Managing Hospital Credit Relationships

Understanding the Capital Formation Process By Calvin W. Wiese; CPA MBA www.HealthcareFinancials.com Every hospital needs to manage their credit relationships. Rating agencies and credit providers need to be targeted by hospitals for development and maintenance of credit relationships. Credit relationships are an ongoing process. They need to be fed and nurtured. Hospitals should make sure [...]

About Tax-Exempt Hospital Debt

Understanding the Capital Formation Process By Calvin W. Wiese CPA MBA www.HealthcareFinancials.com Tax exempt debt has become an important means of external financing for hospitals, primarily because its cost is very attractive. Interest rates on tax-exempt financing are lower than interest rates on financing that is not tax-exempt because the interest income earned by the [...]

Hospital Credit Analysis

Understanding the Definition of “Essentiality” By Calvin W. Wiese CPA MBA www.HealthcareFinancials.com An important component of hospital credit analysis is essentiality. Hospitals are unusual businesses that many times possess some form of essentiality to their communities. Healthcare is important to the economic vitality of every community. Many hospitals have served their communities for many years; [...]

Join the ME-P “Thought-Leader” Pipeline

Modern Finance and e-Health Culture Devotees Wanted By Ann Miller RN, MHA [Executive-Director]   Doctors are not always totally hip and do not always know what’s going on in popular culture.  Actually, many have no idea what is going on outside of the walls of the hospital; but we’d really like to know. Health 2.0  [...]

Medical Endowment Fund Manager Selection

Are External Financial Consultants Necessary? By Staff Reporters   www.HealthcareFinancials.com John English, of the Ford Foundation, once observed that: [T]he thing that is most interesting to me is that every one of the managers is able to give me a chart that shows me he was in the first quartile or the first decile. I [...]

About My House Call MD.com

ADVERTISEMENT A New Health Education Project By Joshua T. Goldman, MD, MBA Resident Physician | UCLA Department of Family Medicine Editor-in-Chief & Founder | House Call, MD | www.myhousecallmd.com P: 760.409.4531  Dear ME-P  Readers, As many of you know, I have been working on a health education project called House Call, MD (www.myhousecallmd.com) for the [...]

What Does Health Reform Mean to You?

A Health Reform Pamphlet from the NCPA By Staff Reporters   The new health care legislation will impact every American. The National Center for Policy Analysis [NCPA] has created a new pamphlet, “What Does Health Reform Mean for You? It explains the new legislation’s major points in a succinct and unbiased way. Content Overview The [...]

Is Another [Double-Dip] Stock Market Crash Looming?

Understanding the Hindenburg Omen [A Bearish Sell Signal or Mere Folly?] By Dr. David Edward Marcinko MBA, CMP™ [Editor-in-Chief] According to Wikipedia, the Hindenburg Omen is a technical analysis pattern that is said to portend a stock market crash. It is named after the Hindenburg disaster of May 6, 1937, during which the German zeppelin [...]

Common Physician Retirement Plan Payout Methods

Targeting Portfolios and Medical Endowment Funds By Staff Reporters www.HealthcareFinancials.com According to Wayne Firebaugh CPA, CFP® CMP™ recognizing the risk that market volatility represents to long-term portfolio portfolios or medical endowments utilize a variety of methods to calculate periodic payouts. These include the following: Investment Yield: A portfolio/endowment using this method spends only its dividends and [...]

Introducing Dr. Joshua Goldman MBA

Meet Our Newest ME-P “Thought-Leader” By Ann Miller RN, MHA Joshua Goldman, MD, MBA is a resident physician at the University of California, Los Angeles pursuing post-graduate training in family medicine with subsequently plans to complete a Sports Medicine fellowship. He attended graduate school at the University of Southern California, completing his Medical Degree at [...]

About the eHealth Initiative

Foundation for eHealth Initiative By Staff Reporters   The eHealth Initiative and the Foundation for eHealth Initiative are independent, non-profit affiliated organizations whose missions are the same: to drive improvement in the quality, safety, and efficiency of healthcare through information and information technology. Dual Entities Both organizations are focused on engaging multiple and diverse stakeholders [...]

Understanding the Tactical Approach to Medical Endowment Fund Management

Guiding Long-Term Investment Decisions By Staff Reporters www.HealthcareFinancials.com According to Wayne Firebaugh CPA, CFP® CMP™ many successful medical endowment funds will establish a “strategic” allocation policy that is intended to guide long-term (greater than one-year) investment decisions. This strategic allocation reflects the endowment’s thinking regarding the existence of perceived fundamental shifts in the market. Asset [...]

Dueling New Medicare Reports

Medicare Trustees versus Medicare Actuaries By Staff Reporters   According to John Goodman, President, CEO & Kellye Wright Fellow National Center for Policy Analysis, the release of this year’s Medicare Trustees report was unprecedented. No Medicare Signature Sign-Off  As noted on www.TheHealthCareBlog.com, in previous posts there and at this blog here and here, Medicare’s chief actuary [...]

Avoiding Managed Care Contract Pitfalls

A Non-All Inclusive List By Staff Reporters www.HealthcareFinancials.com There are several key pitfalls to watch out for when evaluating a managed care organization contract, as noted and continually revised by the Advisory Board Company, and others. Profitability — Less than 52% of all senior physician executives know whether their managed care contracts are profitable. “Many [...]

On Delta Dental and the National Association of Dental Plans

ADA News Tries Sarcasm By D. Kellus Pruitt DDS For fear of retaliation, ADA officials are reluctant to admit that Delta Dental and other members of the National Association of Dental Plans (NADP) have traditionally used the FTC as a tool to intimidate our professional organization. This means that for decades, the federal government has [...]

About Healthcare for A Smarter Planet.Com

IBM’s Future Vision By Staff Reporters   Building A Smarter Planet is a blog intended to provide readers with a place to talk about the issues raised within its content space. The goal is for readers to feel compelled to share some of the things they see, read and hear with friends, family and peers.  [...]

Become a Columnist for the ME-P

Seeking ME-P “Thought-Leaders” By Ann Miller RN, MHA [Executive-Director]   As our band of loyal ME-P followers grows rapidly each day, so too does our search for quality healthcare business, economics and financial planning practitioners and journalists who target the medical arena and financial advisory space with their cognitive knowledge and new-wave contemporary articles [posts]. [...]

On Professor Kenneth Arrow PhD

The “Father” of Health Economics By Dr. David Edward Marcinko MBA, CMP™ [Editor-in-Chief] Professor Kenneth Arrow is a Nobel laureate who explored the characteristics of a perfectly competitive marketplace for an ordinary commodity – and how the healthcare industry deviated from those characteristics – and what aspects of health care might explain these deviations. But, [...]

The “Life Cycle Investment Hypothesis”

Physicians Returning to Zero? By Somnath Basu PhD, MBA  How have your investments done over the last three years? If you were to ask doctors, or the myriads of people who are or even pose as professional financial advisors, they would generally say that it would depend on how well your portfolio was diversified. By [...]

An Open Letter to the TDA Council on Ethics

And … Judicial Affairs By Darrell K. Pruitt DDS Dear Dr. Roy N. Burk – Chairman In your email to me on Thursday, you informed me that you would call my office this week at your convenience to discuss the as yet to be defined complaints about my “unprofessional conduct” from unnamed origins – some [...]

About TheHeart.org

ADVERTISEMENT TheHeart.Org By Professionals for Professionals Not one for flash and tinsel, theheart.org is thick with information on the front page. The interface seems based on that used by the New York Times, complete with a “most popular” widget that displays the most visited articles on the site. Owned by WebMD, which is in turn [...]

How Expensive are Healthcare Data Breaches?

Estimating Financial Damage Often Difficult  By D. Kellus Pruitt DDS Dom Nicastro just posted an article on HealthLeaders Media titled “HITRUST: HIPAA Breaches Near $1 Billion.” http://www.healthleadersmedia.com/content/TEC-255015/HITRUST-HIPAA-Breaches-Near-1-Billion## “Covered entities and business associates reporting breaches of unsecured personal health information (PHI) affecting 500 or more individuals to the Office for Civil Rights (OCR) together could spend nearly $1 [...]

Schumer Proposes Permanent IRA Rollover

Provision on the Currency Exchange Rate Oversight Reform Act By Children’s Home Society of Florida Foundation   Senator Charles Schumer and 15 co-sponsors of the Currency Exchange Rate Oversight Reform Act of 2010 included provisions that would make four charitable deductions permanent. The bill is designed to modify the laws on currency transactions but it [...]

On Hospital Revenue Cycle Opportunities

Do They Still Exist in Today’s Healthcare Milieu? Staff Reporters www.HealthcareFinancials.com   For a decade now, healthcare providers have been challenged to deliver quality patient care in an environment of shrinking profit margins. Total margins and operating margins have followed the same trend. Analysts report that an operating margin of less than 5% leaves an [...]

Defining the Standard of Medical Practice Business Value

Understanding Terms and Definitions Dr. David E. Marcinko; MBA, CMP™ [Editor-in-Chief] The term “value” in and of itself is too broad to be useful in the business appraisal of a medical practice, ASC or clinic, etc.  It must be given a context. As a medical practice appraiser, the industry generally refers to four standards of [...]

About the Managed Care Digest Series

Creating Custom Data Reports for Chronic Diseases By Staff Reporters   The sanofi-aventis Managed Care Digest Series online resource for Chronic Disease Information is part of their continuing commitment to provide the latest most essential information on the evolution of health care. The Series, available online or in print, provides key benchmarking data that can help assess [...]

Seeking a Talented Intern for the ME-P

Good References – Exciting Work – No Pay By Ann Miller RN, MHA [Executive-Director]   The ME-P is seeking a talented intern to assist with editorial and web production tasks as our site undergoes a major expansion. The non-paid, but highly visible position is ideal for a graduate, healthcare policy or medical student with an [...]

Understanding Hospital Net Working Capital

Lower is Better Staff Reporters www.HealthcareFinancials.com   Net working capital is the difference between current assets and current liabilities. The lower the net working capital, the more economically efficient the medical care provided. Some important definitions and ratios for hospitals include those immediately below: Days Sales Outstanding: AR/(net sales/365) Year-end receivables net of allowances for [...]

Medical Endowment Fund Contingency Planning

Understanding Stock Market Volatility? Source: www.HealthcareFinancials.com   According to Wayne Firebaugh CPA, CFP®, CMP™ the many quantitative methods of stock, bond, derivatives, alternative assets and mutual fund investing would have suggested that the October 1987 crash was impossible; yet the flash-crash of 2008 still occurred. The Improbable Happens For example, Mark Rubenstein, a professor at [...]

Tim Geithner and Harry Reid Support Top Tax Rate Increases

Obama Plans to Increase Top Two Tax Brackets By Children’s Home Society of Florida Foundation   On a national media program on July 25, 2010, Treasury Secretary Timothy Geithner emphasized that the Obama administration plans to increase the tax rates for the top two brackets. When asked whether the 2001/2003 tax reductions should be extended [...]

Understanding the 2010 Estate Tax Basis Problems

AICPA Tax Basis Issues By Children’s Home Society of Florida Foundation   At a July 27, 2010 conference sponsored by the American Institute of Certified Public Accountants, Treasury Representative Catherine Hughes discussed the basis issues that are arising concerning 2010 decedents. 2010 Estate Tax Repeal While the estate tax is repealed during 2010, under Internal [...]

About the Ideal Medical Practices Website

What it is – How it Works By Staff Reporters   The authors of this website believe that effective, comprehensive primary care is the foundation of high performing health systems. And, so do we! A Site Support Primary Care Therefore, this multi-contributor blog addresses effective, comprehensive primary care and how we might create a policy [...]

More on Modern Investment Portfolio Rebalancing

Understanding Risks and Benefits Source: www.HealthcareFinancials.com   According to Wayne Firebaugh CPA, CFP®, CMP™ rebalancing a private physician’s portfolio or medical endowment contradicts conventional market “wisdom” that you allow your winners to run. Perhaps in speculation this is true, but for investing such a view can be deadly. One Healthcare Case Example Take, for example, [...]

Tell the SEC What You Think Survey

Survey and Commentary Period By Staff Reporters   The Securities and Exchange Commission just posted a form for people to comment as part of its study of obligations and standards that should apply to broker-dealers and registered investment advisors. http://www.sec.gov/cgi-bin/ruling-comments?ruling=4-606&rule_path=/comments/4-606&file_num=4-606&action=Show_Form&title=Study%20Regarding%20Obligations%20of%20Brokers%2C%20Dealers%2C%20and%20Investment%20Advisers Assessment As if it matters after the lobbyists enter the room; or does it?   [...]

About Tele-Health and Medicare

Medicare TeleHealth Enhancement Act of 2009 By Staff Reporters www.HealthcareFinancials.com According to Richard S. Bakalar, MD, past president of the American Telemedicine Association, many physicians think that telehealth is a wave of the future for Medicare, but so far the program has been slow to embrace technology. Congressional legislation in 1997 and 2000 largely established [...]

Events Planner: August 2010

ADVERTISEMENT Events-Planner: AUGUST 2010 Staff Writers “Keeping track of important health economics and financial industry meetings, conferences and summits” Welcome to this issue of the Medical Executive-Post and our Events-Planner. It contains the latest information on conferences, news, and relevant resources in healthcare finance, economics, research and development, business management, pharmaceutical pricing, and physician/entity reimbursement!  [...]

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