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    As a Distinguished University Professor and Endowed Department Chairman, Dr. David Edward Marcinko MBBS DPM MBA MEd BSc CMP® was a NYSE broker and investment banker for a decade who was respected for his unique perspectives, balanced contrarian thinking and measured judgment to influence key decision makers in strategic education, health economics, finance, investing and public policy management.

    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; Oglethorpe University and Atlanta Hospital & Medical Center in GA; and Aachen City University Hospital, Koln-Germany. He is one of the most innovative global thought leaders in health care entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing nonessential expenditures and improving operational efficiencies.

    Professor Marcinko was a board certified physician, surgical fellow, hospital medical staff Vice President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010, by PM magazine. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics and trade publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

    Dr. Marcinko is also an early-stage investor with a focus on finance, economics and business IT. He was on the initial team for Physicians-Nexus®, 1st. Global Financial Advisors and Physician Services Group Inc; and as a mentor for Deloitte-Touche, Accenture and other start-ups in Silicon Valley, CA.

    As a licensed life and health insurance agent, RIA – SEC registered representative, Dr. Marcinko was Founding Dean of the fiduciary niche focused CERTIFIED MEDICAL PLANNER® online chartered designation education program; as well as Chief Editor of the HEALTH DICTIONARY SERIES® Wiki Project.

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Nursing Home Perceptions & Realities [Part II]

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Cost and Duration of Long-Term Care at Home

By Dr. David Edward Marcinko; FACFAS, M.B.A., CPHQ™, CMP™

By Thomas A. Muldowney; M.S.F.S., CLU, ChFC, CFP® CMP™

By Hope Rachel Hetico; R.N., M.H.A., CPHQ™, CMPhetico

This is the second post, in an exclusive four part series for the ME-P titled: At-Home or Nursing Home Care for Long-Term.”

Nursing Homes Less Desirable

Most agree that nursing homes are regarded as the least desirable LTC choice. Some people enter a nursing home after a hospital stay with a need for skilled care or for short-term respite care. Many people who are admitted to a nursing home remain there for the rest of their lives.

The Only Answer for Some

Nursing home care may be the only answer for single people requiring LTC or people with Alzheimer’s disease. However, nursing home care is not always available when needed. Many of the better nursing homes have substantial financial requirements, and have long waiting lists, some lasting months or years.


Unfortunately, some people will have difficulty being admitted to these nursing homes without a reservation. Many nursing homes will not accept Medicaid at the outset from a prospective resident; therefore, having funds available (which may be spent down) or LTCI may make a difference in getting into a nursing home.


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4 Responses

  1. Long Term Care Assistance

    Did you know that 36% of Generation-X intends to rely on government assistance to finance Long-Term Care? When asked how they plan to finance their long-term care, Gen-Xers responded:

    * 36% would rely on government assistance, such as Medicaid
    * 26% would use their retirement savings
    * 24% would sell their assets
    * 22% would rely on other insurance products
    * 13% would rely on family and friends

    Note: December 2008 telephone survey of Generation-Xers, born between 1960 and 1980, conducted by StrategyOne on behalf of AHIP.

    Source: AHIP Press Release, February 11, 2009. http://www.ahip.org. For additional information about the survey, please visit: http://www.MyLifeMyFamily.com



  2. Elderly, At Risk, and Haphazardly Protected


    Here is a ProPublica and “Frontline” examination of the multibillion-dollar assisted living industry reveals a mishmash of minimal state regulation and no involvement by federal officials.

    Dr. Glenda


  3. Top 25 Most Expensive Markets for Long-Term Care Coverage

    Market Nursing Home Private Room Annual Rate
    Bridgeport-Stamford-Norwalk, CT $159,359
    Anchorage, AK $156,950
    New York-Northern New Jersey-Long Island, NY-NJ $155,180
    Poughkeepsie-Newburgh-Middletown, NY $155,180
    Hartford, CT $154,118
    Boston-Worcester-Lawrence, MA $146,372
    Rochester, NY $141,244
    San Diego, CA $135,554
    Seattle-Tacoma-Bremerton, WA $131,750
    San Francisco-Oakland-San Jose, CA $130,283
    Philadelphia-Wilmington-Atlantic City, PA-NJ-DE $129,239
    San Jose-Sunnyvale-Santa Clara, CA $127,130
    Albany-Schenectady-Troy, NY $126,932
    Portland, ME $121,910
    Honolulu, HI $121,154
    Washington-Baltimore, DC-MD $120,709
    Sacramento-Yolo, CA $120,322
    Boise, ID $118,475
    Milwaukee-Racine, WI $118,005
    Manchester-Nashua, NH $117,264
    Miami-Fort Lauderdale, FL $116,931
    Buffalo-Niagara Falls, NY $116,577
    Los Angeles-Riverside-Orange County, CA $115,165
    Detroit-Ann Arbor-Flint, MI $114,716
    Portland-Salem, OR $111,909

    Source: New York Life Insurance Company


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