Backward Market Business Research

Experimenting in Business

By Dan Ariely PhD

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 Part of the CAH Startup Lab Experimenting in Business Series

By Rachael Meleney and Aline Holzwarth

Missteps in business are costly—they drain time, energy, and money.

Of course, business leaders never start a project with the intention to fail—whether it’s implementing a new program, launching a new technology, or trying a new marketing campaign.

Yet, new…

Beginning at the End — Dan Ariely

Product DetailsProduct Details

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How actress Hedy Lamarr became the ‘Mother of Wi-Fi’

The ‘Mother of ‘Wi-Fi’ ?

By Dr. David Marcinko MBA

Known as “the most beautiful woman in the world,” Hollywood actress Hedy Lamarr starred in dozens of films over a career that spanned decades.

She died in 2000. But, there was more to Lamarr than met the eye.

An avid inventor, she worked on everything from a tablet that, when dropped into water, fizzed into instant cola, to frequency hopping — a World War II-era secure communications technology that’s used today in wireless internet, GPS and cell-phones.

Link: https://www.engadget.com/2017/05/01/the-forgotten-mother-of-wifi/

Assessment

We’ve written about tech luminaries like Grace Hopper, Alan Turing, Ada Lovelace and Steve Jobs on the ME-P before. But, this curated essay takes our admiration to the next level.

Conclusion

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The State of Senior Health in 2017

State Rankings

By www. MCOL.com

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Conclusion

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Medical “Chartless future for everyone closer than you think”

2015 … Really?

 

 

 

 

 

 

By Darrell K. Pruitt DDS

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“By 2015, health care is scheduled to be chartless. The federal National Health Information Infrastructure (NHII) is already formulating the parameters for this future. Chartless records are not a choice. The year 2015 is less than seven years away. We have seen hospitals, physicians’ offices, and other health-care providers moving in this direction.

In dentistry, only about 25% of practices are using computers chairside and only 1% is chartless. The American Dental Association is taking a proactive role in NHII. Individual dentists must also take part in the coming changes or once again be victims to others’ choices.”

-Patti DiGangi, RDH, BS

[Dental Economics, 2009]

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http://www.dentaleconomics.com/articles/print/volume-99/issue-3/features/chartless-future-for-everyone-closer-than-you-think.html

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Conclusion

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States with the Greatest Declines in Uninsured Children in Rural Areas

In 2008-2009 and 2014-2015

http://www.MCIOL.com

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Conclusion

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Introducing Healthcare BLUEBOOK

Leading a Revolution

[By staff reporters]

Healthcare Bluebook was founded on a simple, yet powerful idea: create fairness in the healthcare marketplace.

The healthcare system makes it difficult to find information on quality and cost of care; this hidden information is putting patients at risk. This secrecy puts everyone from consumers to corporations at an unfair disadvantage — leading to gaps in quality of care and much higher costs.

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Where it all began

For CEO, Jeff Rice, MD, bridging the gap and bringing transparency to healthcare is personal.

When Jeff’s son was 12 years old, he needed foot surgery. As Jeff was setting up the surgery, he found out that the facility costs were going to be over $15,000.

In discussing the surgery with his son’s doctor, he determined that the surgeon also operated at another facility that had excellent quality and that facility’s price was only $1,500.

Same surgery, same surgeon, vastly different price — a realization that started a revolution!

Assessment

So, check em’ out and tell us what you think?

Link: https://healthcarebluebook.com

Conclusion

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Finding high-quality companies; TODAY?

At attractive valuations

By Vitaliy Katsenelson, CFA

We are having a hard time finding high-quality companies at attractive valuations.

For us, this is not an academic frustration. We are constantly looking for new stocks by running stock screens, endlessly reading (blogs, research, magazines, newspapers), looking at holdings of investors we respect, talking to our large network of professional investors, attending conferences, scouring through ideas published on value investor networks, and finally, looking with frustration at our large (and growing) watch list of companies we’d like to buy at a significant margin of safety. The median stock on our watch list has to decline by about 35-40% to be an attractive buy.

But – maybe we’re too subjective

Instead of just asking you to take our word for it, in this letter we’ll show you a few charts that not only demonstrate our point but also show the magnitude of the stock market’s overvaluation and, more importantly, put it into historical context. 

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 Finding High-Quality Companies Today

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Conclusion

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Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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HITECH: A politically-correct Scam?

Update on HITECH

By Kellus Pruitt DDS

“How bad science can lead to bad science journalism — and bad policy – This is what happens when news organizations don’t catch lousy studies.”

By Stephen Soumerai and Ross Koppel for The Washington Post, June 7, 2017/

Https://www.washingtonpost.com/posteverything/wp/2017/06/07/how-bad-science-can-lead-to-bad-science-journalism-and-bad-policy/?Utm_term=.631e0a2d022c#comments

Soumerai and Koppel:  “As researchers who focus on health care, we see news coverage of badly designed studies constantly. And we’re concerned that breathless reporting on bad science can result in costly, ineffective and even harmful national policies.”

You mean like HITECH?

Since the HITECH Act was passed in 2009, it has been well-documented that not only were the premises of the law fiction, but the law itself has always favored healthcare stakeholders like Cerner at the expense of patients and their doctors – the healthcare principals.

The grandest blunder in medical history gained traction in 1999 with an Institute of Medicine (IOM) report titled, “To Err is Human,” which promises that EHRs should have already saved 100,000 lives a year … Not even close. Not unlike the dangerous research bias described in Soumerai and Koppel’s article that was posted recently, several researchers have also pointed out that the studies cited in the IOM report did not show that people were dying from medical errors that health information technology could detect or correct.

The questionable IOM report was followed in 2005 by a tainted RAND Corporation report which promised savings of $77 billion annually… Wrong again!

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Shortly after the report was published, rumors quickly spread that the data for the study were cherry-picked by those with software to sell. By 2011, the passage of time revealed that RAND had clearly made a vendor-friendly mistake, forcing RAND to disown their study – but not before its optimistic conclusion was instrumental in the successful passage of the HITECH Act in 2009 (two years after Minnesota lawmakers had already passed the doomed EHR mandate based on the same tainted RAND results).

Political Fiat

Then presidential candidate Hillary Clinton was only one of many lawmakers to quote the RAND study. Almost everyone the nation was suckered in. Ultimately, it was revealed that the study’s vendor-friendly conclusion was largely financed by software giant Cerner, who continues to profit from years of misinformation.

(See: “In 2nd Look, Few Savings From Digital Records,” by Reed Abelson and Julie Creswell, New York Times, Jan. 10, 2013).

Http://www.nytimes.com/2013/01/11/business/electronic-records-systems-have-not-reduced-health-costs-report-says.html

In fact, it was announced last Monday that Cerner, which is responsible for the most dishonest research in the history of health information technology, has been awarded the Department of Veterans Affairs contract for the VA’s next-generation electronic health records system.

Assessment

Dishonesty wins.

Conclusion

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The Computers are now Ruling Wall Street

The computers are now ruling Wall Street

By MIT Technology Review

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Over the past five years, human hedge fund managers have averaged 4.3 percent returns.

Funds that rely on algorithms to pick stocks, on the other hand—so-called quant-focused funds—have brought in 5.1 percent

Assessment: So, what gives?

More: The Massacre of Hedge Fund Business

Conclusion

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Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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10 Breakthrough Technologies 2017

Including in Medicine

By MIT Technology Review

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These breakthrough technologies will affect the economy and our politics, improve medicine, or influence our culture.

Some are here now; others will take a decade to develop. But you should know about all of them right now.

See the List

Conclusion

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PP-ACA Silver Plan Premium Costs

Changes for 2017

By http://www.MCOL.com

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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

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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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HEDGE FUNDS – A History Rooted in Medicine?

HEDGE FUNDS – Really Rooted in Medicine?

By Dr. David E. Marcinko MBA CMP™

http://www.CertifiedMedicalPlanner.org

The investment profession has come a long way since the door-to-door stock salesmen of the 1920s sold a willing public on worthless stock certificates. The stock market crash of 1929 and ensuing Great Depression of the 1930s forever changed the way investment operations are run. A bewildering array of laws and regulations sprung up, all geared to protecting the individual investor from fraud. These laws also set out specific guidelines on what types of investment can be marketed to the general public – and allowed for the creation of a set of investment products specifically not marketed to the general public.

These early-mid 20th century lawmakers specifically exempted from the definition of “general public,” for all practical purposes, those investors that meet certain minimum net worth guidelines. The lawmakers decided that wealth brings the sophistication required to evaluate, either independently or together with wise counsel, investment options that fall outside the mainstream.

Not surprisingly, an investment industry catering to such wealthy individuals, such as doctors and healthcare professionals, and qualifying institutions has sprung up.

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READ MORE HERE

https://www.linkedin.com/pulse/hedge-funds-history-rooted-medicine-mbbs-dpm-mba-m-ed-cmp-

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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

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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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First Global “Holacracy” Forum

What is Holacracy?

By Rick Kahler MS CFP®

“Holacracy is not something to go beyond, it is beyond.” This statement from David Allen, author of the iconic book, Getting Things Done, illustrates the challenge of describing the Holacratic approach to operating an organization.

Allen was a speaker at the first Global Holacracy Forum, held in Amsterdam, which I recently attended. It was a chance for Holacracy thought leaders from around the world to network and learn more from each other.

What is Holacracy? One of its founders, Tom Thompson of Encode.org, calls it “a complete wholesale replacement for management hierarchy” and says,

“It’s exploring work in pursuit of purpose.”

Many of those attending the forum referred to Holacracy as a new operating system for organizations. Decision-making is taken from the “top” and distributed among clearly defined roles. The Holacratic structure is a highly disciplined way of working that invites everyone to become an entrepreneur in carrying out their role to achieve the purpose of the organization. Holacracy is not egalitarian or a democracy. Its goal is to serve the purpose of the organization by inviting people into conscious relationships with themselves and each other.

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Behavior Change

As good as that may sound, not every company or every person is a good fit for Holacracy, as forum participants pointed out. “There is a lot of deep individual behavioral change that needs to happen to successfully transition to a Holacracy,” said co-founder Brian Robertson. Frank Klinkhammer, of NetCentric in Zurich, added,

“The personal development of every partner (employee) is now important to the whole group.  Do not over-estimate a person’s ability to change, or even your own.”

Robertson said a significant number of companies claimed to have adopted Holacracy but soon dropped the system. “Most of those thought they were doing Holacracy but instead still maintained their management hierarchy and just ran the Holacratic meeting structure.” He noted that, in his experience, companies that make the leap and fully adopt Holacracy say they will never go back.

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Case Model

One of those is David Allen, who discovered Holacracy six years ago when he was about to fold his company of 45 people. He found it the perfect organizational overlay to his system of Getting Things Done. “Holacracy is about optimizing an organization, Getting Things Done is about maximizing the productivity of an individual.” Allen also emphasized the importance of individual behavioral change, saying,

“People must know how to manage themselves first to exist in Holacracy.”

What is it worth to people to work in a Holacratic company? According to market research done by Michael DeAngelo, who works for the state of Washington, employees in the Seattle area must be offered 30% to 40% more a year to leave a Holacratic organization to work at a traditional company. He says a company using Holacracy “offers everything the workforce values: flexibility, a sense of purpose, autonomy, and personal and professional growth.”

When is a good time to adopt Holacracy?

“There is never a good time to start,” said Allen. I would agree. When I adopted it four years ago, we had just lost a key employee who did a little bit of everything. I wanted a system that required less management, had clear job descriptions, and would give my staff more personal responsibility and freedom. I found all that and more in Holacracy. I also under estimated people’s ability to change their behavior and flourish rather than flounder with the increased freedom and responsibility.

Assessment

Despite the challenges of implementing it, I do believe Holacracy is, as Robertson described it in his closing remarks, “a radical new way to organize power.” He believes Holacratic principles can fundamentally change the power structures of society. 

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

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Why patients will soon prefer paper dental records?

Read for yourself why dental patients will soon prefer paper-based over paperless

[By Kellus Pruitt DDS]

Recently, Marianne Kolbasuk McGee (HealthInfoSec) posted, “Analysis: Are HHS Cybersecurity Recommendations Achievable? Experts Sort Through New Task Force Report.”

http://www.healthcareinfosecurity.com/analysis-are-hhs-cybersecurity-recommendations-achievable-a-9971

McGee: 

“A new Department of Health and Human Services report to Congress containing more than 100 recommendations for how healthcare can better address cybersecurity threats is stirring debate over whether smaller organizations will be able to take the recommended actions.”

Cha-ching!

Privacy attorney David Holtzman, vice president of compliance at the consultancy CynergisTek, tells Healthinfosec:

“The majority of information systems that create or maintain personally identifiable health information are owned and managed by small organizations whose capability or access to the people or technology to secure information systems is limited by financial constraints or ability to attract well-trained human resources,” he says. “At first glance, it is difficult to see how these small organizations can translate the recommendations in the report into tangible progress.”

As large, juicy healthcare organizations successfully harden their cyber-defenses, small healthcare entities – like dental offices – will attract identity thieves with smaller, juicy low-hanging fruit.

Or, as suggested in the article, taxpayers can subsidize cyber-protection for dentists and other small healthcare organizations. In my opinion, that simply won’t happen.

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Wary dental patients – many of whom have received breach notifications or have learned about identity theft the hard way – will find it increasingly easy to find a new dentist who does not put their identities on computers. After all, electronic dental records offer dental patients no tangible benefits anyway.

Assessment

If dental patients’ identities are unavailable, they cannot be stolen …. Still too early for de-identification, Doc? Give it time. I’ve got patience. 

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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

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Anatomy of Medical Device Cyber Attacks

On Cyber Attacks

[By Bertran Mesko, MD PhD]

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.

HIT Dangers

Let’s see the dangers facing our health information, and a few easy tips you can use to boost your privacy levels quickly.

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The dangers facing healthcare privacy

Assessment

Arxan recently surveyed trends and dangers threatening the privacy of healthcare data.

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

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Dictionary of Health Insurance and Managed Care

Product DetailsProduct DetailsProduct Details

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Happy Birthday IJHPM

The IJHPM Is Now 4-Years Old!

[By staff reporters]

When the IJHPM started in mid 2013 with very limited resources, they could never imagine reaching the zenith where they are now.

For example: Publishing 630 high quality articles, attracting 1383  authors from 68 countries, engaging more than 4000 referees from 103 countries, publishing 75 video- and podcasts, and getting indexed in major indexing services such as Web of Science Emerging Sources Citation Index (ESCI), Scopus, Medline, PubMed Central (PMC) are all astonishing achievements.

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International Journal of Health Policy and Management

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[IJHPM Improvements from 2013 to 2017]

This short video shows their accomplishments!

Conclusion

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GAO Healthcare Marketplace Undercover Testing in 2016

Is Your Membership Enrollment Process Leaving you Exposed?

By http://www.MCOL.com

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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

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More on Recent Interest Rate Hikes

Impending IRs and … the Economy

By http://www.MCOL.com

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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:

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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Bitcoin’s Value is Soaring!

But don’t let that distract you!

[By MIT Technology Review]

Even as it and other cryptocurrencies skyrocket in price, their potential for remaking the world of finance lies outside their dollar value.

An interesting piece in The Information lays out how blockchain, the technology that underpins cryptocurrencies, will change the world of equity trading (paywall).

But even that is just the beginning—the speakers at our Business of Blockchain conference last month got into the topic in great detail.

You can check out all of the videos here

 Understanding Currencies & Bitcoins

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Peering at a high-frequency stock trading algorithm

On high-frequency trading algorithms

[By MIT Technology Review]

Readers – Here’s your chance to peer under the hood of a high-frequency trading algorithm. Or try your luck at setting up automated trades in a simulated stock market.

And plenty moreit’s part of the Wall Street Journal’s so-far-excellent series, “The Quants” on how technology has changed, and continues to change, Wall Street in ways both good and profitable … for some people, anyway.

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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

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Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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How millennials are making the most of parental support

Four [4] Financial Metrics

[By Fidelity]

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[Click to Enlarge] Continue reading

A MACRA Time-Line Snapshot to 2016?

Medicare Access and CHIP Re-Authorization  Act

By http://www.MCOL.com

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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

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The “World Happiness Report”

A New HBR Report on Job Satisfaction

By Rick Kahler CFP®

According to a new global survey on work and happiness, a significant number of us aren’t very happy about our workplace. That’s especially unfortunate, since working is how most of us spend the majority of our waking hours.

World Happiness Report

The results of the survey, the World Happiness Report, were summarized in the Harvard Business Review by Jan-Emmanuel De Neve and George Ward on March 20th, 2017. When asked a yes/no question (maybe was not an option) if they were satisfied or dissatisfied with their jobs, most workers around the world said they were satisfied with their jobs. Austria has the highest job satisfaction with 95%, followed closely by Norway and Iceland.

Since I recently visited Iceland, this immediately grabbed my attention. While I acknowledge that my interactions with the workforce of Iceland were limited, I did not get the impression that most were happy. Most seemed to be relatively unhappy. And therein lies the difference: being satisfied with one’s work does not equate to being happy with it.

When asked if they were happy, people’s responses varied greatly depending whether they were blue-collar workers, white-collar workers, or small business owners. About 60% of those who were managers, executives, or professionals (white-collar) reported being happy, while just 45% of those working at more labor-intensive jobs (blue-collar) said they were happy. The number of happy workers was higher—65% to 75%—for workers living in North America, Australia, New Zealand, Western Europe, and Central and Eastern Europe. Regions like South Asia and Africa reported lower happiness levels, from 40% to 55%.

Business Owners

One fact I found especially interesting is that business owners [like doctors] had lower levels of happiness than full-time employees and generally ranked in the middle of the happiness range in most regions. This probably comes as no surprise to a small business owner. My 35 years of experience doing financial planning for business owners finds that many work harder, take greater financial risks, and make less than if they did the same job for a larger company.

Maybe there is an opportunity for a country western song here:

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 “You can take this business and shove it.”

No matter how unhappy you may be working, you would be even unhappier unemployed. De Neve and Ward note that “unemployment is destructive to people’s wellbeing.” Those employed rate their happiness higher in every region in the world. The study also found that repeated incidences of unemployment permanently decreases a person’s happiness, which doesn’t rise to previous levels after they have found a new job.

While most workers are satisfied with their jobs, only about 50% are happy with their jobs. But how happy is happy? The surveyors wondered how many workers were really fulfilled, engaged, and excited about their jobs. To find this out, they asked the respondents if they felt “actively engaged,” “not engaged,” or “actively disengaged.”

The Shocker

Here is the shocker to me: globally less than 20% of workers say they are engaged with their jobs. In Western Europe that number is 10% and in East Asia it’s around 5%. The Caribbean, at 28%, had the highest level of active engagement. About 65% of workers say they are “not engaged” at work, while 15% to 20% of workers are actually “actively disengaged.”

Clearly, the planet has an epidemic of people not being excited to go to work in the morning. Most people are not finding fulfillment, connection, happiness, growth, or challenge in their workplace.Assessment

Assessment

If you are one of them, it may be worthwhile to evaluate your job choices. Since work requires so much of our time, being engaged and happy with it has a significant impact on our well-being.

More: Physician “Burnout” Rates

Conclusion

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