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PODCAST[s]: Medicare Re-Admission Penalties

Posted on November 16, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

UPDATE 83% Penalized!

By Eric Bricker MD

***

***

HRRP PODCAST: https://www.youtube.com/watch?v=mwRrKM83CVQ

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***

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****

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Insurance, Health Law & Policy, Healthcare Finance, Professional Liability, Quality Initiatives, Research & Development, Videos | Tagged: Eric Bricker MD, hospital readmission penalties, hospital readmissions, HRRP, medicare, Medicare Re-Admission Penalties, PodCast | Leave a comment »

JOIN & PARTNER with the Medical Executive-Post!

Posted on November 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

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***

MEDIA / INTERVIEW REQUESTS

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WHAT WE’RE LOOKING FOR

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WORLD POPULATION: 8 Billion?

Posted on November 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

The world’s population will likely hit an estimated 8 billion people today, according to a United Nations projection.

READ: https://reliefweb.int/report/world/worlds-population-hits-8-billion-people-un-calls-solidarity-advancing-sustainable-development-all

***

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***

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Filed under: Breaking News, Career Development, Ethics | Tagged: 8 billion, eight billion, world population, world population day | Leave a comment »

PODCAST: What is Anscombe’s Quartet?

Posted on November 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

The Need for Data Visualization

Courtesy: www.CertifiedMedicalPlanner.org

Anscombe’s Quartet comprises four data sets that have nearly identical simple descriptive statistics, yet have very different distributions and appear very different when graphed. Each dataset consists of eleven (x,y) points.

LINK: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

They were constructed in 1973 by the statistician Francis Anscombe to demonstrate both the importance of graphing data before analyzing it and the effect of outliers and other influential observations on statistical properties. He described the article as being intended to counter the impression among statisticians that “numerical calculations are exact, but graphs are rough.”

So, always plot that data!

***

PODCAST: https://www.bing.com/videos/search?q=Anscombe%e2%80%99s+Quartet%3a+&&view=detail&mid=68A62E7AB26B2B6EE69668A62E7AB26B2B6EE696&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DAnscombe%25e2%2580%2599s%2BQuartet%253a%2B%26FORM%3DHDRSC3

Assessment: Your thoughts and comments are appreciated.

Product DetailsProduct DetailsProduct Details

DICTIONARIES FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs

***

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Filed under: Glossary Terms, Health Economics, Videos | Tagged: Anscombe's Quartet | Leave a comment »

DAILY UPDATE: Stocks Lower on Inflation Data, BlockFi, and Our Healthcare Provider Reader Input Request

Posted on November 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

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***

U.S. equities declined in a choppy and cautious trading session as investors await a host of notable economic reports later this week. The economic docket, while empty today, will round out the inflation picture with release of the Producer Price Index (PPI), as well as the Import Price Index on Wednesday. The releases will follow last week’s cooler-than-expected Consumer Price Index (CPI), which appeared to soothe concerns about how aggressive the Fed will need to remain as FOMC Vice Chair Lael Brainard said it will “probably be appropriate soon” to slow down the pace of interest rate hikes. And Hasbro was the S&P 500’s biggest loser of the day as Bank of America downgraded the stock.

Treasury yields were mostly higher, and the U.S. dollar rose, paring some of last week’s tumble.

Crude oil prices were lower, while gold reversed to the upside following losses earlier in the day.

Equity news was light, with Tyson Foods missing on the bottom line, but reporting record sales for the year and upping its quarterly dividend.

Stocks in Asia were mixed, with Hong Kong leading the region in gains following a jump in property stocks, while European stocks ended the day mostly higher in cautious trading.

Cryptocurrency lender BlockFi just admitted it has significant exposure to Sam Bankman-Fried’s crypto exchange FTX, and associated entities, that last week filed for bankruptcy.

Finally, although it’s become more difficult to find qualified healthcare professionals, it’s proving just as difficult to retain staff, especially when working with fewer resources. At the recent HR Healthcare conference in Austin, much of the retention conversation focused on improving the quality of work life and flexibility. But we want to hear how you’re solving retention and staffing problems: Share your insights right here on the ME-P.

***

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***

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***

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***

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Filed under: Alerts Sign-Up, Alternative Investments, Financial Planning, Health Economics, Investing | Tagged: BlockFi, healthcare provider, inflation, inflation data, Stocks Lower | Leave a comment »

PODCAST: What is the McNamara [Bio] Statistics Fallacy?

Posted on November 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

A Metaphor for the Corona Virus Pandemic!

Courtesy: www.CertifiedMedicalPlanner.org

By Dr. David E. Marcinko MBA

A belief that rational decisions can be made with quantitative data and measures alone, when in fact the things you can’t measure are often the most consequential.

Secretary McNamara, who tried to quantify every aspect of the Vietnam War.

***

PODCAST: https://www.bing.com/videos/search?&q=McNamara+Fallacy&view=detail&mid=201A0081979919F8D651201A0081979919F8D651&form=VDRVSR&ru=%2Fvideos%2Fsearch%3Fq%3DMcNamara%2BFallacy%26FORM%3DHDRSC3&ajaxhist=0

QUERY: Is this also a metaphor for the “Art” and Science of Medicine and Economics?

Assessment: Your thoughts and comments are appreciated.

HEALTH DICTIONARIES FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs

***

Product DetailsProduct DetailsProduct Details

***

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Filed under: Glossary Terms, Health Economics, Healthcare Finance, Videos | Tagged: McNamara Fallacy, McNamara [Bio] Statistical Fallacy | Leave a comment »

DAILY UPDATE: Elizabeth Holmes & Tech Stocks

Posted on November 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

***

***

Elizabeth Holmes will find out how much time she’s spending in prison. The Theranos founder will be sentenced on Friday after being found guilty of fraud for lying to investors about her blood-testing startup. Prosecutors want 15 years.

MORE: https://medicalexecutivepost.com/2014/10/28/about-theranos/?preview=true

Meanwhile, beaten-down tech stocks were the stars of last week’s rally, staging their biggest two-day pop since the financial crisis after inflation numbers came in cooler than expected. Investors still caution that this might be a classic case of a “bear market rally,” or a brief glimpse of the sun before the storm clouds return. Corporations haven’t exactly been lighting it up with profits right now.

***

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THANK YOU

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

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Filed under: "Ask-an-Advisor", "Doctors Only", Alerts Sign-Up, Drugs and Pharma, Ethics, Health Law & Policy, iMBA, Inc. | Tagged: DAILY UPDATE: Elizabeth Holmes & Tech Stocks, Elizabeth Holmes, tech stocks, Theranos | Leave a comment »

PODCAST: Hospital-Insurance Contracting [“Carve-Out” Prices Explained]

Posted on November 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

***

***

ORDER: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

***

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***

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Videos | Tagged: "Carve-Outs" Explained, Eric Bricker MD, Hospital-Insurance Contracting, PODCAST: Hospital-Insurance Contracting ["Carve-Outs" Explained], PODCAST: Hospital-Insurance Contracting [Carve-Outs Explained] | Leave a comment »

DAILY UPDATE: New IRS 1099-K Reporting Rule

Posted on November 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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IRS

The IRS just noted that there are no changes made to the taxability of income but only in the reporting rules for Form 1099-K. Taxpayers are still required to report all income on their tax return unless it is excluded by law. This is whether they receive a Form 1099-NEC, Nonemployee Compensation; Form 1099-K; or any other information return.

Previously businesses would generally receive a 1099-K tax form only when their gross payments exceeded $20,000 for the year and the business conducted at least 200 transactions.

According to the new 1099-K rule, the gross payments threshold has been lowered to just over $600 for the year with the transactions threshold no longer applying. Now a single transaction exceeding $600 can trigger a 1099-K. This includes transactions through credit cards, debit cards, banks, PayPal, Uber, Lyft, and other third-party payment settlement entities.

The 1099-K form includes information about the payment processor and the company receiving payments, and a monthly breakdown of total payments, among other information.

According to the IRS, the lower information reporting threshold and the summary of income on Form 1099-K will make it easier for taxpayers to track the amounts received.

***

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***

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***

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Filed under: "Ask-an-Advisor", Accounting, Investing, Taxation | Tagged: Accounting, FORM 1099-k, IRS, New 1099-K Reporting Rule, tax | 1 Comment »

MDs Must Know When it’s OK to be Average

Posted on November 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Should Active Investors Expect to Lose?

Rick Kahler MS CFP

By Rick Kahler MSFS CFP®

When it comes to investing, it’s a losing proposition to try and be anything better than average. Even if you are a doctor.

I was recently reminded of this important investing precept when I attended a presentation by Ken French, a noted professor of finance at Dartmouth College.

Dr. French Speaks

“The theory is institutions are smarter than ‘dumb’ individual and can add value,”

said French.

“That is simply not true.”

His research has found that institutions are no better at trying to beat the market than individual investors. When you pay someone to do better than the market, French told us,

“You should expect to lose. It’s really hard to identify the great managers. You are wasting your time and money trying to beat the market.”

If there’s no point in trying to beat the market through “active” investing, what is the best way to invest? Through “passive” investing, that accepts average market returns. You need to reduce expenses, diversify your portfolio into index funds of various asset classes, minimize taxes, and exhibit discipline.

  1. Reduce expenses. Passive investing generally costs around 0.20% a year in fees, compared to around 1.35% for active investing.
  2. Diversify into index funds. Simply select an index in the asset classes you want to hold. The inherent strategy of the index will determine when to buy and sell. For example, the inherent strategy of the S&P 500 is to own a fraction of the largest 500 companies in the US. Every June, those companies that fell out of the top 500 largest are sold and those that made it into the top 500 are purchased.
  3. Minimize taxes. The limited buying and selling of passive investing tends to reduce investment-related taxes.
  4. Exhibit discipline. Relying on the inherent strategy of an index fund puts some distance between you and buying/selling decisions, making it easier to maintain your investment discipline during market fluctuations.

You may be thinking that, if “passive” is the way to go, you might as well make things even simpler. Why not just put your retirement money in the bank and forget it? While you can certainly do that, the results may be disastrous. If you want more than just Social Security for your retirement, you need your money to grow.

***

stock-exchange

***

Considerations

In 1913, nine cents bought a quart of milk. In 1963, the same nine cents bought a small glass of milk. In 2015, nine cents bought seven tablespoons of milk. Clearly, putting money under the mattress doesn’t work for the long term. The culprit of the declining purchasing power of that nine cents is inflation. The moral of this story is to make sure your money grows at least as fast as inflation. That requires investing it.

Example:

It would require $13 today to equal the purchasing power that $1 provided in 1926. Had you put one dollar in the bank in 1926, you would have $21 today. Having invested the dollar in long-term bonds would give you $132. However, invested in the S&P 500 Index (stocks), you would have $5,386.

A Mix

Does that mean you should invest all of your retirement assets in stocks? If you are one year old, probably so. If you are 60 years old, probably not. For most of us, a mixture of index funds that include many asset classes—such as global stocks, global bonds, global real estate, and commodities—is the best strategy.

Assessment

Research supports the value of diversified passive investing as long-term strategy. According to a study by Dalbar, Inc., average passive investors earn 3% to 4% more annually than average active investors. Over time, that makes a huge difference.

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:

  • PRACTICES: www.BusinessofMedicalPractice.com
  • HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
  • CLINICS: http://www.crcpress.com/product/isbn/9781439879900
  • ADVISORS: www.CertifiedMedicalPlanner.org
  • FINANCE: Financial Planning for Physicians and Advisors
  • INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
  • Dictionary of Health Economics and Finance
  • Dictionary of Health Information Technology and Security
  • Dictionary of Health Insurance and Managed Care

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

***

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Filed under: Investing | Tagged: active investing, Dalbar, Investing, passive investing, Rick Kahler CFP® | Leave a comment »

On Elon Musk’s Twitter Purchase

Posted on November 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

A Guest Column by Ryan Bernier

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What the Skeptics and Naysayers Miss about Elon Musk’s Twitter Purchase

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EDITOR’S NOTE: I first Met Richard Helppie when I was in business school. He was the CEO of Superior Consultant at the time and very gracious to me with with his advice. Today he is a respected philanthropist and publisher of The Common Bridge. -David E. Marcinko

***

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***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

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Wither DROP-IN Group Medical Appointments?

Posted on November 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

THE RE-EMERGING RE-VOLUTION!

By Dr. David Edward Marcinko MBA CMP®

CMP logo

SPONSOR: http://www.CertifiedMedicalPlanner.org

HISTORY

DIGMAs (Drop-In Group Medical Appointments) are medical office appointments with a patient’s physician that take place in a supportive group setting. The model, developed in 1996 by Kaiser Permanente psychologist Dr. Ed Noffsinger, is a combination of an extended medical appointment with the patient’s own physician and effective group learning and support.

The group consists of the physician, a behavioral health professional, and patients from the physician’s panel. DIGMAs are best suited for routine appointments. Unfortunately, the nascent concept was met with mockery and great derision after the PP-ACA era.

PRANKSTERS: https://medicalexecutivepost.com/2016/01/31/group-drop-in-doctor-visits-evolving/

Today, after the pandemic and with the rise of tel-health and tele-medicine, Shared Medical Appointments (SMAs), also known as Group Medical Visits [GMVs], are again a growing topic of discussion among providers and health economists, looking for ways to increase access to care and improve efficiency. The group visit format is also getting more attention in recent years as a strategy to add value for the patient. They typically involve up to a dozen patients or so and offer various efficiencies as well as benefits of shared discussion and experiences.

***

Behavioral Changes

Moreover, physicians and medical providers know that simply telling patients what to do often does not improve their health. The basic premise of DIGMAs, SMAs and GMVs is to build more patient engagement and inspire lasting behavior change by offering patients the opportunity to share their personal experiences not only with their provider but also with other patients dealing with similar issues.

NEWER REALITY: https://www.hqontario.ca/Portals/0/Documents/qi/learningcommunity/Roadmap%20Resources/Advanced%20Access%20and%20Efficiency/Step%205/pc-nha-group-medical-appointments-manual-en.pdf#:~:text=DIGMAs%20%28Drop-In%20Group%20Medical%20Appointments%29%20are%20medical%20appointments,that%20take%20place%20in%20a%20supportive%20group%20setting.

BILLING: https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/group-visits.html

QUERY: Might this be an approach for tele-health visits as well as rural healthcare, etc.

ASSESSMENT: Your thoughts are comments are appreciated.

Product Details

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SECOND OPINIONS: https://medicalexecutivepost.com/schedule-a-consultation/

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What is the “Doppler” Effect?

Posted on November 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

How does it work?

[By staff reporters]

***

The Doppler effect (or Doppler shift) is the change in frequency of a wave (or other periodic event) for an observer moving relative to its source. It is named after the Austrian physicist Christian Doppler, who proposed it in 1842 in Prague. It is commonly heard when a vehicle sounding a siren or horn approaches, passes, and recedes from an observer.
***

An animation illustrating how the Doppler effect causes a car engine or siren to sound higher in pitch when it is approaching than when it is receding. The pink circles represent sound waves.

Passing car horn

Wikipedia: The reason for the Doppler effect is that when the source of the waves is moving towards the observer, each successive wave crest is emitted from a position closer to the observer than the crest of the previous wave. Therefore, each wave takes slightly less time to reach the observer than the previous wave. Hence, the time between the arrivals of successive wave crests at the observer is reduced, causing an increase in the frequency. While they are traveling, the distance between successive wave fronts is reduced, so the waves “bunch together”. Conversely, if the source of waves is moving away from the observer, each wave is emitted from a position farther from the observer than the previous wave, so the arrival time between successive waves is increased, reducing the frequency. The distance between successive wave fronts is then increased, so the waves “spread out”.

For waves that propagate in a medium, such as sound waves, the velocity of the observer and of the source are relative to the medium in which the waves are transmitted. The total Doppler effect may therefore result from motion of the source, motion of the observer, or motion of the medium. Each of these effects is analyzed separately. For waves which do not require a medium, such as light or gravity in general relativity, only the relative difference in velocity between the observer and the source needs to be considered.

***

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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COVID: US Public Health Emergency Extended

Posted on November 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

The US will extend its Covid public health emergency through the spring of 2023 in anticipation of another winter surge.

The emergency, first issued in January 2020, broadens eligibility for both Medicaid and the Children’s Health Insurance Program, and the government estimates that ~15 million people will lose their benefits from those programs once it ends.

***

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What Doctors Must Do to File an AETNA® Medical Claim to Get Paid?

Posted on November 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

WITH ADJUDICATION CONSIDERATIONS

By Anonymous MD

Now you will learn and know just one reason why doctors are pulling their hair out, felling stress, burn out and may even consider suicide?

Only 54 pages of steps for one electronic claim.

READ: https://www.aetnabetterhealth.com/florida/assets/pdf/provider/Claims%20Training%20Powerpoint1.pdf

  AETNA® – We are NOT glad we met ya!

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DAILY UPDATE: Stocks Rise Adding to Big Gains

Posted on November 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

U.S. equities ended the day and week higher following Thursday’s trading session, which posted the largest daily gain since 2020.

Yesterday’s sharp rise came in the wake of a cooler-than-expected October consumer price inflation report, which seems to be curbing expectations regarding how aggressive the Fed could remain with its monetary policy tightening. The ongoing turmoil in the cryptocurrency markets kept sentiment in check after crypto exchange FTX.com voluntarily began Chapter 11 bankruptcy procedures.

The bond markets were closed today in observance of the Veteran’s Day holiday, giving Treasuries a breather after yesterday’s plunge, while the U.S. dollar continued its fall.

Crude oil prices were sharply higher, and gold gained modest ground. News on the equity front was focused on some tertiary earnings reports, with Toast Inc. posting a wider loss that expected, and Doximity beating on both the top and bottom lines, as well as announcing a new share repurchase program.

The lone economic report for today showed that consumer sentiment for November deteriorated more than expected. Stocks in Asia rallied following yesterday’s gains in the U.S and amid news that China will relax travel restrictions, while European stocks ended the day mixed, tempering the previous trading session’s solid gains.

***

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SBF: Apologizes as FTX Scrambles to Live

Posted on November 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

Following his crypto exchange’s epic implosion, FTX boss Sam Bankman-Fried (SBF) said he was sorry for mistakes he made, and pledged to “give anything I have to” in order to raise the $4 billion in capital FTX needs to avoid bankruptcy.

As the SEC bear down on the company, shady activities are coming to light: FTX loaned its affiliated firm, Alameda Research, ~$10 billion worth of customer assets to fund high-risk bets, per the WSJ.

***

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DAILY UPDATE: Stock Markets KA-Boom!

Posted on November 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

Unlike banks, the New York Stock Exchange doesn’t close on Veterans Day. Wall Street will have a full day of trading, and operate as usual on Veteran’s Day. Bond markets, which work with the federal government, will also be closed.

***

***

U.S. stocks closed sharply higher yesterday, with all three major indexes posting their best day of gains since 2020 as investors cheered signs that U.S. inflation finally might be headed lower.

READ: https://medicalexecutivepost.com/2022/11/10/the-cpi-and-stock-markets/

For example, the Dow Jones Industrial Average shot up about 1,198 points, or 3.7%, ending near 33,712, marking its highest level since August and its best daily percentage gain since May 2020, according to Dow Jones Market Data. The S&P 500 index gained 5.5% and the NASDAQ Composite Index closed up 7.4%, their best daily percentage increases since 2020. The sharp rally on Wall Street was led by gains in technology and communication shares, segments of the S&P 500 that booked massive gains of about 8.3% and 6.3%, respectively, according to FactSet.

Buyers came out in force after the release of October’s consumer-price index showed a 7.7% annual rate of inflation, down from 9.1% this summer, while spurring hopes that the Federal Reserve might be making headway in its fight to bring inflation down to its 2% target.

That took some of the attention off the ongoing woes at crypto exchange FTX, with bitcoin down near a 2-year low. The 10-year Treasury rate also dropped to about 3.8% Thursday, down from a 4.2% high in October ahead of the three-day weekend for the U.S. bond market, which will remain closed on Friday for Veterans Day. U.S. stock exchanges, however, will remain open Friday.

***

***

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The CPI and Stock Markets

Posted on November 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

The consumer price index (CPI), the inflation report we dislike every month, dropped today and showed that price growth cooled off a bit in October (but is still far higher than where the FOMC wants it).

The Consumer Price Index (CPI) for October reflected a 7.7% increase over last year and 0.4% increase over the prior month, better than Wall Street expected. Economists surveyed by Bloomberg called for a 7.9% annual rise and 0.5% monthly gain.

The S&P 500 (^GSPC) rallied 5.5% — its biggest intraday gain since April 2020 — while the Dow Jones Industrial Average (^DJI) jumped 1,200 points, or 3.7%, the most since May 2020. The technology-heavy Nasdaq Composite (^IXIC) advanced a whopping 7.4%, its sharpest climb since emerging from the pandemic crash in March 2020. Meanwhile, Treasury yields tumbled following the report, with the benchmark 10-year note falling well below the 4% level.

Meanwhile, earnings season rolls on with reports from Disney, AMC, Palantir, Beyond Meat, and more.

***

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The Economy TODAY!

Posted on November 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

It’s a big day for anyone trying to read Jerome Powell today because the October consumer price index report gets released this morning.

Economists expect to see the annual inflation rate come in at 7.9%, so anything higher is likely to spark fear that the Fed could get even more aggressive with its rate hikes.

***
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DAILY UPDATE: Stocks Fall as Balance of Power in US Congress Uncertain

Posted on November 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***


***

U.S. equities tumbled in the wake of yesterday’s U.S. midterm elections that failed to provide clarity on the political front.

U.S. stocks plummeted Wednesday after three days of gains, as investors mulled over a mixed verdict from the midterm election results and highly anticipated inflation data looms on the docket.

The S&P 500 (^GSPC) shed over 2%, while the Dow Jones Industrial Average (^DJI) fell by nearly 650 points, or roughly 2%. The technology-heavy Nasdaq Composite (^IXIC) dragged down by almost 2.5%, or 260 points.

Meanwhile, volatility in the cryptocurrency markets continued as Binance Holdings ditched its plans of acquiring FTX.com, which has experienced some liquidity issues. Earnings reports continued to trickle in, with Dow member Walt Disney Company missing Q4 expectations. In other equity news, Meta Platforms announced large-scale layoffs as the company tries to become a more leaner communication services firm.

Treasuries were mixed, and the U.S. dollar was solidly higher, while crude oil prices fell, and gold saw some pressure. Economic news was light, with mortgage applications falling for a seventh-straight week.

Asia finished mixed following some Chinese inflation data, and Europe also diverged.


***

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PODCAST: Inflation Impact on Healthcare

Posted on November 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

***

***

CITE: https://www.r2library.com/Resource/Title/0826102549

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ROBINHOOD: The Brokerage Collapses?

Posted on November 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

Shares of Robinhood, the brokerage, plummeted by 15% as FTX was acquired to save it from collapsing. Sam Bankman-Fried bought a 7.6% stake in May in Robinhood, a brokerage meant to attract Millennial investors who sought to invest in cryptocurrencies.

But Bankman-Fried, the founder of FTX, a popular cryptocurrency exchange, faced even larger hurdles that investors were not aware of. 

Robinhood  (HOOD) – Get Free Report shares tumbled on Nov. 8, falling by as much as 15.54% in mid-day trading to $10.22 a share as Binance, the crypto behemoth, said it would acquire FTX, which was once its rival due to a “liquidity crunch.”

***

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ELECTIONS: Money and Markets

Posted on November 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Historical Review

By Staff Reporters

***

***

Now that the voting is behind us, it might be safe to start checking your portfolio. In recent history, stocks have only gone up after midterm elections:

  • In the year following every midterm election since 1950, the S&P 500 has risen—no matter which party won.
  • A divided government, which could happen if the GOP retakes at least the House, delivers the best market results: Data going back to 1932 shows average annual S&P returns of 13% when there’s a GOP-controlled Congress under a Democratic president, compared to 10% when Democrats have both, per RBC Capital Markets.

Why?

There’s some debate, but partisan gridlock can be advantageous for business because it minimizes the chance of major changes to taxes or other laws that impact companies. It also doesn’t hurt to have the uncertainty of the election in the rear-view mirror.

Right now however, investors are more focused on the FOMCs’ rate hikes in response to inflation. While politicians from both sides of the aisle have criticized Jerome Powell’s recent decisions, he’s unlikely to change course due to the election outcome. Plus, economists seem pretty convinced the US is headed toward a recession, regardless of who’s in control in Washington.

***
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DAILY UPDATE: Cautious Stock Rally Tempers Before Election Results

Posted on November 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

U.S. equities finished higher, but well off the highs of the day, as some caution may have set in ahead of the results of today’s midterm elections. The economic docket was relatively light, with the most notable report being the Small Business Optimism Index, which declined in line with expectations versus the prior month.

However, later this week, we will get a key read on October’s Consumer Price Inflation (CPI), along with commentary from FOMC officials after last week’s rate hike. Treasury yields were lower, and the U.S. dollar lost ground, while crude oil prices fell, and gold jumped.

Earnings reports offered varied results, as Lyft posted a larger-than-expected loss, while Activision Blizzard and DuPont beat earnings estimates, with the latter announcing a new share repurchase program. Asian stocks ended mixed ahead of a busy conclusion to the week, while European stocks were higher, as the international markets grapple with economic data and recent monetary policy actions.

***

***

FINANCE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

BUSINESS MEDICINE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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PODCAST: Health Insurance Carrier Contracting

Posted on November 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

***

***

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***

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Election Day – A Medical Perspective

Posted on November 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

VOTE SAFELY

By Staff Reporters

***

***

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GAS PRICES: Election Day?

Posted on November 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

***

By Staff Reporters

***

***

The outcome of today’s midterm elections could be influenced by something the government has little control over: the cost of filling up your car with gas. Since the 1970s, presidential approval ratings have tended to sag when gas prices rise. And that correlation has been especially pronounced this year as inflation has run rampant and gas prices have spiked.

  • The Washington Post found that the share of Americans who said the country was on the right track has moved remarkably in sync with gas prices.
  • Since gas prices peaked in June, the correlation between Democratic generic-ballot polling and the price of gas clocked in at minus-.91, nearly a perfect inverse correlation (which is minus-1).

NOTE: Recall that correlation is NOT causation!

Why are gas prices so powerful?

Gas prices are the only consumer good whose price we’re reminded of virtually every time we leave the house, experts say. Unlike salmon fish or outdoor patio furniture, ties, shirts or sneakers, the price of gas is advertised in size-500 font on huge signs that you can’t help but notice. In fact, gas prices have been so beaten into us that they can change our behavior over decades. Researchers at the University of Pennsylvania discovered that people who experienced raging gas prices in their formative driving years in the 1970s seemed less likely to drive to work 20 years later than other age cohorts.

The curious part about the link between voter sentiment and gas prices is that gas prices have very little to do with the White House. Gas prices are largely influenced by the price of crude oil, which is a globally traded commodity. That commodity has been dealt a shock this year by Russia’s invasion of Ukraine, technical snags with refineries in the US, and OPEC+’s production cuts.

Still, President Biden’s team is fully aware of the importance of gas prices, which explains his incessant attacks on oil companies’ windfall profits, his releasing of crude from the Strategic Petroleum Reserve, and his visit to Saudi Arabia, a major oil producer.

Price check?

The current national average for a gallon of unleaded gas is $3.80, per AAA. That’s roughly the same as a month ago, down significantly from the record of more than $5, but about 38 cents more than a year ago.

***

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DAILY UPDATE: Stocks Rise First Trading Session of Week

Posted on November 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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U.S. stocks ended the day higher as the markets await some key data later this week and amid some likely caution ahead of tomorrow’s mid-term election. In the final hour of trading, the economic calendar released data on consumer credit for September, which showed that consumers borrowed less than expected. The economic docket will heat up later this week, headlined by the first read on consumer price inflation in the form of the Consumer Price Index, which will be accompanied by some commentary by Fed officials. Treasury yields rose, and the U.S. dollar saw pressure.

Crude oil prices declined, while gold nudged higher.

In equity news, Dow member Apple said iPhone shipments will be hampered by the impact of the COVID lock-downs in China, Meta Platforms is reportedly set to announce large-scale layoffs, and Dow component Walgreens Boots Alliance announced that a company it controls has agreed to acquire Summit Health-CityMD.

Asian stocks rallied, led by Hong Kong markets, while European stocks were mixed to begin the week, as the international markets continued to digest recent global monetary policy decisions.

***

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***

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HOSPITALS: Another New Designation

Posted on November 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

“BIRTHING-FRIENDLY”

By Staff Reporters

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***

The Centers for Medicare and Medicaid Services (CMS) added a new designation to identify which hospitals are “Birthing-Friendly”—a label it will begin adding to qualifying hospitals in fall 2023.

The designation aims to reduce maternal mortality and complications in the US; maternal mortality rose by 25% in 2020, and Black women die at nearly three times the rates of white women, according to a CDC report from February. The US ranked last in maternal mortality that year compared to 10 other high-income countries, according to the Commonwealth Fund.

To earn the designation, CMS said, hospitals must participate in a statewide or national collaborative program where medical teams and public health leaders work together to improve care quality for birthing parents and babies. Hospitals that opt in qualify for an operating payment rate increase of 4.3%, a much-needed boost for hospitals struggling with profitability in the wake of the Covid-19 pandemic and inflation.

But there’s no single set of metrics that hospitals will be required to follow to earn CMS’s new designation, and any changes they make may depend on what areas need improvement. For example, hospitals could focus on reducing pregnancy complications and early births, which happen before 39 weeks, according to the CDC.

CMS’s designation—at least in its initial form—isn’t tied to outcomes. However, medical professionals said there are a variety of measures and outcomes that have been shown to make a hospital truly birthing-friendly.

When it comes to measuring maternal-care quality, one metric comes up over and over again: a hospital’s C-section rate, said Holly Loudon, chair of obstetrics, gynecology, and reproductive science at Mount Sinai West and Mount Sinai Morningside in New York City.

Keep reading here

RELATED PODCAST: https://www.kevinmd.com/2022/11/protect-black-womens-maternal-health-podcast.html

***

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Meta, Apple, TSA Deflation and Mastodon

Posted on November 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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  • Meta will reportedly begin to lay off thousands of employees this week in what could amount to the company’s most significant job cuts since it was founded in 2004.
  • Apple said that iPhone 14 production has been hamstrung by Covid restrictions at its huge assembly plant in China.
  • PreCheck deflation: TSA is lowering the price for its PreCheck program ahead of the holiday travel season.
  • Mastodon, a Twitter-esque social media site, has seen a spike in users since Musk’s takeover of the bird app.

***

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DAILY UPDATE: ARK Invest and Nvidia Corp.

Posted on November 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Last week was a rough one in the stock market, and this week could be even worse. The inflation report Thursday, and another group of earnings will give investors plenty of new information to absorb. Finally, Warren Buffett reported his company’s earnings over the weekend as Berkshire’s $109 billion cash pile has ballooned thanks to rising interest rates.

***

Cathie Wood is once again offloading shares in her long-time favorite Nvidia Corp., as a slight rebound emerged ahead of the company’s earnings. Her flagship Ark Innovation ETF sold 167,914 shares on Friday, adding to a sale of 50,252 shares on Oct. 20, according to Wood’s firm Ark Investment Management LLC’s daily trading disclosures.

Meanwhile, the Ark Next Generation Internet ETF sold 24,423 Nvidia shares on Thursday. Ark’s latest sales come days ahead of Nvidia’s third-quarter earnings — scheduled for Nov. 17 — similar to the prior quarter when the funds dumped the stock before the chipmaker reported revenue forecast that was about $1 billion short of the average Wall Street estimate. The stock has rebounded 26% from a more than two-year low on Oct. 14 to $141.46. That’s above the average closing price of $131.74 in September, when ETFs controlled by ARK Investment Management LLC picked up more than 400,000 Nvidia shares throughout the month. 

Still, Nvidia is down more than 50% this year as historical tightening by the Federal Reserve and global recession fears have continued to batter growth stocks.

***

FINANCE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

BUSINESS MEDICINE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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PODCAST: Why Healthcare is So Slow to Change

Posted on November 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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CITE: https://www.r2library.com/Resource/Title/082610254

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TAX LOSS HARVESTING: What it is?

Posted on November 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

What Is Tax-Loss Harvesting?

Tax-loss harvesting is the timely selling of securities at a loss in order to offset the amount of capital gains tax due on the sale of other securities at a profit. 

This strategy is most often used to limit the amount of taxes due on short-term capital gains, which are generally taxed at a higher rate than long-term capital gains. However, the method may also offset long-term capital gains. This strategy can help preserve the value of the investor’s portfolio while reducing the cost of capital gains taxes.

There is a $3,000 limit on the amount of capital gains losses that a federal taxpayer can deduct in a single tax year. However, Internal Revenue Service (IRS) rules allow additional losses to be carried forward into the following tax years.

4 Key Points

  • Tax-loss harvesting is a strategy investors can use to reduce the total amount of capital gains taxes due from the sale of profitable investments.
  • The strategy involves selling an asset or security at a net loss.
  • The investor can then use the proceeds to purchase a similar asset or security, maintaining the portfolio’s overall balance.
  • The investor must be careful not to violate the IRS rule against buying a “substantially identical” investment within 30 days.

***
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WEEKEND REVIEW: Stock Market Update and China COVID Policy

Posted on November 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

  • Markets: Stocks closed their otherwise terrible week on a high note following another solid jobs report for October. The US economy added 261,000 jobs last month, more than expected, though the unemployment rate ticked up to 3.7%. The Fed wants to see the labor market loosen up before it’s willing to slow down its rate hikes.
  • Stock spotlight: Carvana, the online used car retailer that surged during the pandemic, suffered its worst day ever and closed near its all-time low. Carvana’s plunge of more than 95% this year makes it a prime example of Covid darlings that were caught flat-footed when the macroeconomic environment deteriorated and pandemic trends (like huge demand for used cars) snapped back to normal.
  • DraftKings stock had its worst day on record, down nearly 28%, after revealing a longer-than-expected path to profitability.

***

Is China going to loosen its Covid policies? Investors pounced on rumors this week that Beijing was thinking about relaxing its draconian Covid precautions, sending Hong Kong’s Hang Seng Index to its best week in a decade. Separately, Reuters obtained a recording of a former Chinese disease control official telling a conference that China would be making big changes to its “dynamic-zero” Covid policy.

***

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AHA: Advocates for New Hospital Designation

Posted on November 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Health Capital Consultants, LLC

AHA: Metropolitan Anchor Hospitals Serve More Vulnerable Populations

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***

The American Hospital Association (AHA) is advocating for the creation of a new hospital designation for certain urban safety net hospitals.

In a report released in mid-October 2022, as well as in an accompanying fact sheet and letter sent to congressional leaders, the AHA defines these so-called Metropolitan Anchor Hospitals (MAHs), outlines their importance to the communities they serve, and explains why MAHs deserve supplemental financial support from the government.

***

Product Details

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What is E-Learning?

Posted on November 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

What it is – How it works?

[By Staff Reporters]

Invite Dr. Marcinko

Live Interactive iMBA Education

Electronic Classes can require intense interaction between live faculty members and adult-learners, often more so than in many traditional on-ground courses; and most automated Computer Based Training (CBT) programs.

Students [adult learners] are typically expected to log-in and contribute three to five times each week. With this frequency of interaction, students and faculty all get to know one another, well. There are few opportunities for passivity.

In fact, in the iMBA CERTIFIED MEDICAL PLANNER™ program, students tend to interact with instructors much more than in traditional settings; thus promoting future peer-based discussions and real world applications.

Moreover, in the electronic iMBA classroom, everyone must write; particularly for the R&D loaded CERTIFIED MEDICAL PLANNER™ program. All assignments are typed, creating a permanent record of each person’s contribution. Faculty members find this promotes careful, reflective submissions from most students.

Additionally, instructors can easily monitor student progress and communicate with those who need help, or who have trouble keeping up. This is usually done privately by e-mail, fax or phone after certain online expectations have been clarified.

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e

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More:

  • Enter the CMPs
  • Litigation and Legacy in Education and Medicine
  • Dr. Marcinko Teaching Philosophy
  • Dr. Marcinko Leadership Philosophy

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:

  • PRACTICES: www.BusinessofMedicalPractice.com
  • HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
  • CLINICS: http://www.crcpress.com/product/isbn/9781439879900
  • ADVISORS: www.CertifiedMedicalPlanner.org
  • FINANCE: Financial Planning for Physicians and Advisors
  • INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
  • Dictionary of Health Economics and Finance
  • Dictionary of Health Information Technology and Security
  • Dictionary of Health Insurance and Managed Care

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

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REMINDER TONIGHT: Daylight Savings Time Ends

Posted on November 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

The clocks change at 2 a.m. to create the least disruption for early workers.

By Staff Reporters

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People who don’t have a digital clock that changes automatically will often switch their watches on Saturday night before bed. This year, Daylight Saving Time began on March 13, 2022, and ends on November 6, 2022.

***

When you wake up tomorrow morning, you’ll be well rested and smacked with a pocketful of sunshine: In 48 states and DC, daylight saving time is ending overnight Sunday, which means a 25-hour day tomorrow and, going forward, darker evenings and sun-splashed mornings. And, when our clocks change every six months, it inevitably sparks debate about why we participate in this curious tradition in the first place, and whether we should just pick one time system and stick with it.

The arguments for abolishing daylight saving time

Most experts on sleep and circadian rhythms argue that tomorrow should be the last time we ever switch our clocks. They claim that, by artificially pushing the sun to set later in the evening, daylight saving time disrupts our internal clock’s natural alignment with the sun (for example, by discouraging the production of sleep-inducing hormones like melatonin). That can lead to negative impacts on our physical and mental health. Other proponents of permanent standard time point to research that shows how adopting it would reduce crime, energy costs, and car crashes. A study published Wednesday found that brighter work commutes due to permanent standard time would save about $1.2 billion in collision costs from drivers hitting deer—and prevent 37,000 deer from being killed in the process.

Congress and Politics

This March, the Senate passed the Sunshine Protection Act, which intends to, uh, protect sunshine by making daylight saving time permanent. Senators say their constituents have been flooding their phones with requests for more daylight in the evenings—to enjoy the outdoors, yes, but also to squeeze in more time to farm.

But the US has tried that before, in 1974, and it flopped miserably. Just four months after Congress approved permanent daylight standard time, it was scrapped following public backlash.

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What is the PROPINQUITY Effect and FELICIFIC Calculus?

Posted on November 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

The MIT Westgate Studies

By Prasad Nilanth

The “P” theory was first crafted by psychologists Leon Festinger, Stanley Schachter, and Kurt Back in what came to be called the Westgate Studies conducted at MIT.

The study investigated how friendships developed among students at the new Westgate Complex at MIT. The results clearly showed the role of proximity in the formation of friendships. The strongest friendships developed between students who lived next to each other on the same floor. Where friendships developed between students who lived on different floors, one of those students tended to live near the stairways.

CITE: https://www.r2library.com/Resource/Title/082610254

******

In social psychology, propinquity (/prəˈpɪŋkwɪtiː/; from Latin propinquitas, “nearness”) is one of the main factors leading to interpersonal attraction. It refers to the physical or psychological proximity between people. Propinquity can mean physical proximity, a kinship between people, or a similarity in nature between things (“like-attracts-like”).

Two people living on the same floor of a building, for example, have a higher propinquity than those living on different floors, just as two people with similar political beliefs possess a higher propinquity than those whose beliefs strongly differ.

Propinquity is also one of the factors, set out by Jeremy Bentham, used to measure the amount of (utilitarian) pleasure in a method known as felicific calculus.

MORE: https://en.wikipedia.org/wiki/Felicific_calculus

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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CRYPTO.com and Celebrity Endorsements?

Posted on November 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

AFFINITY MARKETING!

Physicians and All Investors Beware!

By Staff Reporters

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***

Celebrity Matt Damon’s infamous “fortune favors the brave” Crypto.com commercial premiered one year ago today, and its timing couldn’t have been worse. Had you been inspired to buy $1,000 worth of bitcoin on that day (the token was then worth $60,608, near its peak price) you would have just ~$340 now.

Fortune isn’t exactly what’s favored Crypto.com in the year since the ad debuted. The price of bitcoin has plunged ~70%, the company reportedly slashed about 40% of its workforce this summer, and the YouTube version of the Damon commercial has been set to private.

Today, the coin has been pretty stable since mid-June, 2022 and hovering at around $20,000.

***

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DAILY UPDATE: Stocks Higher Following October’s Labor Report [BLS]

Posted on November 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters and BLS

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***

U.S. equities posted a weekly loss, despite ending the day higher in a choppy trading session, following a larger-than-expected increase in non-farm payrolls for October, 2022. The choppiness came amid an increase in the unemployment rate that was also above estimates, and in the wake of FOMC Chair Powell’s comments earlier this week, in which he reiterated the central bank’s aim at cooling the robust labor market.

Earnings surprises were mostly positive, as Amgen bested expectations and upped its guidance, Starbucks also exceeded estimates despite a tumble in sales in China, and PayPal posted upbeat results and announced a collaboration with Apple, while DoorDash rose despite posting a wider-than-expected loss.

Treasury yields were mixed, and the U.S dollar erased all of yesterday’s rally, while crude oil and gold prices surged.

Overseas, Asian stocks were higher for the most part, led by a rally in the Hong Kong markets. European stocks ended the volatile week on a positive note, as the international markets continued to digest the implications of monetary policy actions from central banks all over the world.

***

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MEDICAL BILLING: Down and Up Coding?

Posted on November 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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DEFINITION

Upcoding is a type of fraud where healthcare providers submit inaccurate billing codes to insurance companies in order to receive inflated reimbursements. These false “current procedural technology” (CPT) submissions indicate that doctors provided patients with treatments that were more complex, costly, and time-consuming than what they actually received. This unlawful scheme is a violation of the False Claims Act (FCA) because it defrauds federal programs including Medicare, Medicaid, and Tricare.

CITE: https://www.r2library.com/Resource/Title/082610254

***

There are nearly 7,800 CPT codes used by healthcare providers. Collectively, these codes represent all of the procedures, conditions, and drugs that are currently reimbursable by the health insurance industry. Each one of them has an associated cost for individuals and insurance companies, based upon the urgency of the issue and the complexity of the decision-making required of the healthcare provider. Medicaid and Medicare reimburse providers based on this system.
For example, a five-minute consultation with a nurse for a minor medical question would receive a different, less expensive CPT than the one for a full examination by a doctor lasting 45-minutes. However, if the physician charges the federal programs for the more expensive 45-minute examination when the five-minute consultation is what actually occurred, this would constitute upcoding.

Unbundling

Unbundling is another common form of upcoding. This fraudulent scheme involves billing for individual procedures that are usually performed and billed together under a single CPT code. In some cases, the billing codes for complicated medical operations have associated components built into their CPTs. For example, a hip replacement surgery may factor in the costs of the surgeon’s as well as the use of the operating room. Unbundling occurs when a healthcare provider submits each component within a CPT to Medicare or Medicaid separately. This creates a cost redundancy where wrongdoers can unlawfully seek reimbursement for the same procedure several times over.

CMS: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf

What Is Downcoding?

Downcoding is the opposite of upcoding. If you perform a service but record the CPT for a lower-level service, that is downcoding. Downcoding also leaves you vulnerable to an audit, which is never good. But, it can also cost a practice thousands of dollars a year in lost revenue because you’re not getting the higher rate of pay that you would if you had recorded the service properly.

According to the National Correct Coding Initiative (NCCI): “Physicians must avoid downcoding. If an HCPCS/CPT code exists that describes the services performed, the physician must report this code rather than report a less comprehensive code with other codes describing the services not included in the less comprehensive code.”

MORE: https://zeemedicalbilling.com/what-is-upcoding-and-downcoding-in-medical-billing/

***

HERE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/

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What is the INDIAN HEALTH SERVICE?

Posted on November 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

ABOUT THE I.H.S

By Dr. Dvid Edward Marcinko MBA CMP®

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SPONSOR: http://www.CertifiedMedicalPlanner.org

According to Wikipedia, the Indian Health Service (IHS) is an operating division (OPDIV) within the U.S. Department of Health and Human Services (HHS). IHS is responsible for providing direct medical and public health services to members of federally-recognized Native American Tribes and Alaska Native people. IHS is the principal federal health care provider and health advocate for Indian people.

The IHS provides health care in 36 states to approximately 2.2 million out of 3.7 million American Indians and Alaska Natives (AI/AN). As of April 2017, the IHS consisted of 26 hospitals, 59 health centers, and 32 health stations. Thirty-three urban Indian health projects supplement these facilities with a variety of health and referral services. Several tribes are actively involved in IHS program implementation. Many tribes also operate their own health systems independent of IHS. It also provides support to students pursuing medical education in order staff Indian health programs.

***

EDITOR’S NOTE: I did a rotation at a Federally Qualified Health Center through the I.H.S. when I was a surgical fellow back in the day. I enjoyed it immensely. Consulting services since then.

***

Indian Health Service Announces Expansion of Specialty ...

***

GOVERNMENT: https://www.ihs.gov/

CONGRESS: https://blog.petrieflom.law.harvard.edu/2021/06/03/indian-health-service-biden-congress/

ASSESSMENT: Your thoughts are appreciated.

INVITE DR. MARCINKO: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/

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***

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Two Year Treasury Yields = HIGH!

Posted on November 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

U.S. bond yields just rose to new cycle highs as the fallout from the Federal Reserve’s latest interest rate hike and commentary reverberated across markets. The policy-sensitive 2-year rate broke intermittently above 4.7%, shrinking its spread to the 10-year rate to as little as minus 60.9 basis points in a worrisome sign of the economic outlook. The 2-year yield finished the New York session at its highest level in more than 15 years.

What’s happening

  • The yield on the 2-year Treasury rose 13.1 basis points to 4.699% from 4.568% on Wednesday. Thursday’s level is the highest since July 25, 2007, based on 3 p.m. figures from Dow Jones Market Data.
  • The yield on the 10-year Treasury advanced 6.4 basis points to 4.123% from 4.059% as of late Wednesday. Thursday’s level is the highest since Oct. 24.
  • The yield on the 30-year Treasury climbed 2.9 basis points to 4.151% from 4.122% Wednesday afternoon.

***

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***


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Filed under: Breaking News, Investing, Taxation | Tagged: bond yields, FOMC, interest rates, IRS, Treasury yields, Two Year Treasury Yields = HIGH! | Leave a comment »

PODCAST: What is the “Diluted” Stock Effect?

Posted on November 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

WHAT IT IS – HOW IT WORKS

BY DR. DAVID E. MARCINKO MBA CMP®

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SPONSOR: http://www.CertifiedMedicalPlanner.org

The lowering of the book or market value of the shares of a company’s stock as a result of more shares outstanding. A company’s initial registration may include more shares than are initially issued when the company goes public for the first time.

Later, an issue of more stock by a company (called a “primary offering,” distinguished from the “initial public offering”) dilutes the existing shares outstanding. 

Also, earnings-per-share calculations are said to be “fully diluted” when all common stock equivalents (convertible securities, rights, and warrants) are included. “Fully diluted” numbers are used in analysis when there is a likelihood of conversion or exercise of rights and warrants.

CITE: https://www.r2library.com/Resource/Title/0826102549

***

How does dilution affect my shares? | Startupxplore Blog

***

PODCAST: https://duckduckgo.com/?q=Dilutive%22+Stock&t=newext&atb=v275-2&iax=videos&ia=videos&iai=https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DtjQzJ7GY0GY

ASSESSMENT: Your thoughts are appreciated.

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

ORDER TEXTBOOK: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

INVITE DR. MARCINKO: https://medicalexecutivepost.com/dr-david-marcinkos-

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***

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STABLECOINS: Altering the US Banking System?

Posted on November 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

DEFINITION: Stablecoins are cryptocurrencies where the price is designed to be pegged to a reference asset. The reference asset may be fiat money, exchange-traded commodities, or a cryptocurrency.

CITE: https://www.r2library.com/Resource/Title/082610254

***

In fact, Stablecoins could have such a profound effect on the established banking system that U.S. regulators need to require that the digital tokens fit in without disrupting it, said Martin Gruenberg, the acting chairman of the Federal Deposit Insurance Corp. (FDIC). His remarks were delivered at a Brookings Institution event recently.

Gruenberg’s agency is among the U.S. banking watchdogs that will have significant influence over how stablecoins are regulated, and the FDIC has also had to weigh in with recent sanctions against firms – such as FTX US – that have made claims misrepresenting how FDIC deposit insurance backstops their operations. As U.S. banks have increasingly sought to offer crypto services, including maintaining custody of customer’s digital assets, Gruenberg said that his agency has been cautious about allowing regulated lenders to engage.

***

ORDER: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

***

FINANCE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

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DAILY UPDATE: Stocks Ended Lower Following FOMC Decision

Posted on November 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

U.S. equities extended yesterday’s sharp drop that followed the Federal Reserve’s fourth-straight 75-basis point rate hike and some hawkish comments. As a result of the Fed’s monetary policy decision, Treasury yields and the U.S. dollar climbed noticeably higher. The Fed’s rate hike was trailed by today’s announcement from the Bank of England to hike its benchmark interest rate by 75 bps, though it tried to suppress expectations of future aggressiveness of that magnitude.
The U.S. dollar’s rally came as the British pound fell, along with the euro, as the markets digested the monetary policy actions and comments.

Crude oil prices fell, and gold traded lower. In economic news, jobless claims dipped, the trade balance widened more than expected, Q3 productivity rebounded less than fore-casted and labor costs moderated more than projected. Additionally, factory orders figures were mixed, along with October reads on services sector output. Earnings season continues to roll on, with Qualcomm cutting its guidance, though eBay topped estimates and issued a positive outlook. Moreover, Booking Holdings topped expectations and Marriott decreased despite exceeding profit projections.

Asian stocks declined, though markets in Japan were closed for a holiday, and European stocks were mostly lower as the markets digested the decisions from the Fed and Bank of England.

***

***
FINANCE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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PHARMA: Will Americans Finally See Drug Prices Decrease?

Posted on November 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Health Capital Consultants, LLC

***

***

According to the White House, “Americans pay two to three times as much as people in other countries for prescription drugs, and one in four Americans who take prescription drugs struggle to afford their medications. Nearly 3 in 10 American adults who take prescription drugs say that they have skipped doses, cut pills in half, or not filled prescriptions due to cost.” In an effort to combat this growing crisis, both the federal government and private companies have taken a number of steps over the past year aiming to lower drug prices. This Health Capital Topics article will review those actions and the potential unintended consequences of these actions.
(Read more…)

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CITE: https://www.r2library.com/Resource/Title/082610254

ORDER: https://www.amazon.com/Hospitals-Healthcare-Organizations-Management-Operational/dp/1439879907/ref=sr_1_4?s=books&ie=UTF8&qid=1334193619&sr=1-4

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CVS, Walgreens and Walmart: Opioid Settlement

Posted on November 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

CVS, Walgreens, and Walmart agree to pay $13 billion over opioids

The pharmacy chains have reached a tentative deal to settle thousands of lawsuits brought by state and local governments that accuse them of contributing to the opioid epidemic.

If the deal goes through, CVS and Walgreens will each cough up around $5 billion, and Walmart will reportedly be on the hook for $3 billion.

***

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***

ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

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Filed under: Breaking News, Drugs and Pharma, Ethics, Health Insurance, Risk Management | Tagged: CVs, Drugs, opioids, pharma, pharmaceuticals, Walgreen's, Walmart | Leave a comment »

“I” Bonds: DOWN!

Posted on November 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

DEFINITION: https://www.treasurydirect.gov/savings-bonds/i-bonds/

***

***

The rate for I bonds, an asset that’s tied to the rate of inflation, was lowered to 6.89% yesterday from its record high of 9.62%. But in the final days of the previous rate, investors hoarded I bonds like crazy.

Now, on Friday, the Treasury sold $979 million of I bonds, nearly as much as the entire amount sold in the three years from 2018 to 2020, per CNBC. The investors also crashed the website.

***

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***

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