Yes – There is A Difference
[By staff reporters]
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Filed under: Accounting, Health Economics, Investing | Tagged: Accounting, Economic profit, GAAP | Leave a comment »
[By staff reporters]
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Filed under: Accounting, Health Economics, Investing | Tagged: Accounting, Economic profit, GAAP | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
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Stat: $895. That’s the out-of-pocket cost for a blood test that screens for colon cancer, which may receive more widespread insurance coverage now that it has FDA approval. (CNBC)
Quote: “There’s no question that the health statistics of rural America are worse than the health statistics of more urban America.”—Robert Harrington, a cardiologist and dean of Weill Cornell Medicine, on the lack of cardiologists in rural parts of the US (the Washington Post)
Read: Critics say that UnitedHealth has used questionable tactics and exploitation to achieve dominance in healthcare. (Stat)
CITE: https://www.r2library.com/Resource
Intel is slashing 15% of its staff as part of a $10 billion plan to reduce costs, the tech company announced in its second-quarter earnings Thursday.
CITE: https://tinyurl.com/tj8smmes
Visualize: How private equity tangled banks in a web of debt, from the Financial Times.
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Filed under: Drugs and Pharma, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors | Tagged: banks, cardiologists, colon cancer, DJIA, DOW, Health Insurance, Intel, Marcinko, NASA, NASDAQ, S&P 500, textbooks, TNX, UnitedHealth, VIX, Weill Cornell Medicine, WSJ | Leave a comment »
Jerome Powell says September rate cut could be “on the table”
By Staff Reporters
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Jerome Powell isn’t known for being direct, but he made an exception yesterday, saying an interest rate cut could come “as soon as the next meeting” in September after the FOMC kept rates steady at the two-decade high they’ve been at since last July.
“We’re getting closer to the point at which it’ll be appropriate to reduce our policy rate,” he said. “But we’re not quite at that point.”
It’s a change from Powell’s other recent statements, which were hazier on the timing, though he did say the decision to cut rates still depends on inflation continuing to cool.
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Filed under: "Ask-an-Advisor", Accounting, Alerts Sign-Up, Experts Invited, Financial Planning, Glossary Terms, Investing | Tagged: fed, Federal Reserve, FOMC, inflation, interest rates, IRS, Jerome Powell, Powell | Leave a comment »
If you wanted hiking footwear, you probably would be surprised if a salesperson at an outdoors store suggested flip-flops. You would expect someone knowledgeable about hiking to recommend sturdy boots or shoes more suitable for your needs.
In the same way, if you consulted someone who sells financial products, you probably would expect them to recommend investments that are suitable for your needs. In fact, securities law provides a “suitability” standard for financial advisers who receive commissions for selling products like insurance, annuities, or non-public REITs.
Definition
Unfortunately, when it comes to investments, the word “suitability” does not mean what you probably think it means. It requires only that the adviser is honest with you and that you are legally able to evaluate and purchase the product. It does not require that the product be good for you to own in terms of being best for or even appropriate for your needs.
On the other hand, securities law requires advisers who charge fees for financial advice to be held to a “fiduciary” standard, which means they must be impartial, unbiased, and work as an advocate for clients.
http://www.HealthDictionarySeries.org
Assuming a financial representative is giving you “fiduciary” advice when in fact that person is only required to provide “suitable” advice could mean the difference between investment success or financial disaster. I mean for that to sound dire and alarming, because it is. I will even dare to say that understanding the difference between fiduciary and suitable advice is more important than the investment itself.
My alarmist opinion is supported by a recent article, “The Real Cost(s) of Suitability,” by financial editor Bob Veres. To find out whether consumers are actually harmed by relying on “suitable” advice, he gathered stories from over 100 subscribers to his Inside Information newsletter, most of whom are fiduciaries.
These examples are heartbreaking.
They include:
Veres quoted Kathleen Campbell, of Campbell Financial Partners in Fort Myers, FL, as saying, “Suitable means plenty suitable for the broker and not so suitable for the client.” She called suitability “one of the biggest farces in the financial advisory world.”
I absolutely agree. It is essential to know whether a financial representative is held to a fiduciary or suitability standard.
Here’s how to tell the difference:
Assessment
Understanding when you are getting impartial advice that’s in your best interests, and when you are getting conflicted and biased advice that is in the adviser’s best interest, is critical to your financial health.
Please, be wary of advisers whose recommendations emphasize “no fees.” Their “suitable” advice may leave you in a perilous situation—one much worse than wandering through the wilderness in flip-flops instead of hiking shoes.
Conclusion
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Filed under: "Ask-an-Advisor", Ethics, Experts Invited, Financial Planning, Investing | Tagged: agent, broker, brokerage, fiduciary, Rick Kahler CFP®, suitability rule | 1 Comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
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Five years after Theranos went dark, a couple of startups have managed to develop the futuristic tech, according to the Wall Street Journal.
CITE: https://www.r2library.com/Resource
Here’s where the major benchmarks ended:
Rite Aid has been in Chapter 11 bankruptcy since October and has closed nearly 700 locations. CVS (CVS) and Walgreens (WBA) have managed to stay solvent, but both companies have been closing stores as well.
CITE: https://tinyurl.com/tj8smmes
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Filed under: Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors | Tagged: Babson Diagnostics, Becton Dickinson, CVs, DJIA, DOW, Marcinko, NASA, NASDAQ, Rite Aid, S&P 500, SPX, textbooks, Theranos, TNX, VIX, walgreens, WBA, WSJ | Leave a comment »
By Staff Reporters
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Bill Ackman’s fund postpones IPO
The billionaire hedge fund boss and frequent main character on X has delayed the stock market debut of the closed-end fund Pershing Square USA, which was scheduled for early next week, a notice on the New York Stock Exchange’s website said.
The decision to wait came days after Ackman said in a letter to investors that the firm was downsizing its expectations for the share sale from a target of about $25 billion (which would have made it the largest-ever IPO of its kind) to something between $2.5 billion and $4 billion.
Ackman has a similar fund already trading shares in Europe and has hinted he might take his larger firm, Pershing Square, public as soon as next year.
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SMART CONTRACTS
Wolfram Alpha is an online mathematical search engine launched in March 2009 and developed by Stephen Wolfram. It seeks to answer factual queries directly by computing the answer from structured data, rather than providing a list of web pages that might contain the answer.
In this way, WA differs from traditional semantic search engines, which index a large number of answers and then try to match the question to one. Wolfram Alpha has many parallels with Cyc, a project aimed since the 1980s at developing a common-sense inference engine. Wolfram Alpha is built on Wolfram’s earlier flagship product, Mathematica, which encompasses computer algebra, symbolic and numerical computation, visualization, and statistics capabilities.
With Mathematica running in the background, WA is suited to answer mathematical questions. The answer usually presents a human-readable solution.
Link: http://www.wolframalpha.com/
Technology
Wolfram Alpha is written in about 5 million lines of Mathematica (using webMathematica and gridMathematica) code and runs on 10,000 CPUs. As well as being a web site, Wolfram Alpha provides an API (for a fee) that delivers computational answers to other applications. One such application is the Bing search engine.
Capabilities
As an example, one can input the name of a website, and it will return relevant information about the site, including its location, site rank, number of visitors and more. The database currently includes hundreds of datasets, including current and historical weather, drug data, star charts, currency conversion, and many others. The datasets have been accumulated over approximately two years, and are expected to continue to grow. The range of questions that can be answered is also expected to grow with the expansion of the datasets.
Audio: http://www.wolframalpha.com/screencast/introducingwolframalpha.html
Utility and Usefulness
Wolfram Alpha is ideal for use by all readers and subscribers of the ME-P. It may be used by doctors, nurses, financial advisors and insurance agents, economists, mathematicians, editors, and publishers, teachers and students of all academic levels. The graphical nature of output is particularly helpful.
Assessment
Wolfram Alpha has received mixed reviews, to date. Advocates point to its potential, some even stating that how it determines output result is more important than current usefulness.
Note: Info courtesy wikipedia.org
Conclusion
And so, your thoughts and comments on this ME-P are appreciated. Give Wolfram Alpha a click, listen to the audio-cast, and tell us what you think. 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.
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PUBLISHER’S NOTE: From time-to-time the ME-P might re-post an essay or opinion of vital interest to our readers and industrial ecosystem. This article is one of those times from an Award Winning Blogger and physician colleague from the Disrupted Physician. Feel free to visit his website directly and support his work as you deem fit.
https://www.gofundme.com/PHPReform
The Ability for Hospitals to Hide behind the Immunity of HCQIA and the Abuse and Coercion by the PHP: my story and caveats.
I have been asked to write a guest blog and whole heartedly agreed. I am not afraid to tell my story ……
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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.
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OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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Filed under: Experts Invited, Health Law & Policy, Risk Management | Tagged: Disrupted Physician, Dr. Daniel Vande Lune, HCQIA, Michael Lawrence Langan MD | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
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In the second quarter, 14 healthcare organizations spent more than a million dollars lobbying the federal government for healthcare policy change, led by the American Hospital Association and AARP.
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Sen. Ed Markey (D-Massachusetts) and Rep. Pramila Jayapal (D-Washington) introduced strengthened legislation to rein in the actions of private equity firms that invest in healthcare facilities. The Health Over Wealth Act would require PE firms to put out reports on the facilities’ pay of executives, set up escrow accounts and receive a license from the Department of Health & Human Services prior to investing in healthcare facilities.
The Federal Open Market Committee (FOMC) meeting ending tomorrow is widely expected to conclude with no interest rate move. Instead, it could serve as a platform to help prepare market participants for a possible cut at the September meeting.
Here’s where the major benchmarks ended:
CITE: https://tinyurl.com/tj8smmes
Visualize: A key measure of employer healthcare costs is poised for its biggest annual increase in more than a decade as more people use mental health care and get prescriptions for new, expensive drugs—yes, including Ozempic—according to a new PwC report.
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Filed under: Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors | Tagged: AARP, AHA, DJIA, DOW, health over wealth, healthcare costs, healthcare lobbyists, Marcinko, NASA, NASDAQ, Private Equity, PwC, S&P 500, SPX, technology stocks down, textbooks, TNX, VIX, WSJ | Leave a comment »
BREAKING NEWS
Story by Andrew Griffin • 4h ago
By Staff Reporters
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Microsoft’s online service have been hit by another outage, days after an IT meltdown that brought much of the world to a halt. The company said it was investigating reports of user problems accessing its services, with some reporting being unable to access email and other functions.
An alert on the technology giant’s service status website said it was looking into a “network infrastructure” issue that was impacting access to Microsoft services.
The incident comes less than two weeks after a major global IT outage knocked global infrastructure including transportation and healthcare services offline because of a flawed software update from cybersecurity firm CrowdStrike affected Microsoft devices.
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Filed under: Breaking News, Experts Invited, Information Technology | Tagged: CrowdStrike, global it outage, HIT, Information Technology, IT, it outage, MSFT | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
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Here’s where the major benchmarks ended:
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Visualize: How private equity tangled banks in a web of debt, from the Financial Times.
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Filed under: Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors | Tagged: DJIA, DOW, Marcinko, NASA, NASDAQ, S&P 500, SPX, textbooks, TNX, VIX, WSJ | Leave a comment »
By Vitaliy Katsenelson CFA
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| Despite the S&P 500 showing gains in the mid-teens, the average stock on the market is either up slightly or flat for the year. Most of the gains in the index came from the Magnificent 7 stocks, which constitute 35% of the index! The equal-weighted index, where the Magnicent 7 have only a 1.4% weight, is up only about 4% this year (as of this writing). The Magnificent 7 are starting to look like the Nifty Fifty stocks from the 1970s (Kodak, Polaroid, Avon, Xerox, and others) – stocks you “had to own” or you were left behind – until all your gains were taken away or you faced a decade or two of no returns. Forty years later, it’s easy to dismiss these companies as has-beens. They’ve all either gone bankrupt or become irrelevant. But back then, they were the stars of corporate America, just like the Magnificent 7 are today. As an investor, it’s crucial to know which games you play and which ones you don’t. Let me explain: The Magnificent 7 and the Dangers of Market Hype |
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Filed under: "Ask-an-Advisor", Experts Invited, Financial Planning, Funding Basics, Investing | Tagged: Magnificent 7, magnificent seven, MSFT, NASDAQ, Nifty Fifty, Nvidia, S&P 500, technology stocks, Vitaliy Katsenelson CFA | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
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A magnificent earnings week is on tap: Four of the Magnificent Seven—Microsoft, Meta, Amazon, and Apple—will drop their reports throughout this week.
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Technology stocks were down last week but investors are encouraged by signs that 2024’s rally—which had been underpinned by a handful of Big Tech companies—is spreading to a broader swath of the market. For instance, the industrial focused Dow Jones Industrial Average has gained for four straight weeks, and the small-cap Russell 3000 is now up 14% this year. All eyes will be on the upcoming Federal Reserve meeting and the busiest earnings week of the season.
Donald Trump pledges to make the US “the crypto capital of the planet.” The former president pitched himself as the pro-crypto candidate in a keynote speech at the Bitcoin 2024 conference in Nashville. He told the audience that, if elected, he’d fire SEC Chair Gary Gensler (whom the crypto community accuses of waging a war on crypto) and install regulators friendly to digital tokens. He also said he’d create a strategic national crypto stockpile as part of a plan to make the US the “bitcoin superpower of the world.”
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Consider two numbers: $568.34 and $60.09. The first is Zoom’s highest closing stock price, from October 2020; the second is its stock price today. That’s an 89% decline, caused by more workers heading back into the office (even Zoom employees) and competition from rival products by Microsoft and Google.
Visualize: How private equity tangled banks in a web of debt, from the Financial Times.
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Filed under: Financial Planning, Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors | Tagged: Bitcoin, crypto, DJIA, DOW, Financial Times, FOMC, magnificent seven, Marcinko, NASDAQ, Private Equity, S&P 500, SEC, technology stocks, textbooks, Trump, zoom | Leave a comment »
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By MCOL
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• 25% of primary care doctors delivered 86% of medical care.
• 25% of specialists on average provided 75% of medical care.
• 16.3% of physicians listed in Medicaid managed care plan provider network directors in a year qualified as ghost physicians (seeing zero Medicaid beneficiaries over the course of the year in an outpatient setting).
• The share of ghost physicians ranged from 13.4% to 24.9% across states.
Source: Health Affairs via Fierce Healthcare, May 5, 2022
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Filed under: Career Development, Glossary Terms, Health Insurance, Managed Care, Research & Development, Surveys and Voting | Tagged: medical care, primary care | Leave a comment »
By Eric Bricker MD
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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Economics, Health Insurance | Tagged: concierge medicine, Eric Bricker MD, Health Insurance, patients, primary care, scaling primary care | Leave a comment »
By Health Capital Consultants, LLC
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On June 28, 2024, the U.S. Supreme Court issued a seismic decision explicitly overruling the “Chevron doctrine,” which will limit the ability of federal agencies to rely on their own interpretation of the laws they administer.
Under the Chevron doctrine, more commonly referred to as Chevron deference, courts were mandated to uphold a federal agency’s interpretation of a statute as long as it was reasonable.
This Health Capital Topics article discusses the Chevron doctrine, the Supreme Court’s decision, and the impact of this ruling on the healthcare industry. (Read more…)
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By Staff Reporters
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According to Wikipedia, front running, also known as tailgating, is the practice of entering into an equity (stock) trade, option, futures contract, derivative, or security-based swap to capitalize on advance, nonpublic knowledge of a large (“block”) pending transaction that will influence the price of the underlying security. In essence, it means the practice of engaging in a personal or proprietary securities transaction in advance of a transaction in the same security for a client’s account.
Front running is considered a form of market manipulation in many markets. Cases typically involve individual brokers or brokerage firms trading stock in and out of undisclosed, unmonitored accounts of relatives or confederates. Institutional and individual investors may also commit a front running violation when they are privy to inside information.
A front running firm either buys for its own account before filling customer buy orders that drive up the price, or sells for its own account before filling customer sell orders that drive down the price. Front running is prohibited since the front-runner profits come from nonpublic information, at the expense of its own customers, the block trade, or the public market.
CITE: https://www.r2library.com/Resource
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High-profile short seller accused of fraud.
Citron Research founder Andrew Left is used to being the one calling out fraud, but federal prosecutors and the SEC claimed he’s the one pulling a financial fast one. The government alleges that Left committed securities fraud by using his appearances on television and his social media accounts to make misleading statements that manipulated the market—and reaped $16 million in profit for doing so.
Left declined to comment to news outlets, but his lawyer told the Wall Street Journal that the government’s cases were “based on a defective theory” and targeted Left for sharing his opinions.
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Filed under: "Ask-an-Advisor", Accounting, Ethics, Financial Planning, Glossary Terms, Investing | Tagged: Andrew Left, Citron Research, SEC, stock fraud, Stock Market Front Running, tailgating | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
http://www.MedicalBusinessAdvisors.com
SPONSORED BY: Marcinko & Associates, Inc.
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According to a recent report in the Washington Post, a $3 billion scam involving urinary catheters has brought to light serious flaws in Medicare, prompting strong calls for reform.
CITE: https://www.r2library.com/Resource
Here’s where the major benchmarks ended:
The US is raising alarm bells about a North Korean hacking group that broke into NASA, two US Air Force bases, and several defense companies. The FBI, NSA and State Department just called out the North Korean hacking group “Andariel” for committing cyber espionage and using ransomware attacks on US hospitals to fund its operations.
CITE: https://tinyurl.com/tj8smmes
Stat: 524. That’s how many employees Optum is laying off in California. (Becker’s Health IT)
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Filed under: "Ask-an-Advisor", "Doctors Only", Breaking News, Drugs and Pharma, Ethics, Experts Invited, Financial Planning, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors | Tagged: Andariel, CBOE, cyber espionage, DJIA, FBi, Hacking hospitals, Marcinko, NASA, NASDAQ, North Korea, OPTUM HEALTH, S&P 500, textbooks, TNX, VIX, WSJ | Leave a comment »
What’s the difference between an IPO, a special purpose acquisition company (SPAC), and a direct listing?
[By staff reporters]
IPOs are a 6–12 month journey where a company works with investment banks and underwriters, who buy a bunch of shares and then sell them to investors in the public market during the actual IPO. Early investors are able to liquidate their shares, and the company raises new funds.
Direct listings skip the underwriting hullabaloo. But without that stability guarantee, direct listings can result in a more volatile opening. Some companies, like Coinbase, find that it’s worth it to keep their hard-earned money out of bankers’ hands.
SPACs, aka “blank-check companies,” offer yet another alternative path to public markets. A SPAC is a shell company that raises money through the traditional IPO process, then merges with a private company and takes it public.
MORE: https://medicalexecutivepost.com/2019/06/24/what-is-a-direct-listing-process-on-wall-street/
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Filed under: "Ask-an-Advisor", Accounting, Financial Planning, Funding Basics, Investing | Tagged: direct listing, IPO, SPAC, stock markets, underwriters | 12 Comments »
By Staff Reporters
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The Dow Jones Industrial Average is a collection of 30 “blue-chip” U.S. stocks. Blue chip = big, established, and influential companies like Microsoft, JPMorgan, Disney, and McDonald’s. The Dow recently updated its roster, swapping ExxonMobil, Pfizer, and Raytheon for Salesforce, biotech Amgen, and manufacturing heavyweight Honeywell.
The Dow is weighted by share price, so higher-priced stocks have more influence on the index’s total value. Price-weighting also means that if the price of any stock in the Dow changes by $1, it has the same impact on the index, even though a $1 increase to a stock worth $20 is more significant (relatively) than a $1 change to a stock worth, say, $40.
At 124 years old, the Dow has had plenty of time to cement its reputation as a leading indicator of the stock market. But with only 30 stocks representing a smattering of U.S. corporate titans, it’s not exactly representative.
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At one point the Dow Jones Industrial Average was up 585 points before it sold off later yesterday afternoon, though it wrapped the trading session with a small win. The S&P 500 fought its way into positive territory but struggled to stay there, eventually sinking into negative territory at the end of the day.
As for the NASDAQ, the tech selloff continued to punish the index for most of yesterday afternoon. Treasury yields fell a bit on positive GDP news, though the big PCE [personal consumption expenditures] announcement is the one investors have been waiting for.
Oil popped on a stronger than expected GDP reading, with traders banking on future economic growth and stronger oil demand.
Bitcoin sank a bit yesterday ahead of a major conference that could set the tone for the entire digital asset industry for years to come.
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Filed under: "Ask-an-Advisor", Experts Invited, Financial Planning, Funding Basics, Glossary Terms, Investing | Tagged: Bitcoin, bonds, DJIA, DJIA stock index, DOW, GDP, NASDAQ, oil, S&P 500, Treasury yields | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
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The Wall Street Journal explores what Kamala Harris as president would mean for the economy. (the Wall Street Journal)
CITE: https://www.r2library.com/Resource
Here’s where the major stock market benchmarks ended:
Thousands of seniors are losing coverage at local hospitals as problems plague Medicare Advantage. Lower payout rates for Medicare and Medicaid are sparking insurance companies to leave certain areas and change coverage options across the country.
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CITE: https://www.r2library.com/Resource
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By Staff Reporters
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What it is: The NASDAQ Composite is an index composed of 2,500+ stocks as well as other equities such as American Depository Receipts [ADRs] and Real Estate Investment Trusts [REITs].
How it works: Unlike the DJIA, the NASDAQ weights by market cap (number of outstanding shares a company has multiplied by the share price), a setup that gives extra-large companies an extra-large impact. The NASDAQ is also heavily skewed toward tech companies, which account for nearly half the index’s total value.
Why it matters: As the world’s first electronic [e]-exchange, the NASDAQ has historically attracted more tech-focused companies. While the index tracks more stocks than the S&P and Dow combined, tech’s heavy influence means the NASDAQ doesn’t always illustrate how other industries are faring. The index can also be volatile because it includes more small, speculative companies.
CITE: https://www.r2library.com/Resource
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And so, Big Tech and the NASDAQ suffered big losses yesterday after Tesla and Alphabet posted disappointing quarterly results the day before.
The Magnificent Seven tech stocks lost a combined $750 billion in market cap for their worst day ever, while the S&P 500 and the NASDAQ had their worst days since 2022—with the S&P ending its longest streak without a 2% dip since the financial crisis began in 2007, as per Bloomberg.
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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Financial Planning, Glossary Terms, Health Economics, Investing | Tagged: ADRs, Alphabet, big technology, Bloomberg, DJIA, DOW, magnificent seven, REITS, S&P 500, Tesla | Leave a comment »
By Vitaliy Katsenelson, CFA
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DEFINITION: What Is a Brokerage Account?
A brokerage account is an investment account held at a licensed brokerage firm. An investor deposits funds into their brokerage account and the brokerage firm transacts orders for investments such as stocks, bonds, mutual funds, and exchange-traded-funds (ETFs) on their behalf. The assets in investment accounts belong to the investors, who normally must report as taxable the income derived from the account.
CITE: https://www.r2library.com/Resource
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READ: Banking Crisis: Is my brokerage account safe?
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Filed under: Breaking News, Career Development, Ethics, Experts Invited, Investing, Op-Editorials | Tagged: brokerage account, brokerage account safety, Cavities Blamed on Patients, Is my brokerage account safe, Vitaliy Katsenelson CFA | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
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You’ve heard of an emergency department and an urgent care center, but have you heard of a freestanding emergency department (FSED)? While only 1% of FSEDs were freestanding in 2001, that figure jumped to 11% in 2016, totaling 566 facilities nationwide. The concept of FSEDs dates back to the 1970s, when these facilities provided emergency care to people in rural areas who didn’t have convenient access to hospitals. In 2001, there were only 50 FSEDs in the US—now there are about 745, according to 2018 research by the Emergency Medicine Network, which Herscovici worked on.
CITE: https://www.r2library.com/Resource
Here’s where the major benchmarks ended:
The Centers for Medicare and Medicaid Services (CMS) proposed CPT payment codes for some digital therapeutics products for the first time, potentially paving a pathway toward widespread reimbursement for the nascent industry.
CITE: https://tinyurl.com/tj8smmes
In 2025, medical costs are projected to increase 8% in the group market and 7.5% in the individual market—the highest levels seen in 13 years—according to an analysis from consulting firm PwC’s Health Research Institute. The anticipated rise is mainly pinned on inflationary pressure, expensive pharmaceuticals, and an increasing number of patients seeking mental health care, analysts found.
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Filed under: "Ask-an-Advisor", "Doctors Only", Breaking News, Drugs and Pharma, Ethics, Experts Invited, Financial Planning, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology, Investing, Marcinko Associates, Recommended Books | Tagged: CBOE, CMS, CPT codes, digital therapeutics, DJIA, ED, emergency room, ER, freestanding emergency department, FSED, Health Insurance, Marcinko, medical costs, NASDAQ, NASDAQ collapse, PwC, S&P 500, textbooks, TNX, VIX, WSJ | Leave a comment »
By Health Capital Consultants LLC
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On June 12, 2024, the Centers for Medicare & Medicaid Services (CMS) released their health insurance enrollment and national health expenditure (NHE) projections for 2023 through 2032. The annually-updated NHE is the official U.S. estimate of insurance enrollment and health spending. CMS projects that, between 2023 and 2032, the NHE’s annual growth rate of 5.6% will surpass the U.S. gross domestic product (GDP) annual growth rate of 4.3%. As a result, health spending as a share of the U.S. GDP is expected to jump from 17.3% in 2022 to 19.7% in 2032.
This Health Capital Topics article reviews the notable findings from CMS’s projections. (Read more…)
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Filed under: "Advisors Only", "Doctors Only", Drugs and Pharma, Ethics, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: Centers for Medicare & Medicaid Services, CMS, GDP, Health Capital Consultants LLC, National Health Expenditure, NHE | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
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Stat: 13%. That’s how much millennial and Gen Z spending increased year over year, according to American Express earnings released last week. Amex reported slower growth in travel and entertainment compared to the previous quarter, but restaurant spending “remained strong.” (PYMNTS)
CITE: https://www.r2library.com/Resource
Here’s where the major stock market benchmarks ended:
Kidney care giant DaVita has agreed to pay nearly $34.5 million to settle allegations that it paid kickbacks for referrals to its former DavitaRx subsidary.
And … Ardent Health was targeting a $300 million IPO but raised just $192 million.
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Filed under: "Ask-an-Advisor", Breaking News, Drugs and Pharma, Ethics, Experts Invited, Financial Planning, Health Economics, Health Insurance, Information Technology, Investing, Marcinko Associates | Tagged: AMEX, AMX, Ardent Health, CBOE, DaVita, DJIA, Gen Z, Marcinko, NASDAQ, S&P 500, textbooks, TNX, VIX, WSJ | Leave a comment »
By Staff Reporters
Standard & Poor’s 500 Stock Index
What it is: Investment company Standard & Poor’s maintains an index of 500 stocks from the largest companies listed on the NASDAQ and New York Stock Exchange. To be eligible for consideration, companies have to meet certain criteria—including a market cap of $8.2+ billion, a U.S. headquarters, and positive earnings for at least four consecutive quarters. They can be kicked out if they slip.
How it works: Companies are weighted by their market cap, specifically their float-adjusted market cap (which only counts shares that are theoretically available for retail investors to buy). That means the S&P skews toward larger cap companies, and tech stocks now account for over a quarter of the index’s total value.
Why it matters: With 500 stocks covering a broad range of industries, the S&P is widely considered the best indicator of large-cap stocks in the U.S. While the S&P’s weighting-by-market-cap method is more common than the Dow’s weighting by share price, it does introduce some risk that overvalued stocks will inflate the overall index.
CITE: https://www.r2library.com/Resource
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Technology stocks staged strong a comeback yesterday, giving the S&P 500 its best day since early June.
For example, Nvidia led the pack, thanks in part to reports that it’s developing an AI chip for the Chinese market.
But, one company notably excluded from the tech party was CrowdStrike, which continued to plunge after causing worldwide chaos with a bad update.
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Filed under: Alerts Sign-Up, Glossary Terms, Information Technology, Investing | Tagged: AI, CrowdStrike, Cyber Security, IT, Nvidia, S&P 500, Standard & Poor's, technology stocks | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
http://www.MedicalBusinessAdvisors.com
SPONSORED BY: Marcinko & Associates, Inc.
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Here’s where the major stock market benchmarks ended:
The Cboe Volatility Index® (VIX) fell sharply to 14.91.
The S&P 500® index (SPX) rose 59.41 points (1.1%) to 5,564.41; the Dow Jones Industrial Average® ($DJI) climbed 127.91 points (0.3%) to 40,415.44; the NASDAQ Composite® ($COMP)jumped 280.63 points (1.6%) to 18,007.57.
The 10-year Treasury note yield (TNX) added two basis points to 4.26%.
CITE: https://www.r2library.com/Resource
The US House of Representatives Committee on Oversight and Accountability is holding a hearing tomorrow, bringing in PBMs from around the US to testify on “their role in rising healthcare costs.” The hearing comes soon after an FTC report found PBMs to have an “outsized influence” on drug pricing.
CITE: https://tinyurl.com/tj8smmes
The February cyberattack on a UnitedHealth Group subsidiary may have exposed the health data of one in three Americans, but the nation’s largest health insurance company by market cap and revenue returned to profitability in the second quarter, beating Wall Street expectations and reporting net income of $4.2 billion.
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Filed under: "Ask-an-Advisor", Breaking News, Drugs and Pharma, Ethics, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors | Tagged: CBOE, DJIA, FTC, Marcinko, NASDAQ, opioids, PBM, PBMs, S&P 500, SPX, Technology, textbooks, TNX, UnitedHealth Group, VIX, WSJ | Leave a comment »
By Staff Reporters
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Earnings announcements are a public statement of a company’s profitability for a specific period of time, such as a quarter (90 days) or a year. Equities research analysts will issue estimates of the company’s earnings numbers prior to its announcement date, which is generally set weeks or months in advance. If a company releases better results than analysts predict, its share price will generally rise after the announcement. Below you will find a list of public companies announcing their earnings results this week.
CITE: https://www.r2library.com/Resource
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Earnings reports to feast on them this week. About one-quarter of S&P 500 companies will release their Quarter 2nd financials, including Alphabet, Coca-Cola, Tesla, UPS, Visa, Chipotle, Comcast, GM, and Southwest Airlines.
And if you have room for more economic data, the government will release its first estimate of Q2 GDP on Thursday and an important inflation gauge on Friday.
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Filed under: Breaking News, Experts Invited, Financial Planning, Funding Basics, Glossary Terms, Health Economics, Information Technology, Investing, LifeStyle | Tagged: corporate earnings, earnings report, Q2 earnings, S&P 500 | Leave a comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
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SPONSORED BY: Marcinko & Associates, Inc.
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Shares of Charles Schwab (NYSE: SCHW) fell over 15% last week, according to data from S&P Global Market Intelligence. One of the largest brokerages posted slow growth and poor earnings as the company deals with low-yielding assets on its balance sheet. As of 1:31 p.m. ET on Friday, July 19th, Charles Schwab stock was down 17.5% this week.
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Activist investor Elliott Investment Management has reportedly built up a substantial stake in Starbucks and has been pushing the coffee chain to improve its stock price.
Markets: The S&P 500 logged its worst week since April as investors pulled back from Big Tech stocks. CrowdStrike fell because causing a global IT outage is not good (more on that in a sec).
CITE: https://tinyurl.com/tj8smmes
In a recent video, finance YouTuber Lena Petrova highlighted the troubling financial state of U.S. banks as they report significant losses and increase their reserves to cover a surge in loan delinquencies. With the second quarter results rolling in, it’s evident that the banking sector is under considerable strain.
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Filed under: "Ask-an-Advisor", Breaking News, Drugs and Pharma, Experts Invited, Health Economics, Information Technology, Investing, Marcinko Associates, Recommended Books, Sponsors, Touring with Marcinko, Videos | Tagged: CBOE, CrowdStrike, DJIA, Elliott Investment Management, lena petrova, Marcinko, NASDAQ, S&P 500, Schwab, Starbucks, textbooks, TNX, US banks, VIX, WSJ | Leave a comment »
By Vitaliy Katsenelson CFA
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Interest rates that stay low and actually keep declining for almost a quarter of a century slowly propagate deep into the fabric of the economy.
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| Interest rates went up and refused to decline. They are high in relation to where they came from, but they look reasonable in relation to inflation, which is running about 3%. Bulls argue that current interest rates only appear to be high in relation to the last 20 years, and they are actually low if you look at the 30 years before the turn of the century. This argument is historically accurate, but it is missing a very important point – interest rates that stay low and actually keep declining for almost a quarter of a century slowly propagate deep into the fabric of the economy. Let me try this analogy. HERE: Understanding Today’s Economic Landscape |
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Filed under: "Advisors Only", "Ask-an-Advisor", Experts Invited, Investing | Tagged: bears, bulls, economic landscape, FOMC, interest rates, Vitaliy Katsenelson CFA | Leave a comment »
KAMALA HARRIS IN
BREAKING NEWS!

By Staff Reporters
WASHINGTON − President Joe Biden said he is ending his bid for reelection amid intense pressure from Democratic leaders sounding the alarm that his path to beat former President Donald Trump in November has vanished.
The president’s historic withdrawal throws the 2024 race − already roiled by a shocking attempt on Trump’s life − into uncertain territory, with Vice President Kamala Harris seen as the Democrat best placed to take Biden’s place atop the party’s ticket. Biden did not immediately endorse a successor but did so later.
Biden just made the announcement Sunday from his home in Rehoboth Beach, Del., where he’s self-isolated since testing positive for COVID-19 Thursday night.
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By Staff Reporters
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Orthopedic doctors and surgeons earn on average 558 thousand U.S. dollars annually. This makes Orthopedic doctors and surgeons the most well-compensated physicians in the United States as of 2024, followed by plastic surgeons. Plastic surgeons were, by far, the highest earning physicians in the U.S. in 2023. An orthopedic physician specializes in injuries and diseases involving bones, muscles, joints, nerves and other parts of the musculoskeletal system.
Although orthopedic doctors and surgeons have the highest average annual salary, from 2023 to 2024 their compensation actually decreased by 3 percent. In comparison, compensation for physicians specialized in physical medicine and rehabilitation increased 11 percent during this time, while plastic surgeons saw the largest decrease of 13 percent. The region with the highest annual compensation for physicians was West North Central in 2024, with physicians earning some 404 thousand U.S. dollars in this region.
There are currently around 29.2 active physicians per 10,000 people in the U.S. Around 29 percent of physicians in the U.S. are aged between 56 and 65 years, while only 11 percent are 35 years or younger. The vast majority of physicians are employed by hospitals or groups and work an average of 51 hours per week.
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Medicare Rates in 2025 Would Cut Pay For Docs by About 3%
And so, Federal officials on July 11th proposed Medicare rates that effectively would cut physician pay by about 3% in 2025, touching off a fresh round of protests from medical associations. The 2025 draft base rate, or conversion factor, is slated to drop to $32.36 from the current level of $33.29, the Centers for Medicare & Medicaid Services said.
This proposed cut is mostly due to the 5-year freeze in the physician schedule base rate mandated by the 2015 Medicare Access and CHIP Reauthorization Act (MACRA). Congress designed MACRA with an aim of shifting clinicians toward programs that would peg pay increases to quality measures.
Source: Kerry Dooley Young, MD Edge [7/11/25]
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Filed under: "Doctors Only", Career Development, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: CHIP, CMS, doctor pay, doctor salary, Kerry Dooley, MACRA, MD Edge, medicare | Leave a comment »
[By staff reporters]
In economics, the Golden Rule savings rate is the rate of savings which maximizes steady state level or growth of consumption, as for example in the Solow growth model.
Although the concept can be found earlier in John von Neumann and Maurice Allais‘s works, the term is generally attributed to Edmund Phelps who wrote in 1961 that the golden rule “do unto others as you would have them do unto you” could be applied inter-generationally inside the model to arrive at some form of “optimum“, or put simply “do unto future generations as we hope previous generations did unto us.”
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The Solow growth model
In the Solow growth model, a steady state savings rate of 100% implies that all income is going to investment capital for future production, implying a steady state consumption level of zero. A savings rate of 0% implies that no new investment capital is being created, so that the capital stock depreciates without replacement. This makes a steady state unsustainable except at zero output, which again implies a consumption level of zero.
Somewhere in between is the “Golden Rule” level of savings, where the savings propensity is such that per-capita consumption is at its maximum possible constant value.
Assessment
Put another way, the golden-rule capital stock relates to the highest level of permanent consumption which can be sustained.
Conclusion
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Filed under: Glossary Terms, Health Economics, Healthcare Finance, Investing, Marcinko Associates | Tagged: Golden Rule Savings Rate?, Marcinko, Solow growth model? | 1 Comment »
MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
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SPONSORED BY: Marcinko & Associates, Inc.
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CrowdStrike saw its share price plummet Friday, although it is still up ~24% YTD. At $74.2 billion, CrowdStrike has the second-largest market cap in the IT security industry, behind only Palo Alto Networks ($107.1 billion), and reported $900 million in revenue for the quarter ending in April, per Reuters. It’s got ~29,000 customers, which is part of why the outage caused so much havoc.
CITE: https://www.r2library.com/Resource
Crowdstrike Banks: Some traders at JPMorgan Chase, UBS, Bloomberg, and other financial institutions couldn’t execute orders yesterday morning, with one unnamed senior trader telling the Financial Times that it was “the biggest upset in years.”
CITE: https://tinyurl.com/tj8smmes
Crowdstrike Healthcare: Many hospitals—including some of the largest in Europe and the US—were forced to cancel all elective operations, routine appointments, and walk-ins, and online portals for most UK general practitioners went down.
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“Crisis”
By Staff Reporters
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A lack of insurance and high out-of-pocket costs make dental care unattainable for 69 million people in the US. (USA Today)
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MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
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42,500. That’s how many people died in car accidents in 2022, which experts believe was exacerbated during the Covid-19 pandemic, as reckless driving worsened and traffic enforcement decreased. (KFF)
“These attacks and breaches of data can literally mean the difference between life and death for patients, significantly impact hospital operations, and—with the average hack costing millions to address—increase healthcare prices across the board.”—Sen. Angus King about a bill he co-sponsored to improve cybersecurity in healthcare (Healthcare Dive)
CITE: https://www.r2library.com/Resource
Here’s where the major benchmarks ended:
It’s common for patients to delay or skip medical care due to high costs in the US—but data shows that fewer adults have done so in recent years.
CITE: https://tinyurl.com/tj8smmes
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By Staff Reporters [1 hours ago]
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People woke up to technological chaos this Friday morning as Microsoft suffered a massive, ongoing global IT outage, which is hitting airports, airlines, banks and broadcasters around the world. The problem appears to be with Microsoft 365 services and apps, which many companies and organizations rely on as part of their critical internet infrastructure. Perhaps most concerning of all, many states across the US have reported that their emergency 911 lines are down.
Microsoft said on X that it was aware of an issue impacting people’s ability to access 365 services late on Thursday. The latest update was issued around 4 a.m. ET/1 a.m. PT, when it said, “multiple services are continuing to see improvements in availability as our mitigation actions progress.” The company didn’t immediately respond to request for further comment.
According to CNET, the outage, which also took down the London Stock Exchange, has been linked to a faulty update from cybersecurity company CrowdStrike. The company handles the security of many Windows PCs and services around the world. The last time there was an internet outage this widespread was when a service called Fastly went down in 2021. It’s a reminder of how much of the internet is underpinned by shared infrastructure, which leaves it vulnerable to widespread issues such as this.
Nevertheless, this Medical Executive-Post remains strong; so far.
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MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
http://www.MedicalBusinessAdvisors.com
SPONSORED BY: Marcinko & Associates, Inc.
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The S&P 500 and NASDAQ both continued to sink under the weight of a tech selloff today, with semiconductors leading the way down. But even the Dow and Russell 2000, which have been the clear winners of the recent rally, took a beating today as investors assessed what a market rotation really means for them. 10-year Treasury yields bounced from recent lows as investors try to read between the lines of a full week of Fedspeak. Gold and oil both sold off a bit more today, though both remain near recent highs.
CITE: https://www.r2library.com/Resource
Here’s where the major benchmarks ended:
CITE: https://tinyurl.com/tj8smmes
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By Dr. David Edward Marcinko MBA MEd CMP
I grew up in SE inner city Baltimore, Maryland and played stick ball in the parking lot of JHU medical school. And so, I was gratified to learn that it is about to get a lot cheaper—for many students at Johns Hopkins University, at least.
Thanks Mike Bloomberg. Be like Mike!
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The former New York mayor, entrepreneur, and 1964 John Hopkins alum Michael Bloomberg donated $1 billion to the university, according to Bloomberg Philanthropies and the university in a recent announcement. Starting this fall, tuition will be free for students coming from households that earn less than $300,000 annually, and the gift will also cover living expenses and other fees for students from families with less than $175,000 in annual income.
CITE: https://www.r2library.com/Resource
Financial access to medical school is a challenge for many students: The median debt for the class of 2023 is $200,000, according to the Association of American Medical Colleges. This cost can discourage students from attending medical school at a time when the US needs more physicians; the association predicted that there will be a physician shortage of up to 86,000 doctors nationwide by 2036.
READ: https://tinyurl.com/bd6sbmvj
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By MEDICAL ECONOMICS
James Underberg, MD, discusses how he left a large health system to open his own practice, and provides tips for physicians considering the same move.
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Private Healthcare Equity: https://www.youtube.com/watch?v=tBwHu1uigoA
ME-P Business Plan: https://medicalexecutivepost.com/2022/04/05/get-your-free-medical-office-start-up-business-plan-from-imba-inc/
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as MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
http://www.MedicalBusinessAdvisors.com
SPONSORED BY: Marcinko & Associates, Inc.
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http://www.MarcinkoAssociates.com
| Daily Update Provided By Staff Reporters Since 2007. How May We Serve You? |
| © Copyright Institute of Medical Business Advisors, Inc. All rights reserved. 2024 |
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The Dow surged another 240 points as the cyclical rotation continues, sending the index to its 22nd record closing high of the year. The S&P 500 had its worst day since late April, while the NASDAQ slumped to its worst finish since December 2022. The last time the Dow rose on the same day the S&P 500 fell by more than 1% was all the way back in 1999. Gold hit a record high yesterday on hopes of a rate cut, not a hike. Oil bubbled up thanks to an Energy Information Administration report highlighting higher demand and lower crude inventories. Bond yields stayed steady throughout the trading session before sinking slightly 20-year Treasury bond auction.
CITE: https://www.r2library.com/Resource
Here’s where the major benchmarks ended:
UnitedHealth Group has bounced back in the second quarter, reaffirming its guidance for the year as it posts a profit of $4.2 billion.
An audit of Aetna Health of Texas found significant errors in how the health plan calculated the qualifying payment amount for air ambulance services, raising more questions over broader noncompliance in the industry for the No Surprises Act.
And … clinical decision software company Regard pocketed $61 million in series B funding to scale its reach in healthcare as investors have a growing appetite for AI-powered startups.
CITE: https://tinyurl.com/tj8smmes
A study published in JAMA this month found that nearly 7% of the US population (or roughly 18 million people) have had long Covid. Symptoms of the condition vary widely, but often include fatigue, brain fog, and post-exertional malaise (meaning symptoms worsen after minimal exertion), according to the CDC. Booster shots may help protect against long Covid, the JAMA study suggested.
And, President Joe Biden tested positive for COVID-19 while campaigning in Las Vegas with ‘mild symptoms’.
Physician burnout is on the decline after spiking to unprecedented levels during the Covid-19 pandemic, according to a survey from professional group the American Medical Association (AMA).
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By Staff Reporters
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A Non-Disclosure Agreement (or “NDA”) is an agreement under which a party (the “Recipient”) agrees not to disclose proprietary and confidential information (“Confidential Information”) that it receives from another party (the “Owner”).
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Surgeon to Pay $5 Million for Restriction of Negative Reviews, Directing Fake Reviews
A Seattle plastic surgeon who illegally restricted patients from posting negative reviews about his practice and directed his staff to post fake positive reviews will pay $5 million for violating Washington state’s consumer protection law. According to a July 1 consent decree, Javad Sajan, MD, and his practice Allure Esthetic must pay $1.5 million in restitution to 21,000 patients and $3.5 million to the state for manipulation of patient ratings.
CITE: https://www.r2library.com/Resource
FTC: https://consumer.ftc.gov/consumer-alerts/2022/09/should-we-trust-online-reviews
The settlement resolves a federal lawsuit brought by Washington State Attorney General Bob Ferguson that accused the doctor of illegally suppressing patients’ negative reviews by “forcing” them to sign nondisclosure agreements (NDAs) before they received care. In an April decision, US District Judge Ricardo S. Martinez sided with the state, ruling that Allure Esthetic’s actions violated the federal Consumer Review Fairness Act (CRFA).
Source: Alicia Gallegos,MD Edge [7/10/24]
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By Rick Kahler MS CFP®
Supposedly, the most frightening words one spouse can hear from the other are, “Honey, we need to talk.” Even more frightening, however, is, “Honey, we need to talk about estate planning.”
What can you do if you want to get serious about estate planning, but your spouse doesn’t?
Here are a few suggestions:
First, give up nagging. In my years of financial planning, I’ve seen how ineffective it is from either an advisor or a spouse.
Instead, it might be worthwhile to do some research and show your spouse some of the specific consequences of not planning. Depending on the complexity of your circumstances, you may find it worthwhile to consult an attorney, accountant, or financial advisor. You can also find a great deal of helpful information, such as state probate and intestacy laws, online.
If you have no wills, find out how your state laws distribute assets when someone dies without a will. Show your spouse how that distribution would affect your family. In many cases, intestacy laws are still designed around a traditional one-marriage-with-children family structure. They may fail to provide for members of families that don’t fit that mold—for example, by disregarding stepchildren and step grandchildren.
If you have wills but made them years ago, take a close look at their provisions. Show your spouse—with numbers, if you can—exactly who would benefit and who would not. Your spouse may be persuaded to take action if he or she sees the specific ways that yesterday’s wills don’t provide for today’s family. Even if this accomplishes nothing beyond convincing your spouse to destroy an outdated will, it may be worthwhile. An outdated will, in some cases, can be worse than none at all.
It’s quite likely that neither of these approaches will succeed. This leaves you with the next-best option.
With your own separate property, you can do any estate planning you want, including executing a will and setting up a living trust. I would also strongly encourage you to execute powers of attorney for financial and health decisions.
However, you might be surprised at the limits on estate planning for assets you consider yours. One important provision is that married people cannot name anyone except each other as beneficiaries on retirement plans without the spouse’s permission. Suppose, for example, you would like to name your children from a previous marriage as beneficiaries on a retirement account as a way of providing fairly for them if your spouse died intestate. You would need your spouse’s consent to do so.
Also, a will executed by one spouse does not affect assets held jointly or in trust, annuities, retirement plans, or individually held bank or brokerage accounts that have a TOD (transfer on death) provision.
Assuming you cannot persuade your spouse to participate in estate planning, and assuming you have done whatever individual planning you can, there’s one more step you can take.
Do your best to create and maintain a complete inventory of assets you and your spouse hold jointly, as well as your separate retirement accounts, insurance policies, and other individual assets. Include account locations, approximate balances, and access information. Having this information will be invaluable if you end up as the administrator of your spouse’s estate.
Ironically, the person who benefits most from your separate estate planning may be your non-planning spouse. Yet doing whatever you can-will also help you be prepared, just in case you need to deal with the consequences of your spouse’s lack of planning.
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Assessment
Some basic; but important thoughts.
Conclusion
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MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING
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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants
“Serving Almost One Million Doctors, Financial Advisors and Medical Management Consultants Daily“
A Partner of the Institute of Medical Business Advisors , Inc.
http://www.MedicalBusinessAdvisors.com
SPONSORED BY: Marcinko & Associates, Inc.
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http://www.MarcinkoAssociates.com
| Daily Update Provided By Staff Reporters Since 2007. How May We Serve You? |
| © Copyright Institute of Medical Business Advisors, Inc. All rights reserved. 2024 |
REFER A COLLEAGUE: MarcinkoAdvisors@msn.com
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Apple released public beta versions of the newest software for iPhone, Mac, iPad, and Apple Watch. Macy’s ended talks of a buyout with investment firms Arkhouse Management and Brigade Capital Management after months of wrangling. Goldman Sachs was the latest big bank to benefit from rebounding investment banking fees as deals start making a comeback.
CITE: https://www.r2library.com/Resource
Despite such challenges as high interest rates, a sluggish M&A market, and increased regulatory scrutiny, bank executives are feeling optimistic about the road ahead. That’s according to KPMG’s 2024 US Banking Industry Outlook Survey, published last month, which polled 200 senior executives at US banks of varying sizes in March 2024.
Here’s where the major benchmarks ended:
CITE: https://tinyurl.com/tj8smmes
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