Reputation Economics [Book Review]

Posted on June 30, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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JS

[By Jaan Sidorov MD]

An Interesting Book

Reputation Economics by Joshua Klein builds on the observation that humans ultimately prefer to trade goods with persons they genuinely trust. The invention of money as a medium of exchange may have solved a lot of inconveniences, but it also distanced the seller and the buyer.

He suggests that our Information Age is ironically ushering in a return of barter, where many goods and services can be directly exchanged between parties who create a track record of their trustworthiness online.

Interestingly, your personal identity doesn’t need to be part of that reputation. And if barter isn’t available, enter cryptocurrency like Bitcoin, which preserves anonymity but commands trust.

Conclusion

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What is Population Health?

Posted on June 28, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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DEM white shirtBy David Edward Marcinko MBBS DPM MBA MEd

http://www.DavidEdwardMarcinko.com

What is population health?

In its most fundamental sense, population health seeks to improve or manage the health of a specific population. It is a systematic, holistic approach that aims to prevent disease by keeping people healthy and improving the quality of care.

HDS

http://www.HealthDictionarySeries.org

In fact, according to my colleague David B. Nash MD MBA, Founding Dean and Endowed Chair at the Jefferson College of Population Health, population health programs and interventions work to:

  • Connect prevention, wellness and behavioral health with traditional health care delivery
  • Focus on improving the quality and safety of care, improving access to healthcare services and helping to prevent/manage chronic diseases in the service of a specific population
  • Advance policies and solutions to address socio-economic and cultural factors (social determinants of health) that have an impact on health outcomes
  • Leverage technology and information systems to design social and community interventions and new models of health care delivery that facilitate care coordination and access

WHITE-PAPER: Population and Public Health

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Managed Care Insurance Profits?

Posted on June 27, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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By Kel Kelly

2007 – 2017 Almost a decade ago?Flag_of_the_Red_Cross

***Figure1_11

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The Precision Medicine Initiative

Posted on June 26, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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A New Era of Medicine

[By Staff Reporters]

When The White House announced their Precision Medicine Initiative last year, they referred to precision medicine as “a new era of medicine,” signaling a shift in focus from a “one-size-fits-all-approach” to individualized care based on the specific characteristics that distinguish one patient from another.

While there continues to be immense excitement about its game-changing impact in terms of early diagnoses and targeting specific treatment options, the advancements in technology, which underlie this approach, may not always yield the best medical results.

Assessment

But, in some cases, low cost approaches, based on sound clinical judgment, are still the better option.

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Screen-Shot-2016-06-22-at-9_03_35-AM

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Conclusion

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Robert James Cimasi; MHA ASA CVA CMP® Named “Pioneer of the Profession”

Posted on June 25, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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[By staff reporters]

A Friend of the ME-P

cimasi

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HCC CEO Bob Cimasi Recognized as a “Pioneer of the Profession” under NACVA’s “Industry Titans” Awards
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Health Capital Consultants CEO Robert James Cimasi MHA ASA FRICS MCBA CVA CM&AA, CMP® has been named a “Pioneer of the Profession” by the National Association of Certified Valuators and Analysts (NACVA) and Consultants Training Institute as part of their Silver Anniversary recognition luncheon of valuation “Industry Titans,” held on June 10th. 2016, during the 25th Annual Conference in San Diego.  
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Mr. Cimasi joins valuation profession luminaries, including: Dr. Shannon P. Pratt, Chris Mercer, James R. Hitchner, Roger J. Grabowski, Richard Wise, Jay E. Fishman, Nancy Fannon, Honorable Judge David Laro, Howard Lewis, and Mel H. Abraham, along with fourteen others, in receiving this honor.
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Congratulations to Bob Cimasi and his fellow “Pioneer of the Profession” honorees from the HCC Team and ME-P Topics Staff.
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9fbcc25b-1ba3-4873-8818-9ec96a73ac51

Well Done!

CONGRATULATIONS – BOB

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The Future of Health Insurance?

Posted on June 24, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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Preparing for Dr. Big Brother

Bert Mesko

[By Bert Mesko MD PhD]

While futuristic technologies are becoming available in healthcare, patients often can’t access them and the cost of providing care continues to skyrocket.

However, innovations such as artificial intelligence (AI) and health sensors are set to reshape how healthcare insurance works and by doing so bring much needed reforms to healthcare as a whole.

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Insurance

http://medicalfuturist.com/2016/04/13/the-future-of-health-insurance-preparing-for-dr-big-brother/

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Facing the Facts on Federal Entitlements

Posted on June 23, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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A Case for Reform

[By National Institute for Health Care Management]

The National Institute for Health Care Management (NIHCM) Foundation is a nonprofit, nonpartisan organization dedicated to improving the health of all Americans by spurring workable and creative solutions to pressing healthcare problems.

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federal spending

NIHCM – Facing the Facts on Federal Entitlements: A Case for Reform

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  [Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]

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Brexit: What to Do About It?

Posted on June 22, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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The BRITISH-EXIT 2016?

Michael Zhuang                              

By Michael Zhuang

Shortly, there will be a referendum in Great Britain to determine if the UK should stay in EU or should leave for good. A mere month ago, the stay vote still won by a comfortable margin. Just showing how political wind can shift, the odds are now 50/50 that the leave vote might win.

Here are some consequences I believe a leave vote would entail:

1. Copycat referendums in other EU states, and within a few years, EU might not exist.

2. London’s reputation as world financial capital on par with New York may be diminished.

3. Disruptions to trades and investments, since UK’s relationship with Europe and the rest of the world, will have to be renegotiated.

4. Pound Sterling, London stocks, and property prices might go south. Potential capital flights from the UK.

5. More volatility in global stock markets.

As an investor, what should you do about it?

Well, all of the above can be called informed speculations. They are not actionable intelligence. In other words, when it comes to investment, we should never base our decisions on speculation about future events.

There is a mountain of academic evidence that the more investors react to events, the less the returns they get from stock markets. If you don’t believe me, go read “Trading is Hazardous to Your Wealth”, by Berkeley professor Terry Odean, published in Journal of Finance in April 2000.

I know it’s the reverse of a popular belief, but I will follow this mantra “Don’t just do something, sit there!”

If it should come to pass that the market drops significantly following the Brexit vote, then we rebalance and pick up shares cheap! Who doesn’t like a big discount?

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british_pound_sign_black

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PS: As I was finishing up this article, news broke that a pro-stay MP was shot and killed by a pro-leave fanatic. The murder has the potential of shifting the political wind again!

Conclusion

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Filed under: Investing | Tagged: , | 6 Comments »

Defending online privacy in healthcare

Posted on June 21, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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An InfoGraphic

Bert Mesko

[By Bertalan Mesko MD PhD]

An overwhelming majority of healthcare organizations have been victims of cyber-attacks. As digital health spreads from wearable devices on our body to implantables inside it, cyber threats can become painfully real.

What can we do to protect against them today?

According to studies by PWC and the SANS Institute, 94% of healthcare organizations have been victims of a cyber-attack. As we use more and more devices from smartphones to wearable sensors, your online privacy can have a very real impact on our health and well-being. When hacked, even simple wearables can yield private information about our vital signs and reveal personal health problems and insight into our habits (like when we regularly go running) that’s best kept from the public eye. More threatening are the findings of security researchers who managed to prove that a deadly overdose of medication could be administered remotely via a vulnerability in certain insulin pumps.
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Med Device Attacks
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Assessment

Let’s see some other dangers facing our health information, and a few easy tips you can use to boost your privacy levels quickly. Arxan recently surveyed trends and dangers threatening the privacy of healthcare data.

Conclusion

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Why Health Care Costs Exploded After World War II

Posted on June 20, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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By Michel Accad MD

[Editor’s Note: This Q & A Reprint from Michel Accad, MD]

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Hearse

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 Why Health Care Costs Exploded After World War II

Conclusion

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On Childhood Obesity Trends

Posted on June 18, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

By http://www.MCOL.com

The Trend is NOT Your Friend

Obesity, according to Wikipedia, is a medical condition in which excess body fat has accumulated to the extent that it may have a negative effect on health.[1] People are generally considered obese when their body mass index (BMI), a measurement obtained by dividing a person’s weight by the square of the person’s height, is over 30 kg/m2, with the range 25–30 kg/m2 defined as overweight.[1] Some East Asian countries use lower values.[2] Obesity increases the likelihood of various diseases, particularly heart disease, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis.[3]

Obesity is most commonly caused by a combination of excessive food intake, lack of physical activity, and genetic susceptibility.[1][4] A few cases are caused primarily by genes, endocrine disorders, medications, or mental illness.[5] Evidence to support the view that obese people eat little yet gain weight due to a slow metabolism is not generally supported.[6] On average, obese people have a greater energy expenditure than their thin counterparts due to the energy required to maintain an increased body mass.[6][7]

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Obesity is mostly preventable through a combination of social changes and personal choices.[1] Changes to diet and exercising are the main treatments.[3] Diet quality can be improved by reducing the consumption of energy-dense foods, such as those high in fat and sugars, and by increasing the intake of dietary fiber.[1] Medications may be taken, along with a suitable diet, to reduce appetite or decrease fat absorption.[8] If diet, exercise, and medication are not effective, a gastric balloon or surgery may be performed to reduce stomach volume or bowel length, leading to feeling full earlier or a reduced ability to absorb nutrients from food.[9][10]

Obesity is a leading preventable cause of death worldwide, with increasing rates in adults and children.[1][11] In 2014, 600 million adults (13%) and 42 million children under the age of five were obese.[1] Obesity is more common in women than men.[1] Authorities view it as one of the most serious public health problems of the 21st century.[12] Obesity is stigmatized in much of the modern world (particularly in the Western world), though it was seen as a symbol of wealth and fertility at other times in history and still is in some parts of the world.[3][13]

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ImageProxy

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Assessment

In 2013, the American Medical Association classified obesity as a disease.[14][15]

Conclusion

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American Mortality Trends

Posted on June 17, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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For 2000 – 2015

By http://www.MCOL.com

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ImageProxy

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Conclusion

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The Myth of Free-Market Healthcare

Posted on June 15, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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By Kel Kelly [A Reprint]

While most people believe that our healthcare industry is one comprised of free markets, it is anything but.

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Surgery

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 The Myth of Free-Market Healthcare 

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R.I.P Tom Perkins

Posted on June 13, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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[By Staf Reporters]

A Venture Capitalist

Thomas James Perkins  died last week (January 7, 1932 – June 7, 2016). He was an American businessman, capitalist and was one of the founders of venture capital firm Kleiner Perkins Caufield & Byers.

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TP

https://en.wikipedia.org/wiki/Thomas_Perkins_(businessman)

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CEO Compensation is Down

Posted on June 12, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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NO, IT’S UP – YOU BETTER JUDGE FOR YOURSELF        

ArtBy Arthur Chalekian GEPC

[Financial Consultant]

The New York Times reported the 200 most-highly-paid CEOs in the United States collectively experienced a pay cut last year!

CEOs’ average compensation – all CEOs compensation added together and then divided by 200 – fell by 15 percent from 2014 to 2015.

Of course, you know what they say about lies and statistics

Equilar, the company responsible for the study, reported CEO pay grew modestly in 2015. They looked at median CEO pay – the number in the middle. It was $16.6 million for fiscal 2015. That’s up 5 percent from the previous year.

No matter how you interpret the results, not one CEO earned more than $100 million. CEOs in the technology industry had the highest median pay while those in basic materials (which includes oil and gas companies) had the lowest, according to Equilar.

Many people have argued company performance should inform CEO pay, but there wasn’t much evidence this was the case. Although there may have been a basis for CEO pay changes, there was no clear correlation to shareholder returns or company revenues.

For instance:

  • A 702 percent increase in pay was awarded when total shareholder return was down 5 percent, and company revenues were down 1 percent.
  • A 286 percent increase in pay was awarded when total shareholder return was up 16 percent, and company revenues were up 9 percent.
  • A 48 percent reduction in pay occurred when total shareholder return was up 25 percent, and company revenues were up 4 percent.

Assessment

The portion of 2015 corporate budgets allotted to pay hikes for employees increased by 2.8 percent, on average, according to Mercer. The report said, “… the highest-performing employees received average base pay increases of 4.8 percent in 2015 compared to 2.7 percent for average performers and 0.2 percent for the lowest performers …”

Conclusion

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Filed under: Breaking News, Funding Basics, Research & Development | Tagged: , , , , | 3 Comments »

American Society of Appraisers 2016-17 Election Results

Posted on June 11, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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NEW ASA OFFICERS

[By Jennifer M. Aguilar]

Marketing and Communications Assistant

American Society of Appraisers

11107 Sunset Hills, Suite 310, Reston, VA 20190

Direct (703) 733-2120 | Fax (703) 742-8471 | jaguilar@appraisers.org

Hello ME-P Readers and Subscribers,

The  ASA is pleased to announce the results of ASA’s 2016-17 elections for the new International Officers, Board of Governors and Discipline Committee Officers and Members At-Large. Those elected will officially take office on July 1, 2016.

To learn more please see this PR attachment: ASA Election Results

Thank you in advance for sharing this information.

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Cost Drivers of Healthcare

Posted on June 9, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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A Survey

http://www.MCOL.com

***ImageProxy

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Product DetailsProduct Details

  [Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]

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$100-K Hearst Health Prize Call for Submissions

Posted on June 8, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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$100-K Hearst Health Prize Call for Submissions! 

We are excited to announce that we are now accepting applications for the 2017 Hearst Health Prize for Excellence in Population Health. The winner will receive a $100,000 cash prize in recognition of outstanding achievement in managing or improving population health.

The Hearst Health Prize, in partnership with the Jefferson College of Population Health (JCPH), was created to help identify and promote promising new ideas in the field that will help to improve health outcomes. The goal is to discover, support and showcase the work of an individual, group, or institution that has successfully implemented a population health program or intervention that has made a measurable difference.

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The deadline to apply is August 26, 2016. To apply or learn more about the Hearst Health Prize, click here.

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Auto Rental Insurance Warnings!

Posted on June 6, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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Rick Kahler MS CFPBy Rick Kahler MS CFP®

Doctors and many other travelers, including me, rarely purchase the insurance offered by the car rental company. The daily charge of $20-$40 is expensive, and the coverage often unnecessarily duplicates that provided by your credit cards and personal auto policy.

No Assumptions!

Before you assume you don’t need the rental insurance, though, it’s wise to take a closer look at where you’ll be traveling and whether your existing coverage will take care of all potential costs. There are times that taking the insurance can alleviate some nasty surprises.

The insurance can be a good idea if you rent a car outside of the US. As I’ve discovered first-hand, being in a country where roads double as paths for livestock, or one where people drive on the “wrong” side of the road, can increase your risk of minor accidents. While in some countries my US policy will cover damage, I don’t enjoy the prospect of spending countless frustrating hours as an intermediary between the foreign rental company and my US insurance carrier. I am happy to pay for the insurance and avoid heated arguments with the rental company over whether any damage was pre-existing, much less the hassle of negotiating repair bills.

It is important, though, to buy insurance carefully. On a recent trip to South Africa I rented a car and purchased the insurance online. When I returned the car, the agent said I had scratched the paint. Not wanting to waste time arguing, I pointed out I had purchased their insurance, thinking that was the end of the discussion. It wasn’t. The insurance offered on the site where I rented the car was a third party policy, not one offered by the car rental company. That meant the car rental company would charge me for the alleged damage. Then it was up to me to slug it out with the third party insurer. This left me taking pictures of the alleged damage, filling out damage reports, and arguing with the rental company agent. By the time I checked in for my flight home, I was tense and stressed: exactly what I intended to avoid by purchasing the insurance.

Beware loss-of-use Charges

Another instance where taking the rental company’s insurance can be beneficial is to avoid loss-of-use charges if you damage a rental vehicle. This is a fee the rental company charges to cover the income it loses while a vehicle is in the repair shop. Companies used to absorb this cost, but in recent years they have begun to charge consumers for it. The catch is that the coverage you have through your regular auto insurance or your credit card may not pay loss-of-use charges.

A few states (Alaska, Connecticut, Louisiana, Minnesota, New York, North Dakota, Rhode Island and Texas) mandate that insurers automatically pay loss-of-use claims. If you don’t live in one of these states, it’s a good idea to verify whether your credit card will cover these fees.

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DEM's Jag XJ-V8-L

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Visa and MasterCard Card?

According to AutoSlash.com, a website focused on helping consumers save money on car rentals, Visa does cover loss-of-use charges. However, it uses “fleet utilization logs” from the car rental company to verify the claim. Obtaining those records can take time and be a hassle.

MasterCard may cover some loss-of-use charges, but check the restrictions. American Express offers a separate car rental protection policy; the premium is likely to be cheaper than the premium charged by a car rental company.

Assessment

Never buying car rental insurance isn’t necessarily a wiser choice than always buying it. As the consumer, it’s up to you to do enough research to decide whether the insurance is a product you need.

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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The Mayo Clinic and the Free Market

Posted on June 5, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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Source: Michel Accad MD

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pill mill

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The Mayo Clinic and the Free Market

About

Dr. Michel Accad is a practicing cardiologist who blogs for a medical audience at alertandoriented.com

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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Product Details

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Government Medicine is Killing Us!

Posted on June 3, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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By Bob Murphy

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skeleton

Bob Murphy: Government Medicine is Killing Us

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About

Bob Murphy is our re-posting guest today as he wraps up a three-part series on the anti-market healthcare system in the US.

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

[PRIVATE MEDICAL PRACTICE BUSINESS MANAGEMENT TEXTBOOK – 3rd.  Edition]

Product DetailsProduct Details

  [Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]

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The Most Costly Medical Conditions

Posted on June 2, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

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Top Five [5] for 2013

By http://www.MCOL.com

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ImageProxy

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Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Product DetailsProduct Details

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