Building a Modern Electronic Heath Data Warehouse

A Brief “How-to” Essay with Commentary By Staff Reporters   According to a Standish Group survey, more than 70% of Health Information Technology applications go over budget and time and medical data warehouse applications are no exception. However, if you adopt a process, an oriented development approach and implement a rigorous project management discipline, your [...]

Do SPDRs Yield Tax Advantages?

How about Trading Efficiency? By Dr. David Edward Marcinko; MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] The bull market generated large mutual fund capital gains distributions at the end of 2007; and maybe again for 2011. Accordingly, tax efficient mutual funds are getting more attention as a result. Also growing in popularity is Standard & Poor’s Depository Receipts [...]

About the CDT Health Privacy Project

Survey of Concerns about Health 2.0 and HIPAA By Staff Reporters  The Center for Democracy and Technology is a non-profit public interest organization working to keep the Internet open, innovative, and free. A Civil Liberties Group As a civil liberties group with expertise in law, technology, and policy, CDT works to enhance free expression and [...]

The Long and Short of Portfolio Construction

Long-Short Portfolio Construction vs. Long-Only By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] Long-Short is an active portfolio construction discipline that balances long positions in high expected return securities and short positions in low expected return securities of approximately equal value and market sensitivity. This type of portfolio is “neutralized” or immunized against changes [...]

Why We’re Publishing and Advertising at the ME-P

And, Where We Stand on Funding By Ann Miller RN MHA MarcinkoAdvisors@msn.com [Executive-Director]   Starting next month, the Medical Executive-Post will begin publishing advertising on its web site, and likely soon we’ll include it in our daily emails, special offerings and send-outs, etc. Why? We’re doing this for the usual reason: to help raise revenue [...]

Keep your Investing Options Open – Doctor

Or – Hedge your Bets By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] As a physician executive or investor, if you don’t ordinarily deal in options or other financial derivatives, you may need to brush up on puts and calls, straddles, strangles (or combinations), forwards, futures, swaps, spreads, and non-equity options such as stock [...]

On Medical Executive Leadership Mistakes

A List of Attributes to Avoid By Dr. David Edward Marcinko, MBA, CMP™ By Professor Hope R. Hetico, RN, MHA, CMP™ www.BusinessofMedicalPractice.com When it comes to leadership development, executive training and self-branding, medical entrepreneurs and practitioners need to strive to avoid what John Zenger PhD and Joseph Folkman PhD describe as the 10 most common [...]

Why Classic Retirement Planning Often Fails Doctors?

Monitor the Money – Not the Returns Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] While taking my certified financial planner courses to earn the CFP® designation, almost two decades ago at Oglethorpe University in Atlanta, I learned that in classic retirement planning engagements the financial planner or advisor determines the client’s retirement income needs, [...]

Update on How Physicians Get Paid in 2010-11 [A slide show]

Part 2: [A Visual .ppt Presentation] By Dr. David Edward Marcinko; MBA [Editor-in-Chief] From prior posts and comments on this ME-P, we know that most patients don’t have a clue about how doctors get paid in the real world of health insurance reimbursement. A Popular Topic We know this because prior posts on the topic [...]

Doctor – “The eMR Made Me Do It?”

Podiatrist Disciplined for Inaccurate eHR Records Source: James T. Mulder: The Post-Standard [1/21/11]    What The state Education Department has taken disciplinary action against a Liverpool foot doctor charged with professional misconduct. Who Dr. Bryan Gregory Popovici, a podiatrist, was fined $2,500 and placed on probation for two years by the state Education Department. Popovici [...]

e-Filing Tax Season is Now Open

About IR-20 11-5 By Children’s Home Society of Florida Foundation In a flurry of information letters, the IRS just announced that e-Filing is now open. According to IR-2011-5, the benefit of e-filing is that any taxpayer may receive faster refunds and ensure that their tax return is accurately reported. The Commissioner Speaks IRS Commissioner Doug [...]

About Cyber Insurance for Doctors

What it is – How it works? By Staff Reporters All medical practitioners and ME-P readers and subscribers are aware that there are stiff penalties for protected health information [PHI] data breaches. And, the HIPPA policies and laws are legendary. Security Standards Cyber security standards are standards which enable healthcare and other organizations to practice safe [...]

On the Rise and Fall of Limited Partnerships

Taking A Historical Look at this Investment Vehicle By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] Back in the 1980s – a time I am loathe admitting that I remember well – limited partnerships (LPs) were all the rage and often touted as the investment vehicle of the future; especially to tax-averse physicians and [...]

The Rising Tide of EHR Vendors

Electronic Health Records (EHRs) By Don Fornes [Founder & CEO, Software Advice] EHR software vendors aren’t churning out profits like you might expect. You’d think that the Federal subsidies for EHR implementation would create a rising tide that lifted all boats in the EHR software industry. In reality, some vendors are about to capsize. Based [...]

Doctors Divvy Up the Estate Money [New Spouse v. Kids]

The Kids of a New Spouse Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] Multiple marriages entail interesting estate planning moves. Why? In these days of multiple marriages, doctor clients and others often can get caught between wanting to provide for their children from a previous marriage and their spouse’s statutory inheritance rights. Depending on [...]

The Legacy of Dr. Jack Treynor

The History Behind A Popular Investing Theory By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] In his 1959 “Portfolio Selection,” Harry Markowitz PhD [father of MPT], said that investors should diversify against market risk but that determining the required return from such a group of diversified assets was another matter. Seven years later, economist [...]

Understanding Client Engagement Letters for Financial Advisors

Review the Basics to Protect Yourself from Liability By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] According to the Professional Liability Agents Network (PLAN), a nonprofit association of insurance agencies specializing in risk management and loss prevention, there are two things that FAs should remember about engagement letters: have them and revise them. In [...]

On FAs Working with Terminal Clients

Unique Challenges Financial Planners Face when Advising Dying Clients By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] Doctors are comfortable – or at least familiar – in dealing with death; financial advisors and planners are not! Although many financial planners attend conferences to keep current on sophisticated planning techniques, most are not emotionally equipped [...]

Recognizing the Differences between Healthcare and Other Industries

Why Hospitals, Clinics and Medical Offices are Not Hotels, or Manufacturing Plants or Production Assembly Lines, etc. By Dr. David E. Marcinko FACFAS, MBA, CMP™ [Editor-in-Chief] www.HealthcareFinancials.com The rising cost of health insurance remains a major concern for business; despite the Affordable Care Act [ACA] of March 2010. Local and national news publications have trumpeted that [...]

The Living Legacy of Dr. Harry Markowitz

Creating Diversified Portfolios of Uncorrelated Assets By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] More than a half century ago, a paper appeared in The Journal of Finance written by a 24-year-old doctoral candidate in economics at the University of Chicago—Harry Markowitz. It was called “Portfolio Selection” and suggested that investors take into account [...]

Let’s Consider Two New Emerging Medical Delivery Models

Entrepreneurial, New-Wave and Outside-the-Box Competitive Models Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] I travel quite a bit in my professional and personal life. And, have been told possess an above-average curiosity in all things medical management. I look – see and report. So, what have I noted recently? There are a number of [...]

Chairman Bernanke Advocates Tax Reform

Reform Coming in 2011? By The Children’s Home Society of Florida Foundation   Chairman of the Federal Reserve [the FED], Ben Bernanke met January 7th 2011 with the Senate Budget Committee. He spoke on the topic of tax reform during 2011. According to sources, Mr. Bernanke noted, “Greater clarity and certainty is obviously beneficial, and [...]

Has the ADA Ever Mentioned Quality Control?

About My Tell-All Book? By D. Kellus Pruitt DDS One day, I’m going to write a tell-all book about quality control dentistry …  But, for all I’ve been told, it might be fiction. The Quality Mandate  Here’s something I find entertaining about the “quality” reporting mandate that was quietly written into HIPAA about the time [...]

David B. Nash; MD, MBA, FACP

ADVERTISEMENT Healthcare Organizations: [Financial Management Strategies]  www.HealthcareFinancials.com FOREWORD  It should come as no surprise to our readers that the nation faces a financial crisis in healthcare.  Currently, the United States spends nearly 16% of the world’s largest economy on providing healthcare services to its citizens.  Another way of looking at this same information is to [...]

Why Doctors Must Take Care When Swapping Insurance Policies and Annuities

Understanding Section 1035 Treatment of Exchanges By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] With the passage of the Tax Equity and Fiscal Responsibility Act, back in 1982 (TEFRA), insurance companies were required to report the payment of all surrender proceeds, forcing physicians and all individuals to be more compliant in reporting gains on [...]

SPDRs vs. Index Mutual Funds

Understanding Vehicular Pros and Cons By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] It is possible to buy or sell during a trading day with SPDRs, just as one would with a common stock, and, accordingly, the trading price may be set anytime during the day. This could prove valuable in a sudden market [...]

How Investors View Financial Advisors?

ADVERTISEMENT A Public Opinion Survey Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com Boston-based Dalbar company is a surveyor of financial information for the mutual fund industry. About a decade ago Dalbar released a nine-part survey on personal financial advice to measure the level of demand for advice that existed back then and to ascertain consumer [...]

Defining Health Level Seven [HL-7]

What it is – How it works? By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] HL7 is an international community of health care subject matter experts and information technology physicians and scientists collaborating to create standards for the exchange, management, and integration of protected electronic health care information. The Ann Arbor, Mich.-based Health Level [...]

Calculating the Cost of Medical Errors

Interactive Tool Listed by State   By Staff Reporters In addition to the toll in patient suffering and death, measurable medical errors are estimated to cost the U.S. economy $19.5 billion in 2008. Assessment But, how much are they costing in your state or geographic region? This interactive tool from GE Healthcare can help you [...]

Going ‘Bare’ Might be an Expensive Mistake

An Opinion on E & O Insurance for FAs Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] This post is not about medical malpractice liability insurance. As a doctor, financial advisor and insurance agent I have written and opined on this subject before; informally on this blog and more formally through our handbooks: http://www.amazon.com/Insurance-Management-Strategies-Physicians-Advisors/dp/0763733423/ref=sr_1_3?ie=UTF8&s=books&qid=1275315795&sr=1-3 and, [...]

More on Disability Insurance for Physicians

Some Advice from a Doctor, Insurance Agent and Financial Advisor Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] Policies Are Harder to Get, More Expensive, and Offer Less Protection Than Before Due principally to large claims from anesthesiologists, surgeons, emergency room physicians, and trial attorneys, disability insurance underwriting is becoming stricter. Among the effects on [...]

On Standard & Poor’s Depository Receipts

Don’t be Afraid of ‘SPIDERS’ By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] What they are – How they work? No, I’m not talking about creepy, crawly insects. I’m referring to Standard & Poor’s Depository Receipts (SPDRs, or spiders), a derivative product, which combines many of the advantages of index funds with the superior [...]

Do Patients Really Believe in eMRs?

Not Necessarily By Dr. David Edward Marcinko MBA CMP™ [Publisher-in-Chief] A NPR / Kaiser / Harvard School of Public Health patient opinion poll of more than a year ago [Aril 2009], demonstrated that for the most part, patients believed that just spending money on eMR’s was not going to improve their health or bring down [...]

On Stock Market [Mis]Timing Strategies

Do They Come Up Short? Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] Stock market investment rules are notorious for showing profit when tested on the same sample period from which they were developed, and then failing when applied to a new period. According to Professor Roger C. Vergin, it’s dangerous to use the same [...]

Looking to Convert to a Paperless Dental [Medical] Practice?

Why Does the ADA Promote eDRs? By Darrell K. Pruitt DDS Not so Fast! Before a dentist trustingly accepts the recommendation of the American Dental Association and unwittingly converts his or her practice to paperless, one should read the story I copied below which was posted on VillageSoup.com yesterday. Unlucky dentist loses everything … http://waldo.villagesoup.com/business/brief/business-services/unlucky-dentist-loses-everything/373672 [...]

Are You Scared of Investment Losses?

Well Doctors – You Should Be! By Somnath Basu PhD, MBA President: AgeBander Thousand Oaks, CA There is a very simple way for medical professionals, and us all, to approach investment decision making. To start with, begin by asking yourself some basic and preliminary questions such as what is the investment for (to buy a house, [...]

The Death of Medical Practice? [A Voting Poll and Survey]

Or – Has their Demise been Greatly Exaggerated?   By Staff Reporters QUESTION: Are solo practitioners, and small group physician medical practices, on the verge of disappearing? In a newly-published STAT Monthly some pundits opine that: “Primary care physicians and other specialists will continue to be the target of acquisitions by larger health and hospital [...]

Subscribe and Pass it On … the ME-P

Be Part of What We Do! Tell Someone About the Medical Executive-Post! By Ann Miller RN MHA [Executive-Director]   Shout Outs! Seen something particularly interesting on the ME-P? Then tell your colleagues and friends about us. Contributions Or, got a health care administration, health economics or financial planning insight? Write for the ME-P. We have [...]

ProPublica Reports Standard’s & Poor’s Triple “A” Ratings Collapse Again

The Question is Why?   By Jesse Eisinger Several weeks ago, Standard & Poor’s put out a press release: The credit rating agency warned it was poised to downgrade almost 1,200 complex mortgage securities. This data is vital to all physician executives, financial  advisors and investors. Assessment So what? Isn’t that dog-bites-man at this point? Link: [...]

Are You Providing Pro Bono Medical Care? [A Voting Poll and Survey]

Is Less or More Planned in 2011 Following the ACA? By Staff Reporters   A survey some years back suggested that more than 40% of the country’s doctors are doing less pro-bono work due to managed care, and the resulting decrease in personal income.  Today, some pundits wonder if the exacerbated cause will be the ACA? AAFP Intervenes To combat [...]

Seeking Chief Medical Director

IlliniCare Health Plan CLASSIFIED ADVERTISEMENT By Judy Kliethermes   JOB POST Centene Corporation is seeking a Chief Medical Director for IlliniCare Health Plan, a wholly owned subsidiary and HMO for the state of Illinois.  The regional headquarters for IlliniCare is in Chicago.  A Fortune 500 company, Centene Corporation is a national leader in low-cost solutions for [...]

Introducing the Body Browser

A New Offering by Google By Staff Reporters No this is not a porno club or whole body airport security scanner. Rather, it is a new offering from Google. The just released Body Browser is a 3-dimensional multi-layered anatomical model of the human body that you can rotate, zoom in on, and search. One can [...]

On the Estate and Gift Law Tax Changes

Update on the New Tax Laws By Nicole McNair Robinson & Miller, PC Dear ME-P Readers and Subscribers, On behalf of attorney J. Christopher Miller of our firm, please find attached a letter summarizing the changes in the estate and gift tax law enacted last month by the Obama Administration. We trust you find it interesting and [...]

PhysAssist Scribes for eMRs [Necessity or Frivolity?]

On Human eHR Input Devices [aka Personal Secretaries] By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.com [Publisher-in-Chief] What it Is – How it Works? According to their website, PhysAssist Scribes provide turn-key solutions, recruits, interviews, trains and certifies staff, schedules and maintains highly-trained human eHR input scribes for their clients [$8-10/hour wages]. Emergency room departments and [...]

Book Dr. Marcinko to Speak

At Your Next Medical Management, Pharma or Financial Services Seminar   Our Editor-and-Chief, Dr. David Edward Marcinko MBA CMP™ is a former medical practitioner and board certified surgeon [FACFAS], certified financial planner, stock-broker, insurance agent, Registered Rep, RIA representative, writer, editor, journalist, expert witness and healthcare economist who enjoys public speaking and gives as many talks each year as possible, [...]

[Health] Plan Management Navigator

January 2011 By Douglas B. Sherlock, CFA Senior Health Care Analyst Dear ME-P Readers and Subscribers,    At the risk of appearing overwhelmed with New Year’s enthusiasm, we think this edition of Plan Management Navigator is especially interesting: 1. We report on the cost decisions made by low cost Blue Cross Blue Shield plans. Low [...]

About ZocDoc!

What it is – How it works? By Staff Reporters   ZocDoc is a free service that allows patients to book medical appointments online. ZocDoc started in September of 2007 as a service to help people find and make dentist appointments in New York City. Expanded Offerings Today ZocDoc also offers primary care, dermatologist, eye-specialist, [...]

Get a Free Retirement Planning e-Book

Unveiling the Retirement Myth Review by: Dr. David Edward Marcinko MBA CMP™ [Publisher-and-Chief] Jim Otar is a certified financial planner in Canada. He wrote the book: Unveiling the Retirement Myth on retirement income planning: how to make your retirement portfolio last as long as you do when you are living off your savings and investments [...]

Follow

Get every new post delivered to your Inbox.