Dealing With Uncertainty in Practice Measurement

Understanding Variations in Medical Care Quality By Brent A. Metfessel MD, CMP™ www.BusinessofMedicalPractice.com Due to high-profile concerns in terms of the variation in quality of care as well as its affordability, practice pattern measurement is here to stay.  And, until further advances in this area are created, physicians with unexpectedly poor performance ratios, especially in [...]

Dental Compensation Different than Docs

On Medical Professional Salaries Staff Reporters www.BusinessofMedicalPractice.com A 2003 Survey of Dental Practices reported net income from dentistry-related sources. Dentists Differ from Doctors Dentists differ from physicians in that 90% are in private practice. In 2002, the average practitioner’s net income was $174,350. The average dental specialist’s net was $291,250. These figures represent a 0.7% [...]

On Ethical Patient Advocacy

Medical Ethics in the Modern Era By Render S. Davis MHA, CHE www.BusinessofMedicalPractice.com Few areas of life are as personal as an individual’s health and people have long relied on a caring and competent physician to be their champion in securing the medical resources needed to retain or restore health and function.  Nevertheless, this philosophy [...]

Understanding Disease Management

How Technology Affects Patient Care By Brent A. Metfessel MD, CMP™ www.BusinessofMedicalPractice.com One area where technology assessments, clinical guidelines, and EMR data can make a true difference in patient care is in disease management.  DMAA Definition The Disease Management Association of America (DMAA) defines disease management as “a system of coordinated health care interventions and [...]

About the Placebo [Medical] Journal

Humor in Medicine By ME-P Staff Reporters   According to their website, the Placebo Journal [PJ] is a magazine for physicians whose goal, as its Latin definition states, is “to give pleasure to”. The purpose in starting this “Placebo” brand is to empower physicians with a skill that is sorely lacking today in medicine – [...]

Financial Planning for Physicians and Advisors

Our Handbook By Ann Miller RN, MHA Managed care and government-led initiatives to control health care costs have decreased physician compensation. Physicians must now carefully plan their practices and seek financial security in a manner that is markedly different from other professionals. To do so, physicians and their advisors must be well informed about the [...]

A Poll on RECs

Five Reasons We Think Regional Extension Centers are Reckless By Houston Neal Software Advice http://www.softwareadvice.com/medical   Hi Dr. Marcinko and all ME-P Readers I hope you are doing well. I am hosting a poll about RECs on my blog at: http://www.softwareadvice.com/articles/medical/five-reasons-we-think-recs-are-reckless-1092310/#survey  I’m hoping to get as many participants as possible to make this a meaningful [...]

More About Regional Extension Centers

RECs Explained By Shahid N. Shah; MS  www.BusinessofMedicalPractice.com The Meaningful Use and Certification requirements along with the myriad of government regulations around Medicare and Medicaid reimbursements will be too complicated for most physicians to understand and manage on their own. To help out small practices, one of the interesting things funded by the HITECH Act [...]

Health Plan Management Navigator

Mid-September 2010 Edition By Douglas B. Sherlock, CFA   In this edition of Plan Management Navigator, we summarize on the results of selected TPAs. Administrative expenses for core services of selected TPAs were 84% of fees in 2009. This was $11.56 per employee per month (PEPM) or $6.06 per member per month (PMPM). Core Medical [...]

About LegallyMine.Org

The National Foundation for Asset Protection By Staff Reporters   Legally Mine is a new name for a company formally known as The National Foundation for Asset Protection. The name change reflects the fact that they are a for-profit company and always have been. Company Focus The focus of the company is the education of [...]

Update on the Estate Tax for MDs and Us All

Senate Refuses Repeal By Children’s Home Society of Florida Foundation On July 21, 2010, Sen. Jim DeMint (R-SC) offered an amendment to the unemployment bill that would repeal the estate tax. Sen. DeMint noted that the White House is creating a difficult environment for “small businesses that are already facing higher income taxes and higher [...]

About Cost of Care.org

Understanding the Economics of Medical Decisions By Staff Reporters   Did you know that Costs of Care just launched a national essay contest, with $1000 prizes for the best anecdotes from patients and clinicians illustrating the importance of cost-awareness in medicine? What is It? Costs of Care, a nonprofit 501(c)(3), is a social venture that [...]

2010 m-HEALTH SUMMIT ANNOUNCES NEW SPEAKERS

Panelists Represent Industry, Academia, Non-Profit, and Government Perspectives ADVERTISEMENT   Dear Ann and ME-P Readers The 2010 mHealth Summit, the must-attend event for all interested in the implementation of mobile technology to advance improved health outcomes, is today announcing newly confirmed speakers who will contribute to the cross-sectoral dialogue during the Summit’s three-day conference program. [...]

Essay on Medicare Pricing Distortions

In Physician Fee Schedules By Nancy Chockley PhD President & CEO NIHCM Foundation   Leaving Medicare F-F-S Reimbursement While there is near universal agreement that we need to move away from Medicare’s fee-for-service [F-F-S] physician payment system, Dr. Robert Berenson argues that in the short term we still need to focus on improving the current physician [...]

Hospital RFID versus Wi-Fi Technologies

Understanding Wireless Communications and Inventory Tracking Systems By Staff Reporters www.HealthcareFinancials.com   According to inventory tracking system expert David J. Piasecki, the two wireless technologies currently competing to provide hospitals with better systems for managing equipment inventories are: wireless-fidelity (WiFi) and active RFID. WiFi is the name of the popular wireless networking technology that uses radio [...]

The Rise of Niche Medical Providers

Understanding New Roles and a Changing Delivery Ecosystem By Staff Reporters www.HealthcareFinancials.com   It is well know that orthopedic and cardiac hospitals have experienced a development boom over the past decade.  And, according to Robert James Cimasi MHA, AVA, CMP™ of Health Capital Consultants, LLC, reimbursement levels for these specialties, and especially surgeries, have been [...]

[Health] Plan Management Navigator

September 2010 ADVERTISEMENT By Douglas B. Sherlock, CFA   In this edition of Plan Management Navigator, we write on issues that are especially timely for health plans in their current budgeting process. Topics are as follows: Trends in Health Plan Business Process Outsourcing This analysis is based on data excerpted from recent editions of the [...]

Using Charitable Gifts in Business Planning

The S Corporation By The Children’s Home Society of Florida Foundation The most common type of corporation is a traditional “C” corporation. All companies whose stock is publicly traded are C corporations. C corporations pay tax on net income at the corporate level. When that income is distributed to shareholders in the form of dividends, [...]

How Well Behaved Are Your Financial Decisions-Doctor?

“Massively Confused Investors Making Conspicuously Ignorant Choices” By Somnath Basu PhD, MBA How well we make investment decisions depends in part on how reasoned or emotional the decision was. The greater the emotional content the more likely will be the mistake. It is useful for all of us to understand the emotional pitfalls of financial [...]

Seeking Chief Medical Director

Employment Opportunity for CMD ADVERTISEMENT By Judy Kliethermes Centene Corporation is seeking a Chief Medical Director for Managed Health Services, a wholly owned subsidiary and HMO for the state of Wisconsin.  The regional headquarters for Managed Health Services is in Milwaukee.  A Fortune 500 company, Centene Corporation is a national leader in low-cost solutions for high [...]

Why Physicians Need to Deal with Debt

Understanding the Impending Retirement-Planning Crisis By Somnath Basu PhD, MBA A serious retirement-planning crisis is looming in the US with many Baby Boomer physicians, and others, having already spent a portion of their nest egg and undermining any hope for a comfortable lifestyle unless they continue to work. Notwithstanding medical professionals, look no further than [...]

The Business of Medical Practice [3rd edition]

ADVERTISEMENT Transformational Health 2.0 Skills for Doctors By Ann Miller; RN MHA [Executive Director] Revised and updated to include the most current information on healthcare administration, the Third Edition of The Business of Medical Practice is an essential business tool for doctors, nurses, and healthcare administrators; management and business consultants; accountants; and medical, dental, podiatry, [...]

To Save or To Spend?

Understanding the Decision By Somnath Basu PhD, MBA Should we save or spend? What’s good for me and my family? Is the time right for us to be buoyant and optimistic about the future? How do we decide what fraction of our income to spend and how much to save? Isn’t spending a good thing [...]

On Hospital Bond Insurers and Credit Enhancement

Understanding the Capital Formation Process By Calvin W. Wiese CPA MBA www.HealthcareFinancials.com   Credit enhancement is commonly used when issuing tax-exempt bonds. Credit providers guarantee the payments promised by the bonds, essentially co-signing. As a party with recognized credibility in the market, the bond provider agrees to make payments on behalf of the obligor in [...]

Events Planner: September 2010

ADVERTISEMENT Events-Planner: SEPTEMBER 2010 “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!  Watch for [...]

More on the Meaningful Use of eMRs

Final Meaningful Use Rules Released by HHS on July 13, 2010. By Shahid N. Shah Link: http://shahid.shah.org For ambulatory care practices and physicians there are about 25 objectives and measures that must be met to become a “meaningful user”. Keep in mind that meaningful use is not tied to a certified EHR alone; in fact, unless you [...]

About Medically Induced Trauma Support Services

Dealing with Unexpected Medical Outcomes By Staff Reporters   Medically Induced Trauma Support Services (MITSS), Inc. is a non-profit organization founded in June of 2002 whose mission is “To Support Healing and Restore Hope” to patients, families, and clinicians who have been affected by an adverse medical event. Definition Medically induced trauma is defined as [...]

Regarding Hospital Security and Financial Covenants

Understanding the Capital Formation Process By Calvin W. Wiese CPA MBA www.HealthcareFinancials.com Almost every bond issue has security provisions. Usually the security for bond holders is described in the bond indenture. Security for credit enhancers typically is greater than that provided bond holders and is spelled out in the agreements between the credit enhancers and [...]

ME-P Corporate Seminar Information

By Ann Miller RN, MHA [ME-P Executive-Director] Our Editor-in-Chief, Dr. David Edward Marcinko MBA, CMP™, enjoys public speaking and gives as many talks each year as possible, at a variety of medical society, pharmaceutical and financial services conferences around the country and world [Cannada, Belgium, Germany and Finland]. These have included lectures and visiting professorships at [...]

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