REAL ESTATE: Commissions

Posted on November 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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A federal jury in Missouri last week found the National Association of Realtors and large brokerages conspired to keep commissions artificially high, finding them liable for $1.8 billion in damages.

MORE: https://medicalexecutivepost.com/2023/01/19/real-estate-for-physician-investors/

This decision could have a major impact on anyone buying or selling a home. For one, it could lead to a 30% decrease in the $100 billion Americans pay in real estate commissions every year, according to investment banking firm Keefe, Bruyette & Woods (KBW).

MORE: https://medicalexecutivepost.com/2022/12/07/daily-update-down-real-estate-and-down-markets/

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CASE MODELS: Healthcare Business Entities

Posted on November 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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The Marcinko & Associates case study and white-paper compendium is a teaching vehicle that presents potential clients with a critical management issue that serves as a spring board to lively debate in which participants present and defend their analysis and prescriptions. The average case is 2 to 100 pages long (prose, tables, graphs, charts, spread sheets and figures, etc).

CASE MODEL Sample Privatization: https://tinyurl.com/3af5nf7s

ORDER: https://marcinkoassociates.com/case-studies/

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DAILY UPDATE: The US Economy Slows as FTX’s Solana and the Markets Rise

Posted on November 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

SPONSOR: http://www.MarcinkoAssociates.com

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The current hiring market is slowing as the US economy added just 150,000 jobs last month. The employment gains reported by the Labor Department yesterday fell short of expectations and were almost half of the 297,000 jobs created in September. Still, there’s no need to hit the economic panic button. Though the unemployment rate ticked up slightly, to 3.9% in October, it’s been below 4% since late 2021, the longest sub-4% stretch in over 50 years. But the hiring slowdown may be a sign that the US economy is gently showing.

Now, the six-week United Auto Workers strike against the Big Three Detroit carmakers was the primary culprit in the automotive manufacturing sector shedding 33,000 people from payroll. On the flip side, healthcare, government, and construction were the top job creators, adding 58k, 51k, and 23k positions, respectively.

And, the jobs numbers were in the sweet spot for investors. Stocks posted their biggest weekly gain this year. And that’s because investors view the reduced appetite for new hires as a sign the Fed is succeeding at cooling the economy in its fight against inflation. This jobs report makes it even more likely that the FOMC will put the parking brake on its interest rate hikes, and some traders are betting that the central bank might even lower rates next year.

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And, the victims of Sam Bankman-Fried‘s financial crimes could be set to recoup almost all of the $16 billion Solana that was lost when his crypto exchange FTX collapsed – unless the IRS steps in to seize the funds instead. 

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Finally, stocks closed out their best week all year after the “Goldilocks” October jobs report could put the Fed’s interest rate hikes on ice. And, Paramount pictures posted double-digit gains for the second straight session.

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

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On Merging Medical Practices

Posted on November 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By David Edward Marcinko MBA CMP™

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SPONSOR: http://www.MARCINKOASSOCIATES.com

Merging Medical Practices

There are only three possibilities if you want to go into practice for yourself; buy a practice; franchise a business, or start one. However, if you have an existing practice, merging it to form a larger entity can be a satisfying experience. The pace of practice mergers is accelerating, but it is often difficult to make an informed judgment about synergy. Mergers make sense only if the resulting value is more than additive to the original; not duplicative.

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

Unfortunately, far too many mergers fail to create, or actually destroy existing value. So, look for complimentary processes, personalities and ideas. In a merger of two existing practices, there is no substitute for personal interaction between employees and physician-management. This creates cross-pollination and new ideas in everything from service-lines and the patient production process, to marketing and finance, and to proprietary and intellectual rights. Most importantly, it allows
diversity of ideas.

And so, the following are questions to consider when contemplating a medical practice
merger:


 What are the risks of this transaction and how are they mitigated?
 Will talented employees be retained on both sides and can an exodus be
prevented?
 Are the specific liabilities of each practice known? Remember, the farther outside
your area of specialty or expertise, the greater the risk of being wrong.
 Will I appraise each practice independently, and correctly?
 Where will employee allegiance rest?
 What is the name, and logo, of the new entity? Who will be the CEO?

Vertical Integration: https://medicalexecutivepost.com/2023/04/14/integration-as-a-competitive-strategy-in-healthcare-reform/

More: https://medicalexecutivepost.com/2022/06/19/healthcare-mergers-acquisitions-2021-in-review/

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PEPFAR’s Uncertain Future for AIDS Relief

Posted on November 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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An impactful government program is facing an uncertain future. PEPFAR—an acronym for the President’s Emergency Plan for AIDS Relief—was created by former President George W. Bush in 2003 and is credited with saving 25 million lives around the world. Through the program, the US government has invested more than $100 billion in treatment for HIV-AIDS and related illnesses by providing training, medical infrastructure, and antiretroviral drugs. PEPFAR remains the largest commitment by a country to confront a single disease, according to KFF.

Since its inception, PEPFAR has been renewed every five years with bipartisan support. But that wasn’t the case in 2023, as lawmakers let the program expire at the end of September.

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

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