MSFT Amalga Video for Hospitals and Health Systems

It Was One Year Ago Today … Updated for 2009 By Staff Reporters Release of a new unified intelligence system allows enterprise health providers to unlock the power of all data from their existing IT systems. REDMOND, Wash. — April 9, 2008 Microsoft Corp. today announced the availability of Microsoft Amalga, the new unified intelligence [...]

How to Select a Nursing Home

Checklist for Financial Planners By Staff Reporters The following will enable the financial planner to assist the client in choosing a nursing home. The Checklist 1.   Review the client’s requirements. An assisted-living facility may suffice instead of a true nursing home, which is required by the frail and elderly needing daily medical care. 2.   Pick [...]

On Baseline Medical Practice Compliance Audits

Establishing a Reference Point is Key to Success Submitted by Pati Trites; MPA, CHBC with Staff Reporters  www.HealthcareFinancials.com There are several types of compliance audits that a medical practice, clinic or healthcare organization might need to perform. The starting point is to obtain a baseline audit. The next step, discussed elsewhere on this ME-P, is [...]

Defining and Understanding “Boutique Medicine”

What it is – How it Works Staff Reporters www.HealthcareFinancials.com According to Robert James Cimasi of Health Capital Consultants LLC in St. Louis MO, concierge or boutique medical practices began in the mid-1970s, and are now in many major metropolitan areas. Concierge medicine is described as a “return to old-fashioned medicine,” where physicians limit their [...]

Paradigm Shift to “Defined Health Contributions” from “Defined Health Benefits” Plans

What it is – How it Works Staff Reporters www.HealthcareFinancials.com In the past, according to Robert James Cimasi of Health Capital Consultants LLC in St. Louis MO, many employers had defined retirement benefits for employees. Today, most retirement benefits are in the form of 401K plans where companies make defined contributions, effectively shifting the financial [...]

Understanding the Emergency Medical Treatment and Active Labor Act

An Important and Contemporary Issue – Once Again By Patricia Trites; MPA, CHBC, CMP™ (Hon) with Staff Reporters www.HealthcareFinancials.com The Emergency Medical Treatment and Active Labor Act (EMTALA) is receiving increasing scrutiny from prosecutors during these times of financials stress and credit tightening. The statute is intended to ensure that all patients who come to the [...]

Healthcare Projections and the US Budget 2007-09

Issues and Challenges for Obama Administration Reform By Staff Reporters Read the complete testimony and statement of Peter R. Orzag, OMB Director, to the US Senate, dated June 21, 2007. For more information: Congressional Budget Office Second and D Streets; SW Washington, DC 20515 Link: 06-21-healthcarereform Assessment Now, almost two years later, and with the [...]

ME-P Marks Post Number One Thousand

Milestone Reached in Record Time By Ann Miller; RN, MHA [Executive Director] I’ve had the great pleasure of working with Dr. Dave Marcinko and Hope Hetico since the launch of this Medical Executive-Post; 18 months ago. To watch its growth, and the momentum of their efforts and passion to share protean knowledge on behalf of [...]

Understanding Modern Health Plan Delivery Models

By Defining Terms and Concepts Staff Writers www.HealthcareFinancials.com Here are four important health care delivery models that should be understood by all financial advisors, their clients, patients and the public: 1. PHYSICIAN ORGANIZATION (PO) A PO is a group of physicians banding together, usually for the purpose of contracting with managed care entities, or to [...]

Sherlock Expense Evaluation Report [SEER]

ADVERTISEMENT Plan Management Navigator By Marco Georeno Ph:  215-628-2289       Please find attached the April 2009 edition of Plan Management Navigator. In it we provide an update on the timing of the Blue Cross Blue Shield universe and the Independent / Provider-Sponsored editions of the Sherlock Expense Evaluation Report (SEER). In addition, we expect to circulate [...]

Understanding the Health Maintenance Organization Delivery Model

Defining Terms and Concepts By Staff Writers www.HealthcareFinancials.com An HMO is a legal corporation that offers health insurance and medical care. It is a health care delivery system that provides comprehensive services for subscribing members in a particular geographic area. Most HMO care is provided through a managed network made up of MD/DOs, hospitals, and other [...]

Alternative Design Options for a Public Health Plan

New Lewin Group Report Examines Potential Impact By Staff Reporters  April 6, 2009 FALLS CHURCH, VA – The Lewin Group released a report titled “The Cost and Coverage Impacts of a Public Plan: Alternative Design Options.” The report examines potential impacts that a “public health plan” might have in competing for enrollment with the private [...]

Understanding Collateralized Mortgage Obligations

Defining Terms and Concepts for Medical Professionals By Staff Reporters www.HealthcareFinancials.com A CMO is a debt security backed by mortgages. These mortgage pools are usually separated into different maturity classes called tranches (from the French word for “slice”). The securities were issued by private issuers, as well as the Federal Home Loan Mortgage Corporation (Freddie [...]

About Medlytix.com

On Patient Payment Behavior Scoring Staff Reporters Medlytix is a healthcare consulting and technology firm specializing in the field of predictive payment analytics. Utilizing sophisticated data mining and scoring strategies, the company reports enhanced hospital revenue cycles and collections for healthcare providers across the country. The Business of Healthcare It is a fact that consumers [...]

Become a Published Print Author with Us

The Business of Medical Practice [3rd Edition] By Hope Rachel Hetico RN, MHA, CMP™ [Managing Editor] Dear Colleagues, As you may know, we are commencing work on the third edition of our best selling book: The Business of Medical Practice TOC 1st: http://www.amazon.com/Business-Medical-Practice-Maximizing-Doctors/dp/0826113117/ref=sr_1_8?ie=UTF8&s=books&qid=1231111232&sr=1-8 TOC 2nd: http://www.springerpub.com/prod.aspx?prod_id=23759 Invitation to Contribute Accordingly, we would be honored for you [...]

Haddon Matrix for Health-Place Injury Prevention

Understanding Medical Work Place Violence Prevention Initiatives By Eugene Schmukler; PhD, MBA [Certified Trauma Specialist]  www.HealthcareFinancials.com An invaluable tool for healthcare violence prevention program establishment is the Haddon Matrix. In 1968, William Haddon, Jr., a public health physician with the New York State Health Department, developed a matrix of categories to assist researchers trying to [...]

Living Wills and Healthcare Proxies

Important  Issues for Financial Planners By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPQH, CMP™ [Publisher-in-Chief and Managing Editor] Some current financial planning issues, for advisors are as follows:  ·         The constitutional right to refuse medical treatment is continually being challenged. The cases generally have been decided in favor of [...]

Sample HMO Disenrollment Appeal Letter

Templates Best When Customized By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ, CMP™ [Publisher-in-Chief and Managing Editor] Dear Medical Director, As a current non-member of your managed car plan, I would like to take this opportunity to inform you of the activities we have pursued during this past year [...]

About Certified Medical Planner™

      SPONSOR NOTICE   Top 10 Reasons to Become a Certified Medical Planner™   1. Expertise: Provide health economics, business and financial advice to physicians. 2. Credibility: Gain health industry recognition and fiduciary clout. 3. Opportunity: Focus on the lucrative and expanding physician advisory niche. 4. Recognition: Join a select group of advisory experts. 5. Distinction: [...]

Allowing Natural Death

An Emerging New Order for Financial Planners to Understand By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPQH, CMP™ [Publisher-in-Chief and Managing Editor] The emerging new medical order to Allow Natural Death [AND] is meant to ensure that only comfort measures are provided to elderly or affected medical patients. [...]

Re-Examining Medical “Do Not Resuscitate” Orders

Information for Financial Planners and Advisors By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPQH, CMP™ [Publisher-in-Chief and Managing Editor] According to the Rev. Chuck Meyer, former Vice President of Operations and Chaplain at St. David’s Medical Center in Austin, Texas, a new designation for Allowing a Natural Death (“A.N.D.”) [...]

Appealing HMO Disenrollment Decisions

Physician Pro-Activity May Help By Hope Rachel Hetico; RN, MHA, CPHQ, CMP™ [Managing Editor] The decision by an HMO to not include you – the medical provider – in their plan or network; or disenroll you if already included; is not irrevocable. You may not have been included, or rejected, because of a number of [...]

About MyFax.com

A New Internet Enabled SaaS Business Communication Tool By Staff Reporters MyFax is the fastest-growing Internet fax service used by individuals, small, medium and large businesses to send and receive faxes using existing email accounts or the web. MyFax offers services in North America and Europe, including the United Kingdom, to industries recognized among the [...]

Broker Compensation for Debt-Based Securities

Understanding Commission Methods for Selling Investments By Staff Reporters Brokers earn commissions on debt instruments based on the spread, or markup, between the price at which the broker can secure the bond and the price at which it is sold. Bond Funds In the case of bond funds, the fund charges a management fee and/or [...]

Understanding HMO Negotiation Tactics

Tricks Often Used Against Doctors By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ, CMP™ [Publisher-in-Chief and Managing Editor] It is well known that stakeholders of the healthcare industrial complex often have different, and divergent, interests. Intra-as well as inter-stakeholder competition occurs; as well. The Friends-Enemies [“Frenemies”] For example, [...]

Military Health System Records

Expanding PHR Pilot Testing By Staff Reporters According to Paul McCloskey, on April 08, 2009, the Military Health System [MHS] will extend its test of personal health records at Madigan Army Medical Center in Tacoma, Wash., to two additional health care venues in an attempt to test the technology in larger populations and more diverse [...]

Allscript’s Glenn Tullman is Video Interviewed

Video Clip from the HIMSS Meeting By Ann Miller; RN, MHA [Executive-Director] There is a major controversy in the modern healthcare community over eMRs and how to pay for them; or even if they are effective in improving medical outcomes. Of course, by eMRs we mean interoperable medical records that span the pan-healthcare ecosystem; and [...]

Understanding Medical Right-to-Die Terminology

Need to Know Information for Financial Planners By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPQH, CMP™ [Publisher-in-Chief and Managing Editor] Nothing fans the fire of public awareness more than the language associated with a news report; like Death with Dignity [DwD]. Death with Dignity Unfortunately, several monikers have [...]

On Continuity of Medical Care and HIMSS

Considering Pay-for-Retention [P-4-R] By Darrell K Pruitt; DDS Here is the question on lots of minds these days; how can we change the way medical providers are paid so they are both incentivized and adequately compensated to provide consistent, high-quality, patient-centered medical homes? My Novel Idea Here is a solid, common sense idea; increase providers’ pay gradually [...]

Understanding Physician Assisted Suicide

Right-2-Die Issues for Financial Planners By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPQH, CMP™ [Publisher-in-Chief and Managing Editor] There are few topics in the field of medicine – and end of life financial planning – that are more controversial than physician assisted suicide. Historical Review So, let’s start with [...]

Defining Comparative Medical Effectiveness

An Emerging Health Economics Issue By Staff Reporters Comparative Medical Effectiveness [CME] is not a new healthcare term or health economics concept. Federal initiatives specifically promoting CME were authorized under the Medicare Modernization Act of 2003, but the genesis took root decades before. Finally … a Hot Topic Comparative Medical Effectiveness has recently become a [...]

More about Healthcare Organizations [Financial Management Strategies]

Our Print-Journal Preface By Hope Rachel Hetico; RN, MHA, CMP™ As Managing Editor of a two volume – 1,200 pages – premium quarterly print journal, I am often asked about our Preface. A Two-Volume Guide As so, our hope is that Healthcare Organizations: [Financial Management Strategies] will shape the hospital management landscape by following three [...]

What HMO’s Seek in Private Managed Care Contracts

Whole Sale – Not Retail – Medicine is Growing By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ [Publisher-in-Chief] The conversion to managed healthcare, and capitation financing, is a significant marketing force and not merely a temporary business trend. More than 60% of all physicians (MD/DO) in the country are now employees of a MCO, HMO, [...]

About: Healthcare Organizations [Financial Management Strategies]

Our Print-Journal Mission Statement By Dr. David Edward Marcinko; MBA, CMP™ Publisher-in-Chief As Editor-in-Chief of a two volume – 1,200 pages – premium quarterly print journal, I am often asked about our mission statement; or the journal’s raison d’etra. A Two-Volume Guide As so, Healthcare Organizations: [Financial Management Strategies], with its quarterly updates, will promote [...]

Understanding MD/DO HMO Contracts

Pitfalls Physicians Must Avoid By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ, CMP™ [Publisher-in-Chief and Managing Editor] It is well known that stakeholders of the healthcare industrial complex often have different, and divergent, interests. Intra-as well as inter-stakeholder competition occurs; as well. The Friends-Enemies [“Frenemies”] For example, several [...]

Developing a Financial – Management – Advisory Practice for Doctors

Deep Knowledge and Personalized Marketing Brings in New Clients By Dr. David Edward Marcinko; MBA, CMP™ BY Professor Hope Rachel Hetico; RN, MHA, CMP™ [ME-P Publisher and Managing Editor] In any marketing situation, the more you know about your target audience, the more successful you will be. Accordingly, all of the old rules still hold [...]

I Jealously “Shake my Fist” at Somnath Basu PhD

On CFP® Mis [Trust] – One Doctor’s Painful Personal Experience [“So Sorry to Say it … but I Told You So”] By: Dr David Edward Marcinko; FACFAS, MBA, CMP™ [Publisher-in-Chief] According to Somnath Basu, writing on April 6, 2009 in Financial Advisor a trade magazine, the painful truth is that many financial practitioners are merely sales people [...]

Social Media in Health 2.0

Emerging Collaborative Trends Staff Reporters All readers of the ME-P are aware that social media is going to play a significant role in health 2.0 initiatives going forward. Social Media Use Growing According to Dan Bowman of FierceHealthIT, on April 3, 2009, whether we want it to happen or not, social media – much like [...]

Impact of Size on Mutual Fund Performance

Vital Information for Doctors to Consider By Dr. David Edward Marcinko; FACFAS, MBA, CMP™ By Professor Hope Rachel Hetico; RN, MHA, CMP™ The actual size of a mutual or index fund, in terms of amount of assets, and the growth rate of a fund are the two aspects of size to consider. The impact of [...]

NCHIT’s Bob Kolodner to Retire

National Co-ordinator of Heath IT Exits By Staff Reporters According to Government Health IT [HIMSS publication] and Paul McCloskey, Dr. Robert Kolodner, National Coordinator of Heath IT [NCHIT], said he would retire from federal service after a 30-year career during which he led the effort to build a working foundation for national health information sharing. [...]

More JAMA [Hypocritical] Censorship on Big-Pharma Funding

Janus-Like Opposing Views Becoming Contentious Staff Reporters According to Tracy Staton, the Journal of the American Medical Association may be fighting to keep long-running internal arguments over conflicts-of-interest with big pharma a secret. But, in public, it’s advocating strict limits on industry funding for medical associations. JAMA Proposals A set of proposals published recently in JAMA, [...]

Doctors Preventing Medical Identity Theft

More on the “Red Flag” Rules Staff Reporters www.HealthcareFinancials.com According to MedicalNews, Inc and Lynne Jeter, the Medicare “Red-Flag” rules are set to take affect on May 1, 2009. Three Categories And, according to David Williams, CPA, FHFMA, a healthcare partner for HORNE in Jackson, Mississippi, the Red Flag guidelines for hospitals, clinics and medical [...]

Impact of Performance Fees on Mutual Funds and Physician Portfolios

More Complex than Realized by Some Doctors By Dr. David Edward Marcinko; FACFAS, MBA, CMP™ By Professor Hope Rachel Hetico; RN, MHA, CMP™ Physician-investors may find themselves paying advisory fees, brokerage commissions, and other sales charges and expenses. All of these layers of expense can reduce or eliminate the advantage of professional management, if not [...]

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