ross about 22 minutes to inflate the hospital for the first time. Yesterday, he did it in 14 minutes. In the event of a large-scale emergency – a direct hit [...]

Future of Health Publishing and Business Journalism

Good Content and “Fly” Beats the Competition By Dr. David Edward Marcinko; MBA, CMP™ [Publisher-in-Chief] Last month, Steve Brawner [Steve Brawner Communications, a free-lance journalist for the Medical Business News, Inc., and the publisher of Medical News of Arkansas] contacted me to talk about hospitals, healthcare economics and the current financial dilemma in medical care. The [...]

Obama on the SGR Physician Payment Formula

Solo Doctors and and Small Group Practices May Benefit By Staff Reporters  According to Diana Manos of Healthcare Finance News, on March 23, 2009, small medical group practices and solo and/or independent physicians may benefit most from the recently proposed Obama healthcare budget. In it, President Obama asked Congress for $76.8 billion for the Department [...]

BCBS-TX Dental Insurance is Rude to Everyone

Why the Long NPI – BCBSTX? By Darrell Pruitt; DDS More than a year ago, Dr. Robert Ahlstrom, an ADA [American Dental Association] and NHII (National Healthcare Information Infrastructure) task force member, told attendees to the ADA’s 3rd International Evidence-Based Dentistry Conference that the NPI number is “Critical to the future of dentistry.”  But, to [...]

I Shake my Fist at Pfizer, Inc.

And, Laugh out Loud over D2D Marketing By Dr. David Edward Marcinko; FACFAS, MBA, CMP™ [Publisher-in-Chief] We all know how intrusive direct-to-consumer [D2C] marketing by the pharmaceutical industry has become. Especially for those male “enhancement” type drugs that seem to be a ubiquitous feature on TV, the print media and internet, etc. No, I’m not [...]

Our Valued ME-P Sponsors and Vendors

Dear ME-P Advocates and Colleagues Many thanks for reaching out to us. Ann Miller; RN, MHA 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 [...]

HMO Physician Office Visit Co-Payment Creep

Patients Showing Doctors the Money [1999–2008] By Staff Reporters  Copayment 2008 1999 $5 6% 23% $10 16% 60% $15 29% 12% $20 30% 1% Other 19% 3% Source: Kaiser/HRETHRET Survey of Employer-Sponsored Health Benefits www.kff.org Assessment Considering the “down and dirty” interest rate “rule of 72”, a twice doubling of copayments from $5 to $20, and [...]

Asset Allocation Methods for Physician-Investors

What’s Old … is New Again? By Dr. David Edward Marcinko; MBA, CMP™ Publisher-in-Chief Asset allocation policies, incorporating the risk/return fundamental equation, have traditionally been classified under the following approaches: Principal Stability and Income, Income, Income-Oriented, Balanced, Growth, and Aggressive Growth. Traditional Concepts In all forms of traditional asset allocation and diversification policy approaches, the [...]

Medicare and Medicaid Health IT Network Proposal

Governmental Initiative for the Elderly and Poor By Staff Reporters According to Nancy Ferris of Government Health IT, on Mar 18, 2009, a rapid learning health information data network could close some gaps in medical knowledge and cut costs for Medicare and Medicaid recipients. A Congressional Letter In a letter to Congress, a group of [...]

Medical Real Estate Investments

Physician’s Need to Understand Compensation Methods By Staff Reporters www.HealthcareFinancials.com Property Managers Medical property managers are compensated for their services on an hourly or fee basis. In addition, they may be reimbursed for expenses related to the maintenance of the property, such as materials, and they may also pay for expenses incurred by subcontractors. Fees [...]

About Sharkey, Howes & Javer

Advertisement Enhanced Listing about Our Practice At Sharkey, Howes & Javer, we specialize in people, their money and their choices. We offer our clients peace of mind and the guidance to help them make wise lifetime decisions along their path to success. Team Approach We are a team, working in partnership with our clients and [...]

Using Home Mortgage Brokers

Advantages and Disadvantages By Staff Reporters A physician or other medical professional may consider using the services of a home mortgage broker when s/he does not want to spend much personal time searching for the best loan. Other reasons include poor credit history, low credit ratings level; or similar. Of course, this will cost the [...]

Independent Medical Practitioner as Solo Primary Care Surrogate

Doctors Facing a Bleak Future Business and Financial Planning Model By Dr. David Edward Marcinko; MBA, CMP™ Publisher-in-Chief According to Physicians News, on March 19, 2009, the demand for family physicians is growing. Proposals for health system reform focus on increasing the number of primary care physicians in America. Yet, despite these trends, the number of [...]

Medical Practice Financial Statement Valuation Adjustments

Why Benchmarks are Out – and Scrutiny is In By Dr. David Edward Marcinko; MBA, CMP™ Publisher-in-Chief CEO: www.MedicalBusinessAdvisors.com As discussed elsewhere on this ME-P, the medical practice appraiser’s primary goal is to determine the value of the business based on its expected earnings or cash flow. To accomplish this, the medical practice appraiser looks [...]

Reflections on Evidence Based Dentistry

My Search for Truth – 2009 By Darrell Kellus Pruitt; DDS Do the leaders of the American Dental Association [ADA] encourage critical thinking by membership?  Or; do they fear my opinion of what appears to be destructive and self-serving institutional bias in my ADA that favors businesses peripheral to the care of dental patients, and [...]

About Healthcare Employee Cash-Balance Plans

What they Are – How they Work By Staff Reporters Motivated by cost savings, an increasing number of hospitals, healthcare systems and large healthcare organizations are converting their traditional legacy defined benefit pension plans to cash balance plans. While the trend seems sudden, it is not surprising. Healthcare related companies are reaping substantial savings from [...]

Consultants and Hospital Employment Statistics

Economic Conditions Better than Other Major Industries By Staff Reporters According to Richard Pizzi, on March 9th, Healthcare Finance Newsweek reported that employment at US hospitals climbed 0.14 percent in February to a seasonally adjusted 4,719,300 people. Bureau of Labor Statistics Responding to just issued BLS data, the number employed was 6,800 more than in [...]

Apply to our Financial Advisor Consultant Listing Service

We’re collecting information on financial advisors, financial planners, accountants, attorneys and/or related folks in the Health 2.0 space who have a particular affinity or expertise advising doctors, nurses, medical professionals, and related others. And, we have been for some time, now. New Channel Development for Medically Focused Financial Advisors and Management Consultants* Beta-in-Progress By Ann Miller; [...]

Advetising in “Worth” and “Bloomberg” Magazines

Advertisers – Give Me a Break! By Dr. David Edward Marcinko; MBA, CMP™ Did you know that financial advisor Judith Zabalaoui, age 71, considered a pioneer of the fee-only business-model of financial services sales, pleaded guilty to using a Ponzi scheme to embezzle more than $3 million from her New Orleans area clients between 1993 [...]

Integrating Financial and Medical Practice Succession Planning

Some Steps to Consider By Dr. David Edward Marcinko; MBA, CMP™ [Publisher-in-Chief] Medical practice succession planning is a dynamic process requiring current physician ownership and management to plan for the future and implement the resulting plan. Many doctors approach succession planning initially through retirement planning. Once they understand the issues and realities of the tax laws, [...]

Avoiding an IRS Appraisal Audit

Valued Friends and Colleagues By Linda Trugman; CPA, CVA We hope this e-mail post finds you well. We have attached our most recent newsletter “Valuation Trends” for your perusal and hope you find something of interest in it; especially “20 Ways to Avoid an IRS Appraisal Audit.” Link: trugman-valuation Assessment As a reminder, our updated website at [...]

Challenging Standard & Poor’s 500 Index

Dr. Jeremy Siegel Opines By Staff Reporters According to Financial Advisor News – an electronic trade magazine on March 17 2009 – Standard & Poor’s underestimate the earnings of its S&P 500 Index. So says, Jeremy Siegel PhD, a finance professor at the University of Pennsylvania’s Wharton School of Business and author of Stocks for [...]

Understanding Money Market Account Risks

Terms and Definitions for Physician Investors By Staff Writers The recent banking industry debacle has prompted several of our cost-conscience doctor-clients to rethink money market account risks and related products. We trust this brief review is helpful to all concerned. Money Market Deposit Accounts First, the term “money market account” must be defined. Link: www.HealthDictionarySeries.com [...]

This Time the Hospital Financial Crisis is Different

Oh Really … No so Fast! Submitted by J. Wayne Firebaugh, Jr; CPA, CFP®, CMP™ Dr. Malcolm T. MacEachern, Director of Hospital Activities for the American College of Surgeons, presciently observed that: … Our hospitals are now involved in the worst financial crisis they have ever experienced. It is absolutely necessary to all of us to [...]

Understanding Life Insurance Sales Compensation

How Agents and Brokers are Paid for Selling Policies By Dr. David Edward Marcinko; MBA, CMP™ By Hope Rachel Hetico; RN, MHA, CMP™ [ME-P Publisher-in-Chief and Managing Editor] The recent AIG, and related insurance debacles, have prompted several of our cost-conscience doctor clients to rethink insurance agent sales commissions and related perks.  We trust this [...]

Consulting for the ME-P

Talk to Us By Ann Miller; RN, MHA [Executive Director] We would like to better understand who is visiting the Medical Executive-Post, and what you like, or do not like, about our blog site, print journal and/or communications forum. Most of all, we wish to know who is just visiting versus who is posting, commenting [...]

About the Convenient Care Association

Developing Best Medical Practices and Retail Operating Standards By Staff Reporters The Convenient Care Association [CCA] is comprised of companies, medical providers and healthcare systems that provide patients and consumers with accessible, affordable and quality healthcare in retail-based locations. The CCA works primarily to enhance and sustain the growth of the convenient care industry through [...]

AHRQ Report on Uninsured Hospitalizations

Differs from Insured Hospitalizations By Staff Reporters According to Tracey Walker, Senior Editor of Healthcare Executive News on March 13, 2009, the number of uninsured hospitalizations increased by 34%, over the last 10-year period, and the number of Medicaid hospitalizations increased by 36%. However, a newt report from the Agency for Healthcare Research and Quality [...]

Battered Health Journalists

9 of 10 Would Repeat Career Choice By Staff Reporters According to the Association of Health Care Journalists on March 12, 2009 pia@healthjournalism.ccsend.com, and on behalf of the Association of Health Care Journalists news@healthjournalism.org; a new survey cited newsroom cutbacks, lack of time for research and travel, and fewer opportunities for training at their news organization [...]

Consumer Directed Health Plan Survey

Costs Hold Steady Staff Reporters According to Tracey Walker, Senior Editor of Healthcare Executive News on March 13, 2009, US employers expect healthcare cost increases to hold steady at 6%. Additionally, more plan to adopt consumer-directed health plans [CDHPs] in 2010, in an effort to control health cost increases. Watson Wyatt – National Business Group [...]

Wal-Mart’s Health Information Technolgy Game Plan

CCHIT Meet Sam Walton By Darrell K. Pruitt; DDS Dana Blankenhorn posted an article recently on zdnet titled “Wal-Mart Selling Windows Health Records.” Link: http://healthcare.zdnet.com/?p=1966 After reading it, I opened a good, cost-effective fortified breakfast wine and began hammering out my comment that I copied below, long before the sun came up.  Hope you enjoy [...]

RIP Retail Financial Services Industry

Demise Predicted for Many Financial Advisors [Greed Induced and Wholly Self Inflicted] By Dr. David Edward Marcinko; FACFAS, MBA, CMP™ Publisher-in-Chief [Founder, CEO, Managing Partner and Editor-in-Chief] www.HealthcareFinancials.com www.MedicalBusinessAdvisors.com www.HealthDictionarySeries.com www.CertifiedMedicalPlanner.com MADOFF PLEADS GUILTY [March 12, 2009] NOW IN JAIL Stock brokers, financial advisors, investment advisors, Certified Financial Planners®, Wall Street broker-dealers, wealth management firms and [...]

Video: Protecting Protected Health Information

The eEHR Privacy Debate Continues Staff Reporters According to our colleague Richard Mata; MD, MIS, writing in the premium print-journal Healthcare Organizations [Financial Management Strategies], a critical feature of any healthcare information system [HIS] is compliance with privacy requirements. Of course, the most important compliance regulation is the Health Insurance Portability and Accountability Act of [...]

Frank Gehry, Health Reform and the Cleveland Clinic

Las Vegas Hospital Uses Celebrity Architecture to Fight Disease? By Dr. David Edward Marcinko; MBA Publisher-in-Chief According to the Las Vegas Sun Newspaper on March 2, 2009, the Cleveland Clinic is the newest top-tier player in Sin-City with an emerging health care system that will shake up the status quo, supposedly creating a multitude of [...]

A Physician by Any Other Name

Enter the Weekendalists and Laborists By Dr. David Edward Marcinko; MBA Publisher-in-Chief Editor: www.HealthDictionarySeries.com More than a decade ago, in another career, I wrote a few articles for Richard L. Reece MD when he edited a print and emerging electronic trade publication for medical professionals. All very “fly”, at the time.    The Laborists Now [...]

On the HITECH Act of 2009

The American Recovery and Reinvestment Act By Staff Reporters On February 17, 2009, President Obama signed into law the American Recovery and Reinvestment Act [ARRA]. According to some, the law provides an opportunity to transform healthcare in the United States. HIT The law also provides $19 billion in health information technology [HIT] funding to ensure [...]

The No Insurance Club

Emerging Pre-Paid Cash-Based Medicine By Bob Grove Healthcare in America is in Turmoil. The No Insurance Club [NIC] feels private contracts may be the solution. More and more Americans are going without healthcare especially preventative healthcare. The reasons – costs are too high, patients can’t get accepted due to a pre-existing condition, companies are cutting [...]

Healthcare Experts versus Health Journalists

Appreciating the Distinction By Dr. David Edward Marcinko; MBA Publisher-in-Chief As the healthcare reform, and eMR controversy unfolds, I am struck by the more-than-linguistic distinction between the terms “healthcare expert” and “health journalist.” Link: www.HealthDictionarySeries.com Historical Perspectives Historically, as a peer-reviewed writer, editor, medical expert witness and now electronic publisher for almost four decades, I [...]

Tele-Medicine is Growing

About SwiftMD.com By Staff Reporters According to its website, SwiftMD isn’t just better telemedicine; it’s better medicine because of its physicians’ quality. Patient telephone calls are usually returned within 30 minutes, any time of the day or night. They employ a powerful eHR that is secure, HIPAA-compliant and keeps patients informed about their care. And, [...]

Physician Household Borrowing and/or Investing

Deciding What Works? By Staff Reporters Another way of asking the above titled question might be, “Is it smart for a doctor’s household to build savings while they are getting out of debt?”   Financial Priorities In the first instance, the doctor already has debt and would be increasing the terms of any loans by [...]

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