Dr. David Edward Marcinko MBA MEd CMP™

US Credit Card Balances & Microsoft Stock Both Jump

Posted on November 8, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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US credit card balances have jumped to a record $1.08 trillion, according to the New York Federal Reserve.

Nevertheless, Stocks rose for the seventh straight day on Tuesday, giving the NASDAQ and S&P 500 their longest winning streaks since 2021. The surge was fueled by a rally in Big Tech and a growing consensus that the Federal Reserve Bank is done raising interest rates. Chief among the tech revelers was Microsoft, which finished the day at an all-time high amid strong demand for its cloud computing services.

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

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Filed under: "Ask-an-Advisor", Accounting, Breaking News, Investing, LifeStyle, Taxation | Tagged: credit, credit balances jump, credit card balances, credit cards, debit, Debit cards, microsoft, MSFT | Leave a comment »

DAILY UPDATE: A New NIH Director and a Home Loan Bank System Update as the Stock Markets Ascend Again

Posted on November 8, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The Senate on Tuesday confirmed Dr. Monica M. Bertagnolli, a cancer surgeon who currently leads the National Cancer Institute, as the next director of the National Institutes of Health, overriding the objections of Senator Bernie Sanders of Vermont, the chairman of the Senate health committee.

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The U.S. regulator charged with overseeing the Federal Home Loan Bank system said in a report on Tuesday the system is overdue for an update in terms of its structure and operation. The Federal Housing Finance Agency emphasized in the report there needs to be a clearer distinction between the purpose of those banks, which is to aid liquidity needs at banks in a bid to facilitate mortgage lending, with the Federal Reserve, which should serve as a source of emergency liquidity for banks.

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

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Here is where the major stock market benchmarks ended:

The S&P 500 Index was up 12.40 points (0.3%) at 4,378.38; the Dow Jones Industrial Average was up 56.74 points (0.2%) at 34,152.60; the NASDAQ Composite (COMP) was up 121.08 points (0.9%) at 13,639.86.
The 10-year Treasury note yield (TNX) was down about 9 basis points at 4.571%.
CBOE’s Volatility Index (VIX) was down 0.08 at 14.81.

The small-cap-focused Russell 2000 Index (RUT) fell a second day, reflecting concerns about the economy tipping over into recession.

Energy stocks fell as WTI crude oil futures tumbled more than 4% to a 3½-month low on concerns about softening demand from China.

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Filed under: "Doctors Only", Alternative Investments, Career Development, Financial Planning, Funding Basics, Glossary Terms, Investing | Tagged: banks, crude oil, DJIAm, energy, Energy stocks, Fderal Housing Finance Agency, Federal Home Loan Bank, gold, home loans, inflation, markets, Monica Bertagnolli, NASDAQ, National Institute Health, NIH, oil, Russell Index 2000, RUT, S&P 500, TNX, WTI | Leave a comment »

HEALTHCARE: Business News

Posted on November 8, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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House Democrats want CMS to better monitor Medicare Advantage plans’ use of AI tools to ensure they don’t allow an unusually high level of restrictive and repeated denials.

Kaiser Permanente continues to rebound from a rough 2022 and pulled in $239 million in net income in Q3. That marks a dramatic turnaround from the $1.5 billion net loss the integrated system had seen a year prior.

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

And … during the Milken Institute’s Future of Health Summit Monday, former HHS Secretary Alex Azar and current department chief Xavier Becerra sparred over the Biden administration’s approach to negotiating Medicare drug prices.

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Finally, family physicians utilizing value-based payment (VBP) models reported burnout relief in a study from EHR company Elation Health and the American Academy of Family Physicians. Burnout among providers decreased once practices passed a threshold of 75% financial investment in VBP models.

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Filed under: "Doctors Only", Accounting, Breaking News, Drugs and Pharma, Ethics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology, Insurance Matters, Managed Care, Risk Management, Taxation | Tagged: ACOs, AI, Alex, Alex Azar, CMS, eHR, family physicians, Fierce Healthcare, HHS, Kaiser Permanente, Milken Institute, value based care, VBC, VBP | Leave a comment »

“WeWork”: Officially Bankrupt

Posted on November 7, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

WeWork = Did Not Work!

By Staff Reporters

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WeWork, the coworking company just filed for Chapter 11 bankruptcy protection in New Jersey after years of struggles that began with a failed IPO in 2019. It aborted the IPO after investors got a look at its finances and just how much power WeWork’s eccentric founder Adam Neumann possessed.

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

WeWork (which eventually went public via SPAC) has suffered from having signed on to very expensive leases in its pre-IPO rush to grow.

SPAC: https://medicalexecutivepost.com/2022/06/13/spac-v-direct-listing-v-ipo/

In 2019, the company was valued at $47 billion, but it has since fallen steadily, and this year, its stock has plunged by 98%, giving it a ~$45 million value as of last week.

MORE: https://www.baltimoresun.com/business/ct-biz-wework-bankruptcy-filing-20231107-vdw7fbh7hfdftktesoos6clv6u-story.html

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Filed under: "Ask-an-Advisor", Accounting, Alternative Investments, Breaking News, Ethics, Investing, LifeStyle | Tagged: adam neumann, IPO, SPAC, WeWork, WeWork Bankrupt | Leave a comment »

DAILY UPDATE: A.I. Financial Audits, Microsoft & Amazon and the Mixed Markets

Posted on November 7, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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We’ve all known the AI audit is coming—but a new report from KPMG proves just how popular AI has already become in the audit process. The report polled more than 200 financial reporting leaders in the US between July and August. The headline takeaway? The AI audit is already close to ubiquitous.

Sixty-five percent of respondents said they’re already using AI in their job functions, while 49% said they’ve “piloted or deployed generative AI solutions.” Meanwhile, 71% said they expect to use AI “extensively in the next three years.”

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

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Microsoft and Amazon are reportedly in the midst of a mega deal summing up to approximately $1 billion.The deal will help Amazon acquire 550,000 Microsoft 365 E5 licenses for its corporate workers, alongside one million Microsoft 365 F5 licenses for its front line employees.Amazon employees already use traditional, on-premises Microsoft Office software, but the company is now gearing up to transition to cloud-based productivity tools.

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Here is where the major benchmarks ended:

The S&P 500 Index was up 7.64 points (0.2%) at 4,365.98; the Dow Jones Industrial Average was up 34.54 points (0.1%) at 34,095.86; the NASDAQ Composite (COMP) was up 40.50 points (0.3%) at 13,518.78.
The 10-year Treasury note yield was up about 9 basis points at 4.649%.
CBOEs Volatility Index (VIX) was down 0.02 at 14.89.

Oilfield services shares and other energy companies were among the weakest performers Monday despite crude oil futures rising after Saudi Arabia and Russia reaffirmed commitments to extra voluntary oil supply cuts until the end of the year.

The banking and real estate sectors were also under pressure. Health care stocks led gainers, as the S&P 500 Health Care Index (SP500-35) climbed to its highest level in nearly three weeks. The small-cap-focused Russell 2000 Index (RUT) dropped about 1.3%

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Filed under: Accounting, Alternative Investments, Financial Planning, Funding Basics, Glossary Terms, Information Technology, Investing, Research & Development | Tagged: AI, AI audits, Amazon, banking, banks, DJIAm, energy, gold, inflation, KPMG, markets, microsoft, Microsoft Office, MSFT, NASDAQ, oil, Russell 2000 Index, Russell Index 2000, RUT, S&P 500, S&P 500 Health Care Index, SP500-35 | Leave a comment »

PROPOSED CHANGES: Medicare Advantage

Posted on November 7, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

JUST ANNOUNCED

By Staff Reporters

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The Biden administration wants to make changes to private Medicare insurance plans that officials say will help seniors find plans that best suit their needs, promote access to behavioral health care and increase use of extra benefits such as fitness and dental plans.

PART C FRAUD: https://medicalexecutivepost.com/2023/10/24/podcast-medicare-advantage-part-c-fraud/

MEDICARE ADVANTAGE ALLEGATIONS: https://medicalexecutivepost.com/2022/09/06/medicare-part-c-advantage-plan-allegations-investigations/

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Filed under: "Doctors Only", Breaking News, Career Development, Managed Care, Risk Management | Tagged: medcare advantage, medicare, Medicare C, Medicare Part C, Part C, private medicare | Leave a comment »

FINANCIAL PLANNING: Physician Niche Focused Fiduciaries

Posted on November 7, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

(“Informed Voice of a New Generation of Fiduciary Advisors for Healthcare”)

By Dr. David Edward Marcinko MBA CMP™

http://www.MarcinkoAssociates.com

As fellow doctors, we understand better than most the more complex financial challenges physicians can face when it comes to their financial planning. Of course, most physicians ultimately make a good income, but it is the saving, asset and risk management tolerance and investing part that many of our colleagues’ struggle with. Far too often physicians receive terrible guidance, have no time to properly manage their own investments and set goals for that day when they no longer wish to practice medicine.

For the average doctor or healthcare professional, the feelings of pride and achievement at finally graduating are typically paired with the heavy burden of hundreds of thousands of dollars in student loan debt.

You dedicated countless hours to learning, studying, and training in your field. You missed birthdays and holidays, time with your families, and sacrificed vacations to provide compassionate and excellent care for your patients. Amidst all of that, there was no time to give your finances even a second thought.

Between undergraduate, medical school, and then internship and residency, most young physicians do not begin saving for retirement until late into their 20s, if not their 30s. You’ve missed an entire decade or more of allowing your money and investments to compound and work for you. When it comes to addressing your financial health and security, there’s no time to waste.

And you may be misled by unscrupulous “advisors”.

For example:

Question: Do you know the difference between a “Fee-Only” and a “Fee-Based financial advisor? Not knowing may cost you tens of thousands of dollars, or more, in excessive advisory fees.

MORE: https://marcinkoassociates.com/financial-planning/

Of course, all of this compound’s physician stress and burnout related issues, as well.

MORE: https://marcinkoassociates.com/process-what-we-do/

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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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Filed under: "Ask-an-Advisor", Alternative Investments, Investing | Tagged: Bruyette & Woods, KBW, Keefe, NAR, National Association of Realtors, real estate, real estate commissions | Leave a comment »

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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Filed under: "Advisors Only", "Doctors Only", Career Development, Health Economics, Health Insurance, Healthcare Finance, iMBA, Inc., Managed Care, Marketing & Advertising, Op-Editorials | Tagged: business, case models, case reports, case studies, entities, healthcare, healthcare business, healthcare business entities, Management | Leave a comment »

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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Filed under: Alternative Investments, Financial Planning, Funding Basics, Glossary Terms, Investing | Tagged: banks, DJIAm, economy, energy, FOMC, FTX, gold, goldilocks economy, inflation, IRS, Labor Department, markets, NASDAQ, oil, Patamount, Russell Index 2000, S&P 500, Sam Bankman-Fried, sOLANA | Leave a comment »

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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Filed under: "Ask-an-Advisor", "Doctors Only", Accounting, Health Economics, Healthcare Finance, Interviews, Managed Care, Marcinko Associates, Touring with Marcinko | Tagged: M&As, medical practice acquisitions, Medical practice M&As, medical practice mergers, medical practice vertical integration, Medical Vertical Integration, vertigal integration | Leave a comment »

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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Filed under: "Doctors Only", Drugs and Pharma, Ethics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: AIDS, AIDS relief, anti retro virals, HIV, HIV-AIDS, PEPFAR | Leave a comment »

MICRO-CERTIFICATIONS: Financial Advisors Seeking Physician-Client Niche Success?

Posted on November 5, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Micro-Credentials on the Rise

KNOWLEDGE RICHES IN NICHES

DR. DAVID EDWARD MARCINKO MBA CMP™

SPONSOR: http://www.CertifiedMedicalPlanner.org

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Do you ever wish you could acquire specific information for your career activities without having to complete a university Master’s Degree or finish our entire Certified Medical Planner™ professional designation program? Well, Micro-Certifications from the Institute of Medical Business Advisors, Inc., might be the answer. Read on to learn how our three Micro-Certifications offer new opportunities for professional growth in the medical practice, business management, health economics and financial planning, investing and advisory space for physicians, nurses and healthcare professionals.

Micro-Certification Basics

Stock-Brokers, Financial Advisors, Investment Advisors, Accountants, Consultants, Financial Analyists and Financial Planners need to enhance their knowledge skills to better serve the changing and challenging healthcare professional ecosystem. But, it can be difficult to learn and demonstrate mastery of these new skills to employers, clients, physicians or medical prospects. This makes professional advancement difficult. That’s where Micro-Certification and Micro-Credentialing enters the online educational space. It is the process of earning a Micro-Certification, which is like a mini-degree or mini-credential, in a very specific topical area.

Micro-Certification Requirements

Once you’ve completed all of the requirements for our Micro-Certification, you will be awarded proof that you’ve earned it. This might take the form of a paper or digital certificate, which may be a hard document or electronic image, transcript, file, or other official evidence that you’ve completed the necessary work.

Uses of Micro-Certifications

Micro-Certifications may be used to demonstrate to physicians prospective medical clients that you’ve mastered a certain knowledge set. Because of this, Micro-Certifications are useful for those financial service professionals seeking medical clients, employment or career advancement opportunities.

Examples of iMBA, Inc., Micro-Certifications

Here are the three most popular Micro-Certification course from the Institute of Medical Business Advisors, Inc:

1. Health Insurance and Managed Care: To keep up with the ever-changing field of health care physician advice, you must learn new medical practice business models in order to attract and assist physicians and nurse clients. By bringing together the most up-to-date business and medical prctice models [Medicare, Medicaid, PP-ACA, POSs, EPOs, HMOs, PPOs, IPA’s, PPMCs, Accountable Care Organizations, Concierge Medicine, Value Based Care, Physician Pay-for-Performance Initiatives, Hospitalists, Retail and Whole-Sale Medicine, Health Savings Accounts and Medical Unions, etc], this iMBA Inc., Mini-Certification offers a wealth of essential information that will help you understand the ever-changing practices in the next generation of health insurance and managed medical care.
2. Health Economics and Finance: Medical economics, finance, managerial and cost accounting is an integral component of the health care industrial complex. It is broad-based and covers many other industries: insurance, mathematics and statistics, public and population health, provider recruitment and retention, health policy, forecasting, aging and long-term care, and Venture Capital are all commingled arenas. It is essential knowledge that all financial services professionals seeking to serve in the healthcare advisory niche space should possess.
3. Health Information Technology and Security: There is a myth that all physician focused financial advisors understand Health Information Technology [HIT]. In truth, it is often economically misused or financially misunderstood. Moreover, an emerging national HIT architecture often puts the financial advisor or financial planner in a position of maximum uncertainty and minimum productivity regarding issues like: Electronic Medical Records [EMRs] or Electronic Health Records [EHRs], mobile health, tele-health or tele-medicine, Artificial Intelligence [AI], benefits managers and human resource professionals.

Other Topics include: economics, finance, investing, marketing, advertising, sales, start-ups, business plan creation, financial planning and entrepreneurship, etc.

How to Start Learning and Earning Recognition for Your Knowledge

Now that you’re familiar with Micro-Credentialing, you might consider earning a Micro-Certification with us. We offer 3 official Micro-Certificates by completing a one month online course, with a live instructor consisting of twelve asynchronous lessons/online classes [3/wk X 4/weeks = 12 classes]. The earned official completion certificate can be used to demonstrate mastery of a specific skill set and shared with current or future employers, current clients or medical niche financial advisory prospects.

Mini-Certification Tuition, Books and Related Fees

The tuition for each Mini-Certification live online course is $1,250 with the purchase of one required dictionary handbook. Other additional guides, white-papers, videos, files and e-content are all supplied without charge. Alternative courses may be developed in the future subject to demand and may change without notice.

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Contact: For more information, or to speak with an academic representative, please contact Ann Miller RN MHA CMP™ at: MarcinkoAdvisors@msn.com [24/7] -OR- 770-448-0769[9:00 – 5:00 EST].

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Filed under: "Advisors Only", "Ask-an-Advisor", Career Development, CMP Program, Experts Invited, Financial Planning, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, iMBA, iMBA, Inc., Information Technology, Investing, Op-Editorials | Tagged: accountants, certifications, certified medical planner, CMP, financial advisors, financial planners, Investing, investment advisors, Marcinko, micro, micro-certifications, micro-credentials | Leave a comment »

DAILY UPDATE: The AMA Comments on Medicare Payment Cuts in 2024

Posted on November 5, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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“The Medicare physician payment schedule released today is an unfortunate continuation of a two-decade march in making Medicare unsustainable for patients and physicians.

For 2024, the new rule indicates there will be another downward adjustment of 3.4 percent, on top of the 2 percent payment reduction in 2023. At the same time, the payment schedule confirms the Medicare Economic Index (MEI) increase at 4.6 percent, the highest this century and on top of last year’s 3.8 percent. MEI is the government measure of inflation in medical practice costs. “

“When adjusted for inflation, Medicare physician payment already has effectively declined 26% from 2001 to 2023 before additional inflation and these cuts are factored in.”

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

Source: AMA [11/2/23]

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DAILY UPDATE: HIPPA Web-Tracker Lawsuit and Bank Deposits Delayed as Markets Jump Again!

Posted on November 4, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

“FALL BACK WEEKEND”

By Staff Reporters

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The biggest U.S. hospital lobbying group just sued the Biden administration over new guidance barring hospitals and other medical providers from using trackers to monitor users on their websites. The American Hospital Association (AHA), along with the Texas Hospital Association and two nonprofit Texas health systems, filed a lawsuit against the U.S. Department of Health and Human Services (HHS) in federal court in Fort Worth, Texas. The lawsuit accuses the agency of overstepping its authority when it issued the guidance in December, 2022.

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Bank of America customers have been warned of delays to deposits following an unspecified issue that is affecting “multiple financial institutions”. The company reassured customers on Friday that their accounts remained “secure” and that no action was needed. A statement appearing on customer phone applications read: “Some deposits from 11/3 may be temporarily delayed due to an issue impacting multiple financial institutions.

Wells Fargo and Chase just reported similar situations.

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Here is where the major benchmarks ended:

The S&P 500 Index was up 40.56 points (0.9%) at 4,358.34; the Dow Jones Industrial Average (DJI) was up 222.24 points (0.7%) at 34,061.32, up 5.1% for the week; the NASDAQ Composite (COMP) was up 184.09 points (1.4%) at 13,478.28, up 6.6% for the week.
The 10-year Treasury note yield was down about 9 basis points at 4.577%.
CBOE’s Volatility Index (VIX) was down 0.75 at 14.91.

Banks and other financial companies led Friday’s gainers, on hopes easing Treasury yields will relieve some pressure on lenders’ balance sheets. The KBW Regional Banking Index (KRX) surged 3.3% to end at a seven-week high, while Goldman Sachs Group (GS) shares jumped 4.4% to lead Dow gainers.

Retailer shares were also strong, as were small-caps in general, as the Russell 2000 Index (RUT) posted a gain of 7.6% for the week.

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

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Filed under: Alternative Investments, Experts Invited, Financial Planning, Funding Basics, Glossary Terms, Information Technology, Investing | Tagged: AHA, American Hospital Association, Bank America, banks, BoA, Chase, cookie script, DJIA, energy, gold, GS, HHS, HIPAA, inflation, KRX, markets, NASDAQ, oil, Russell 2000, Russell Index 2000, RUT, S&P 500, Texas Hospital Association, web trackers, Wells Fargo | Leave a comment »

23andMe: Transitioning to a Healthcare Company

Posted on November 4, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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23andMe is rolling out a $1,188-per-year tool to identify users’ genetic vulnerabilities as part of its broader transition from a DNA-testing service into a healthcare company.

READ MORE HERE: HACKED: 23andMe

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Filed under: Drugs and Pharma, Ethics, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Information Technology | Tagged: 23andMe, 23andMe hacked | Leave a comment »

US TREASURY: Short Term T-Notes Auction

Posted on November 3, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Even though the Federal Reserve announced its interest rate decision yesterday, Jerome Powell wasn’t the government official investors were most anxious to hear from.

Instead, he was upstaged by Treasury Secretary Janet Yellen, who gave an update on the size of upcoming bond auctions. Although many were concerned about the US selling new debt into a market where interest rates are high and demand for bonds has flagged (pushing yields way up), the market liked what she had to say.

Yellen explained that the government would focus on shorter-term notes rather than longer-term ones, which prompted a rally for 10 and 30 year bonds.

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

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Filed under: "Ask-an-Advisor", Breaking News, Funding Basics, Investing, Taxation | Tagged: Federal Reserve, FOMC, Janet Yellen, Jerome, Jerome Powell, T bills, T Notes, treasury bonds, US bonds, Yellen | Leave a comment »

CUSTOMIZABLE e-PODIATRY CONSENT FORMS Now Available for 2024

Posted on November 3, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

electronically CUSTOMIZABLE FOR EVERY SURGEON

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http://www.ePodiatryConsentForms.com

CUSTOMIZABLE CMS & AGENCY FOR HEALTHCARE RESEARCH AND QUALITY STYLED PROTOCOLS, CHECKLISTS AND TEMPLATES

.… Specifically for Podiatrists ….

e-Podiatry Consent Forms™ is an innovative new suite of software programs from the Institute of Medical Business Advisors [iMBA, Inc]. Our products solve your informed consent problems and enhance the education, discussion and documentation of the informed consent process for all podiatrists performing foot, ankle and leg reconstructive surgical procedures.

THE PROBLEM

All podiatrists are being pressured by the Centers for Medicare and Medicaid Services [CMS], the Joint Commission on Accreditation of Healthcare Organizations [JCAHO], liability carriers and private insurance payers to make their consent process more patient-friendly, informed and easily understood. And, the pressure to standardize and comply is great.

Most recently, based on the need to make healthcare even safer, the Agency for Healthcare Research and Quality (AHRQ) undertook a major study to identify patient safety issues and develop recommendations for “best practices”.

The AHRQ Evidence Report

The AHRQ report identified the challenge of addressing shortcomings such as missed, incomplete or not fully comprehended informed consent, as a significant patient safety issue and opportunity for improvement.

The authors of the AHRQ report hypothesized that better informed patients:

“are less likely to experience errors by acting as another layer of protection.”

And, the AHRQ study ranked a “more interactive informed consent process” among the top 11 practices supporting more widespread implementation; especially for surgical consent forms.

THE SOLUTION

Why Us: https://epodiatryconsentforms.com/why-us/

One answer to the modern risk-management problem of “informed consent interactivity” may be e-Podiatry Consent Forms™ We license two core interactive surgical products, and a reference library, with related concepts and products in development:

Forefoot, Mid-Foot and Simple Rear-Foot Version
Complex Rear-Foot, Ankle and Lower Leg Version
Comprehensive content library for extreme customization.

Each e-Podiatry Consent Forms™ CD-ROM [secure email delivery is now available] is increasingly trusted as the simple solution to standardized communications across the entire office-enterprise; from managing-risk, informing-patients and complying with modern regulatory requirements through enhanced patient-centric informed consent encounters.

Thus, by improving the consistency, details, documentation and effectiveness of the informed consent process, e-Podiatry Consent Forms™ equips all podiatric surgeons with the tools needed to augment quality standards, reduce litigation potential and improve patient outcomes and safety.

http://www.ePodiatryConsentForms.com

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DAILY UPDATE: New IRS Contribution Limits as IBM Launches Retirement RBAs, Sam Bankman-Fried Found Guilty and Stock Markets Rocket Up

Posted on November 3, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The IRS has increased the 401(k) plan contribution limits for 2024, allowing employees to defer up to $23,000 into workplace plans, up from $22,500 in 2023. The agency boosted contributions for individual retirement accounts to $7,000 for 2024, up from $6,500. The employee contribution limit for 401(k) plans is also increasing to $23,000 in 2024, up from $22,500 in 2023, and catch-up contributions for savers age 50 and older will remain unchanged at $7,500. The new amounts also apply to 403(b) plans, most 457 plans and Thrift Savings Plans.

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

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IBM just informed its US workers that starting on January 1st, 2024, the corporation will no longer match employee contributions to their 401(k) retirement plans. Instead, it will offer a new benefit called a Retirement Benefit Account (RBA).

“Each eligible employee’s RBA will be credited monthly with an amount equal to five percent of their eligible pay – no employee contribution required,” a leaked internal memo reads, the content of which was confirmed by The Register’s sourcing. “IBMers will also receive a one-time salary increase to offset the difference between the IBM contributions they are currently eligible to receive in the 401(k) plan and the new five percent RBA pay credit. This is separate from the annual salary plan later in the year.”

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A jury on Thursday convicted FTX co-founder Sam Bankman-Fried of fraud, conspiracy and money laundering, the culmination of a month-long trial that saw the former crypto mogul take the stand in his own defense after his inner circle of friends-turned-deputies provided damning testimony against him.

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Here is where the major benchmarks ended:

The S&P 500 Index was up 79.92 points (1.9%) at 4,317.78; the Dow Jones Industrial Average (DJI) was up 564.50 points (1.7%) at 33,839.08; the NASDAQ Composite was up 232.72 points (1.8%) at 13,294.19.
The 10-year Treasury note yield was down about 13 basis points at 4.663%.
CBOE’s Volatility Index (VIX) was down 1.21 at 15.66.

Nearly every sector participated in Thursday’s rally, with banks and other financial companies leading gainers. The KBW Regional Banking Index (KRX) surged more than 5%. Energy and retail shares were also strong. Small-cap stocks outpaced their larger counterparts, with the Russell 2000 Index (RUT) jumping 2.5%.

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DAILY UPDATE: Merck Up, KP and Junk Fees Down, Interest Rates Unchanged as Stock Markets Jump Again

Posted on November 2, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

SPONSOR: http://www.CertifiedMedicalPlanner.org

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http://www.MarcinkoAssociates.com

Merck reported $640 million in sales for its Covid-19 drug, Lagevrio, in Q3 earnings, blowing past analyst expectations of $140.8 million. Covid drug sales have dropped for most big pharma companies this year, with Pfizer lowering its total expected 2023 earnings by about $9 billion due mostly to declining Paxlovid sales. Merck attributed the boost to increasing demand for Lagevrio in Japan.

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California’s largest health system agreed to a $200 million settlement on October 12th following an investigation that found the system has failed to provide timely behavioral health appointments for patients and has canceled more than 100,000 appointments.

Kaiser Permanente, which also runs a health plan, will “undertake a systemic overhaul” of its behavioral health services, Mary Watanabe, director of the Department of Managed Health Care (DMHC), the regulatory body that oversees managed care plans in California, said in a statement. The DMHC began investigating Kaiser in May 2022 after the Oakland-based health system saw a 20% increase in behavioral health patient complaints in 2021, the DMHC said in a statement.

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

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President President Biden spoke Tuesday afternoon on what the White House has called a crackdown on “junk fees” in retirement planning. Such fees chip away at account balances over time, leading to lifetime savings that are up to 20% less than if advisors were held to the highest standards, according to a White House statement.

Under current regulations, advisors who provide advice to workers rolling their 401(k) or related plan into an individual retirement account are generally not considered a fiduciary—that is, a professional who must put clients’ interests ahead of their own. This means that an advisor could steer an investor into, say, an annuity that pays the advisor a big commission, even if it’s not the best option for the investor. In some cases, commission costs and other fees are baked into the product, as opposed to paid outright, and investors don’t realize that they are silently eating into returns over time.

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The Federal Reserve left interest rates unchanged Wednesday as it continues to track inflation and the health of the economy. The central bank voted unanimously to leave its primary interest rate in the range of 5.25% to 5.50%. U.S. interest rates are the highest they’ve been in 23 years. That means interest rates on loans such as mortgages have gone up sharply, and so have payments on Treasury bonds and interest-bearing accounts.

Here is where the major benchmarks ended:

The S&P 500 Index was up 44.06 points (1.1%) at 4,237.86; the Dow Jones Industrial Average (DJI) was up 221.71 points (0.7%) at 33,274.58; the NASDAQ Composite was up 210.23 points (1.6%) at 13,061.47.
The 10-year Treasury note yield (TNX) was down about 11 basis points at 4.761%.
CBOE’s Volatility Index (VIX) was down 1.30 at 16.84.

In addition to technology, communication services and utilities were among the strongest sectors Wednesday. Energy shares were under pressure as crude oil futures extended this week’s slump and ended at a two-month low. The U.S. dollar index (DXY) tumbled from an earlier rally to a one-month high, potentially reflecting expectations that domestic interest rates may be near a peak.

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HEALTH INSURANCE COSTS: Employer Sponsored Shares Up

Posted on November 2, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

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SPONSOR: http://www.MarcinkoAssociates.com

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The average cost of a health insurance plan offered through an employer rose 7% this year, to $23,968 for family plans and $8,435 for individuals, according to a new survey from the private health foundation KFF.

The jump—the highest since 2011—was driven by inflation, as well as higher wages for healthcare workers and hospital system mergers, health policy experts say. Here’s what it means for employers and the 150+ million Americans who get insurance through work:

The increase amounted to ~$500 more out of pocket for family plan-holders, and $75 more for solo riders—further squeezing consumer spending power, which is already constrained by wages that haven’t caught up to high inflation.
Employers often bear the brunt of increased health spending because, in the interest of staying competitive, they’re wary of offloading too much of the rising costs onto their workers. That’s likely why deductibles haven’t grown much in the past five years.

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

But things might get worse: 1 in 4 companies surveyed by KFF said they plan to increase employees’ premium contributions in the next two years

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DAILY UPDATE: Realtors Liable for $1.8-B as US Millionaires and Stock Markets Rise Anew

Posted on November 1, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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SPONSOR: http://www.MarcinkoAssociates.com

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KANSAS CITY, Mo.—A federal jury just found the National Association of Realtors and large residential brokerages liable for about $1.8 billion in damages after determining they conspired to keep commissions for home sales artificially high. The verdict could lead to industry wide upheaval by changing decades-old rules that have helped lock in commission rates even as home prices have skyrocketed—which has allowed real-estate agents to collect ever-larger sums. It comes in the first of two antitrust lawsuits arguing that unlawful industry practices have left consumers unable to lower their costs even though internet-era innovations have allowed many buyers to find homes themselves online.

Real Estate for Physicians: https://medicalexecutivepost.com/2023/01/19/real-estate-for-physician-investors/

The Sitzer/Burnett class action lawsuit alleged that some of the nation’s largest real estate companies, including NAR, Keller Williams, Anywhere (formerly, Realogy), RE/MAX, Berkshire Hathaway’s HomeServices of America and two of its subsidiaries conspired to inflate commissions.

Commercial Real Estate for Physicians: https://medicalexecutivepost.com/2022/05/03/on-doctors-investing-in-commercial-real-estate/

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Over 12% of American families, or over 16 million, are millionaires, per the WSJ.
Median net worth for the 80th-90th income percentile saw net worth gains of 69% from 2019 to 2022.
The upper-middle class is growing and becoming wealthier, particularly among those aged 55-74.

It’s not just the top 1% that’s getting richer — over 16 million American families now have a net worth over $1 million. That’s over 12% of American families, according to a Wall Street Journal analysis of the Federal Reserve’s Survey of Consumer Finances of over 4,600 American households. This compares to just 9.8 million families who were millionaires in 2019, the WSJ found.

Physician Finances: https://marcinkoassociates.com/financial-planning/

The analysis further noted how nearly eight million families have wealth over $2 million, compared to 4.7 million in 2019. This was particularly pronounced among families in the 55-74 age range. On the whole, median net worth — which measures household assets like houses and vehicles, minus debts like mortgages and student loans — rose an inflation-adjusted 37% between 2019 and 2022 up to around $193,000. Meanwhile, the average net worth rose to over $1 million, though this is skewed by extremely wealthy Americans.

Net worth has increased for all income percentiles even amid rising interest rates, though while the top 10% jumped from $1.84 million to $2.65 million, the bottom 20% rose from $10,780 to $16,900.

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

Finally, here is where the major US stock market benchmarks ended:

Economists expect the Fed to leave interest rates unchanged today, allowing previous rate increases to take greater hold of the economy and granting the central bank time to assess whether another hike will be necessary. Investors and policymakers will closely scour comments made by Fed Chair Jerome Powell for clues about the central bank’s path over the remainder of the year.

The S&P 500 Index was up 26.98 points (0.7%) at 4,193.80, down 2.2% for the month; the Dow Jones Industrial Average was up 123.91 points (0.4%) at 33,052.87, down 1.4% for the month; the NASDAQ Composite was up 61.76 points (0.5%) at 12,851.24, down 2.8% for the month.
The 10-year Treasury note yield was up about 3 basis points at 4.909%.
CBOE’s Volatility Index (VIX) was down 1.61 at 18.14.

Real estate and financial shares were among the strongest performers Tuesday. Semiconductor companies were also higher. Energy shares lagged as crude oil futures extended their slide, dropping to near $81 a barrel to end at a two-month low. The U.S. dollar index (DXY) strengthened to near 11-month highs in the wake of a Bank of Japan (BoJ) policy shift.

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PODCAST: The Elon Musk Algorithm Applied to Healthcare

Posted on November 1, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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DR. NATHANIEL POTTER: Rest in Peace [R.I.P]

Posted on October 31, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA

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READ HERE: https://medicalexecutivepost.com/2009/08/27/off-road-touring-with-dr-marcinko-part-vi/

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SCARY STOCK MARKETS: Halloween 2023

Posted on October 31, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

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The official website of the New York Stock Exchange does not list Halloween 2023 (or 2024 or 2025, for that matter) as a stock market holiday. In fact, no holidays are listed for the month of October. So, get ready for a full day of stock trading and investing today. And, we’ll be here, reporting the major events of the day, and year, as usual.

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Stocks markets shook off any scary notions yesterday, with the S&P 500 climbing out of correction territory and the DJIA notching its best day since June as companies like Nike and Verizon jumped. Investors will be watching tomorrow to see whether the good vibes can continue after the Fed announces its latest decision on interest rates.

But, worry remains as Adam Crisafulli of Vital Knowledge noted there are several technical factors fueling Monday’s pop in stock futures, “including extremely oversold prices.” The S&P 500 fell more than 2% for a second straight week.

“In addition, catalyst anticipation is playing a role too as investors hope the end of the month coupled with benign central bank decisions (BOJ, FOMC, BOE) and desired economic developments (cooler EU CPI, US JOLTs, and US jobs) will help stabilize the tape,” “However, after three consecutive months of losses … confidence has evaporated, and there’s very little genuine interest in buying the tape,” Crisafulli added.

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Finally, X is now worth less than half of what Elon Musk paid to buy Twitter last year. A memo to employees said the company was valued at $19 billion—55% less than the $44 billion that Musk paid out.

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DAILY UPDATE: Stocks Rebound and then Blast Off!

Posted on October 31, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The S&P 500 Index posted its first gain in four sessions as investors looked ahead to key earnings and economic reports.

Here is where the major benchmarks ended:

The S&P 500 Index was up 49.45 points (1.2%) at 4,166.82; the Dow Jones Industrial Average (DJI) was up 511.37 points (1.6%) at 32,928.96; the NASDAQ Composite was up 146.47 points (1.2%) at 12,789.48.
The 10-year Treasury note yield was up about 4 basis points at 4.888%.
CBOE’s Volatility Index (VIX) was down 1.52 at 19.75.

Communications services and transportation shares were among the strongest performers Monday, with the latter sector boosted by better-than-expected quarterly results from two big trucking companies. Financial companies were also strong.

Energy stocks were also modestly higher despite crude oil futures falling 3% to less than $83 a barrel—a two-month low.

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

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President Bidens Executive Order on Artificial Intelligence

Posted on October 30, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Biden will issue sweeping executive order on A.I. Today

The Biden administration just released an executive order today to regulate AI technology. The directive aims to leverage the government’s role as a leading technology customer by requiring advanced AI models to undergo assessments before they can be used by federal employees. It would also ease barriers to immigration for highly skilled workers in an attempt to boost the US’ technological edge.

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MORE Fierce Healthcare NEWS

The Biden administration has proposed a new rule refining several aspects of the healthcare services billing process in response to criticisms levied from all sides of the industry.

The federal government is rolling back a pandemic-era waiver that lowered the bar for 340B hospitals to dispense discounted drugs across some outpatient clinics. Hospitals argue the decision will “stifle” future efforts to expand access to under served communities.

And … Amazon Pharmacy is focused on making it faster and more convenient for patients to get prescription medications. The company’s moves come as brick-and-mortar drugstores are limiting pharmacy hours and even closing locations.

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DAILY UPDATE: Amazon Up, Capital One Bank Down as BioTech Hubs Are In

Posted on October 30, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Statistic: 13%. That’s how much Amazon’s revenue grew last quarter. The behemoth saw business picking up after a tough 2022 and cost-saving measures taking effect to boost the bottom line. The company also said it had its “biggest ever” Prime day sale this past quarter. (CNBC)

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In 2019, Capital One bank was hit by a cyber attack that resulted in the exposure of millions of its customers’ data. The incident led to a collective complaint against the bank by its customers. After a long legal process, Capital One agreed to pay $190 million in compensation to the 98 million affected customers.

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The Biden administration announced this week the creation of 10 biotech hubs across the US under its Tech Hubs program, with each hub eligible to apply for up to $75 million to invest in areas like research and development and job creation. The hubs are spread across the US, primarily in rural areas, and are part of a $500 million investment from the Biden administration that’s intended to boost the tech industry’s growth beyond the coasts.

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

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CASE MODELS: Healthcare Business Entities

Posted on October 30, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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

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M&As: In Healthcare

Posted on October 29, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

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Hospital and health system deal activity is finally starting to rebound following a pandemic-era plunge, according to consulting firm Kaufman Hall, but hospitals are increasingly citing “financial distress” as the reason behind the deals.

In more than a third of the 18 hospitals and health systems deals made in Q3 2023—including mergers and acquisitions (M&A) and partnerships—at least one party cited financial distress as the impetus for the transaction. That figure is “well above historical benchmarks,” according to the firm.

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

“Hospitals and health systems have been under extreme financial pressure since 2022, when median operating margins remained in negative territory for the full year,” Kaufmann Hall analysts wrote in an October 12 report. “These challenges are reflected in the 39% percent of announced transactions in Q3 in which a party has cited, or publicly available information has enabled Kaufman Hall to infer, an element of financial distress as a transaction driver.”

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DAILY UPDATE: Medicare Part C Dropped, Inflation Slows as the Markets Crash Again

Posted on October 28, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

Today, October 28th, has been the best day of the entire year for stocks since 1950, according to Dr. David Edward Marcinko MBA of http://www.MarcinkoAssociates.com. Black Monday (also known as Black Tuesday in some parts of the world due to timezone differences) was the global, severe and largely unexpected stock market crash on Monday, October 19th, 1987. Worldwide losses were estimated at US$1.71 trillion. The severity of the crash sparked fears of extended economic instability or even a reprise of the Great Depression.

Of course it’s a Saturday this year; today.

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One large health system with hospitals in Virginia and Ohio this year cut off in-network access to consumers enrolled in some Anthem Blue Cross Blue Shield Medicare and Medicaid health insurance plans. Two doctors groups with Scripps Health in San Diego are terminating contracts with private Medicare plans over concerns about payments and routine denials.

PODCAST: https://medicalexecutivepost.com/2023/10/24/podcast-medicare-advantage-part-c-fraud/

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Inflation’s summer decline slowed last month. Still, inflation has improved enough recently for Federal Reserve officials to hold interest rates steady at their meeting next week.

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

The personal-consumption expenditures price index, the Fed’s preferred inflation gauge, rose 0.4% in September from the prior month, the same pace as in August, the Commerce Department said Friday. But so-called core prices, which exclude volatile food and energy categories, increased 0.3% in September from the prior month, compared with a 0.1% rise in August. Higher prices for services drove the increase.

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Here is where the major benchmarks ended:

The S&P 500 Index was down 19.86 points (0.5%) at 4,117.37, down 2.5% for the week and down 10.6% from a July peak; the Dow Jones Industrial Average (DJI) was down 366.71 points (1.1%) at 32,417.59, down 2.1% for the week; the NASDAQ Composite was up 47.41 points (0.4%) at 12,643.01, down 2.6% for the week.
The 10-year Treasury note yield (TNX) was down about 1 basis point at 4.835%.
CBOE’s Volatility Index (VIX) was up 0.61 at 21.29.

Banking and energy were among the weakest sectors Friday, with the latter under pressure despite strength in crude oil futures. Another leg down in small-cap stocks suggested investors are growing increasingly concerned about the economy, as the Russell 2000 Index (RUT) closed at its lowest level in nearly three years and dropped 2.6% for the week.

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PODIATRY PREP: Pass All Your Board Certification Examinations

Posted on October 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Celebrating 30 Years of Your Success!

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RUDE PATIENTS: To Laboring Physicians?

Posted on October 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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A spike in rude behavior emerged as one of the pandemic’s many societal consequences and has not receded alongside the public health crisis. The uptick in poor behavior is likely driven by increased stress and isolation from society, The Atlantic’s Olga Khazan reported in 2022. In many cases, these stressors mean people are easily set off when encountering innocuous requests, Keith Humphreys, PhD, a psychiatry professor at Stanford University, told The Atlantic.

The trend has hit healthcare hard. Hospitals and health systems nationwide have reported an uptick in disrespectful, discriminatory, or violent behaviors from patients since the pandemic. Nearly 24 percent of physicians reported experiencing workplace mistreatment in 2020, including verbal mistreatment or abuse, according to a study published in JAMA Network Open.

Source: Mackenzie Bean, Becker’s Hospital Review

MORE: https://medicalexecutivepost.com/2023/08/07/medical-workplace-violence-prevention-guidelines/

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DAILY UPDATE: Pfizer Revises amid US Economic Growth as the Stock Markets Plummet

Posted on October 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Pfizer, a key producer of the COVID-19 vaccine, has revised its earnings outlook for 2023, cutting its projected earnings per share and revenue estimates. Pfizer saw its 2022 revenue surpass a record $100 billion as company CEO Albert Bourla vowed that everyone will have a “perfectly normal life with just injection maybe once a year.” Bourla received a 36% pay hike and netted $33 million through the pandemic.

***

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The U.S. economy grew at its fastest pace in nearly two years in the third quarter as higher wages from a tight labor market helped to power consumer spending, again defying dire warnings of a recession that have lingered since 2022. Gross domestic product increased at a 4.9% annualized rate last quarter, the fastest since the fourth quarter of 2021, the Commerce Department’s Bureau of Economic Analysis said in its advance estimate of third-quarter GDP growth. Economists polled by Reuters had forecast GDP rising at a 4.3% rate.

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

Here is where the major benchmarks ended:

The S&P 500^® Index (SPX) was down 49.54 points (1.2%) at 4,137.23; the Dow Jones Industrial Average (DJI) was down 251.63 points (0.8%) at 32,784.30; the NASDAQ Composite was down 225.62 points (1.8%) at 12,595.61.
The 10-year Treasury note yield (TNX) was down about 11 basis points at 4.845%.
CBOE’s Volatility Index (VIX) was up 0.49 at 20.68.

Energy shares were among the weakest-performing sectors Thursday after a larger-than-expected increase in U.S. oil inventories last week sent WTI crude futures down more than 2% to a two-week low. Communication services and technology were also lower.

The market’s overall weakness belied some notable pockets of strength, including in banks and utilities, as the KBW Regional Banking Index (KRX) jumped more than 3%. Small-caps offered possible signs that a recent steep downdraft may be waning, with the Russell 2000 Index (RUT) dropping to a 12-month low earlier in the day before recovering to close about 0.7% higher.

***

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Filed under: Alternative Investments, Financial Planning, Funding Basics, Glossary Terms, Investing | Tagged: Albert Bourla, banks, Bureau of Economic Analysis, crude oil, DJIAm, energy, GDP, GDP inflator, gold, Gross Domestic Product, inflation, KRX, markets, NASDAQ, nominal GDP, oil, Pfizer, regional banks, Reuters, Russell Index 2000, S&P 500, WTI | Leave a comment »

M&As: A New Guidelines Draft

Posted on October 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

http://www.MARCINKOASSOCIATES.com

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Last month, the FTC and DOJ jointly released a draft of new guidelines they will use to evaluate potential mergers and acquisitions (M&As).

The guidelines include 13 principles the agencies will follow when scrutinizing deals. The principles stipulate that mergers may not “entrench or extend a dominant position,” eliminate competition between firms, increase concentration in an already concentrated market, or prevent new players from entering a market. The guidelines will be finalized following a 60-day public comment period.

The proposed rules reflect a return to pre-2010 guidelines on concentration, the Wall Street Journal reported, noting that they’d apply to deals that resulted in firms having a market share of 30% or more. The new guidance may give the FTC and DOJ, which have filed numerous antitrust actions, more leeway to go after deals.

PHYSICIAN ENTREPRENEURS: https://marcinkoassociates.com/welcome-medical-colleagues/

***

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Filed under: Accounting, Alternative Investments, Breaking News, Ethics, Experts Invited, Investing, Touring with Marcinko | Tagged: acquisitions, DOJ, FTC, M&A, M&As, Marcinko, mergers, mergers acquisitions, WSJ | Leave a comment »

AMAZON in Healthcare

Posted on October 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By The Medical Futurist

Amazon In Healthcare: Disruption, Data Nightmares And Digital Health Dreams

Amazon’s healthcare ventures present a double-edged sword. On one hand, there’s undeniable promise, but the flip side paints a cautionary tale.

READ: https://tinyurl.com/ydtbvahx

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DAILY UPDATE: Physical Therapy Month, UAW Strike and the Markets

Posted on October 26, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

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October is Physical Therapy Month, a time to celebrate the contributions that physical therapists, their aides, and assistants make to the industry. There are more than 300 million annual physical therapy visits in the US, and the profession is estimated to be worth $46 billion, according to the American Physical Therapy Association. Make sure to take some time to appreciate any physical therapists in your life.

***

The United Auto Workers union said it reached a tentative labor contract with Ford that, if ratified, would mark the biggest gains for unionized auto workers in decades. The deal includes a 25% pay bump over the four years of the contract, cost-of-living adjustments that had been previously suspended, and a quicker timeline for new workers to reach the highest wage ($40 an hour for assembly workers by the end of the contract).

***

Here is where the major benchmarks ended:

The S&P 500 Index was down 60.91 points (1.4%) at 4,186.77; the Dow Jones Industrial Average (DJI) was down 105.45 points (0.3%) at 33,035.93; the NASDAQ Composite was down 318.65 points (2.4%) at 12,821.22.
The 10-year Treasury note yield was up about 11 basis points at 4.946%.
CBOE’s Volatility Index (VIX) was up 1.30 at 20.27.

Communication services and technology were among the market’s weakest sectors Wednesday, with the Philadelphia Semiconductor Index (SOX) dropping more than 4%. Small-cap stocks also remained under pressure, with the Russell 2000 Index (RUT) falling more than 1% to near a 13-month low.

Small-caps are often seen as being more sensitive to the domestic economic cycle because they tend to conduct most of their business in the United States. Utilities and consumer staples were among the few areas of strength.

***

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Filed under: Alerts Sign-Up, Alternative Investments, Breaking News, Experts Invited, Financial Planning, Funding Basics, Glossary Terms, Investing, LifeStyle | Tagged: auto workers, auto wtrike, banks, DJIAm, energy, gold, inflation, markets, NASDAQ, october, oil, physical therapists, physical therapy, PT, RPt, Russell Index 2000, RUT, S&P 500, SOX, strike, UAW, UAW strike, unions | Leave a comment »

ACCENTURE: EMEA CEO Disposes of $2M of Stock

Posted on October 26, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

Accenture (NYSE:ACN) said that its EMEA CEO Jean-Marc Ollagnier has disposed of direct stake worth ~$2M in the professional services company.
Ollagnier sold 6,250 class A shares in multiple trades at prices ranging from $300.25 to $305.30.
The executive is now left with 161,622 of direct stock and 25,000 of indirect stake.
Accenture has seen 15,250 shares sold in 3 sell transactions and 2,143 shares bought in 41 open market buys.
ACN shares were trading 0.33% down Tuesday.

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MICROSOFT & GOOGLE: Earnings Up!

Posted on October 25, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

Google and Microsoft, the two tech giants, reported big jumps in earnings revenue, another sign that Big Tech’s growth has rebounded following last year’s downturn?

Google parent Alphabet reported 11% revenue growth to about $77 billion for the third quarter, thanks mainly to increased advertising sales.

Meanwhile, Microsoft’s revenue jumped 13% to $56.5 billion as AI created more demand for its products. Still, it wasn’t all rosy: Alphabet shares fell in extended trading after it missed on revenue estimates for its cloud division.

Meta reports its third-quarter earnings today, and Amazon posts tomorrow.

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Filed under: "Ask-an-Advisor", Financial Planning, Funding Basics, Glossary Terms, Investing | Tagged: Alphabet, Amazon, google, Meta, microsoft, MSFT, tech earnings, Technology | Leave a comment »

DAILY UPDATE: Meta Sued as Markets Rise!

Posted on October 25, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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A bipartisan group of 33 attorneys general is suing Meta over addictive features aimed at kids and teens, according to a complaint filed Tuesday in a federal court in California. The support from so many state AGs of different political backgrounds indicates a significant legal challenge to Meta’s business.

***

Here is where the major benchmarks ended today:

The S&P 500 Index was up 30.64 points (0.7%) at 4,247.68; the Dow Jones Industrial Average (DJI) was up 204.97 points (0.6%) at 33,141.38; the NASDAQ Composite (COMP) was up 121.55 points (0.9%) at 13,139.87.
The 10-year Treasury note yield was down about 2 basis points at 4.815%.
CBOE’s Volatility Index (VIX) was down 1.51 at 18.89.

Utilities were among the strongest performers Tuesday, with the Philadelphia Utility Index (UTY) rising nearly 3%. Semiconductors and communications services shares were also higher.

Energy stocks were pressured by a more than 2% drop in WTI crude oil futures, which briefly fell under $83 a barrel.

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10 YEAR T-BONDS: Hit Five Percent [5-%]

Posted on October 24, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

And … Bill Gross Speaks

By Staff Reporters

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***

The yield on the 10-year Treasury bond shot above 5% in early trading yesterday—hitting its highest since 2007 and rattling investors—before retreating a bit so everyone could chill out. While a high return on long-term government debt sounds like something only a Wall Street wonk would fret about, it can raise borrowing costs for everyone from homebuyers to small businesses.

Treasury yields have been rising steadily for almost two years as investors kept anticipating (correctly) that Jerome Powell would raise interest rates to combat persistent inflation.
Bond yields are used as the measure against which lots of other interest rates are set, so recent sky-high yields have contributed to the current eye-popping mortgage rates, which have made homeownership 52% more expensive than renting, and they’re part of the reason why the number of Americans struggling to make car payments is at its highest since at least 1994.
CITE: https://www.treasurydirect.gov/

Yields crossed the symbolically significant 5% mark yesterday because investors rushed to sell off 10-year bonds, making them cheaper, per supply and demand—that boosted the bond yields, since yields move in the opposite direction from price.So, why did Wall Street press “sell” on Treasurys?

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

It’s usually a sign of confidence in the economy, but some analysts are concerned that this time, investors are shedding government debt because they perceive the US as being a spendthrift as the deficit grows. However, the traditional psychology may also be at play: The influential billionaire investor Bill Ackman is believed to have single-handedly stopped yesterday’s bond market sell-off by saying he’d ended his bet on 30-year Treasury bond prices falling because he thinks there is “too much risk in the world” and the economy isn’t as strong as it seems. The 10-year bonds dropped back to 4.85% yesterday afternoon.

BILL GROSS: https://fortune.com/recommends/investing/the-inverted-yield-curve-recession/?utm_source=search&utm_medium=suggested_search&utm_campaign=search_link_clicks

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Filed under: "Ask-an-Advisor", Financial Planning, Funding Basics, Glossary Terms, Investing | Tagged: Bill Gross, Bond King, bonds, Federal Reserve, FOMC, government bonds, inflation, interest rates, IRS, Jerome Powell, T bonds, ten year treasury bonds | Leave a comment »

WEIGHT LOSS DRUGS FOR KIDS: Stocks for Adults?

Posted on October 24, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

The already booming market for weight loss treatments like Ozempic might get even bigger as drug companies seek to make them available for children. The CDC estimates that ~20% of kids 6+ in the US have obesity, and manufacturers are working to make their weight loss drugs available for that age group.

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

According to Bloomberg, Novo Nordisk is testing its Saxenda in kids as young as six, and Eli Lilly is getting ready for similar trials of Mounjaro. That could give the companies lifelong customers since the drugs only keep weight off as long as people take them—and Goldman Sachs’s recent estimate that the drug category would make $100 billion by 2030 didn’t even take sales to children into account.

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Filed under: "Advisors Only", "Doctors Only", CMP Program, Drugs and Pharma, Ethics, Health Insurance, Healthcare Finance, Industry Indignation Index, Investing | Tagged: Bloomberg, CDC, childhood obesity, fat children, fat kids, Mounjaro, Novo Nordisk, obese children, obese kids, obesity drugs, Ozempic, Saxenda | 1 Comment »

DAILY UPDATE: Mixed Markets

Posted on October 24, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

Here is where the major benchmarks ended today:

The S&P 500^® Index (SPX) was down seven points (0.2%) at 4,217.04; the Dow Jones Industrial Average (DJI) was down 191 points (0.6%) at 32,936.41; the NASDAQ Composite was up 35 points (0.3%) at 13,018.33.
The 10-year Treasury note yield was down about nine basis points at 4.845%.
CBOE’s Volatility Index (VIX) was down 1.4 points at 20.35.

The communication services, technology, and consumer discretionary were the best sector performers, thanks in part to gains in big tech companies.

Energy was the laggard Monday, as WTI crude dropped 2.6% to below $86 a barrel.

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

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Financial Planning, Funding Basics, Investing | Tagged: CBOE, crude oil, DJIA, DOW, energy, NSDAQ, oil, opioids, Russell 2000, S&P 500, VIX, WTI | Leave a comment »

DAILY UPDATE: US Budget Deficit and Treasury Yields Rise as Chevron Buys Hess

Posted on October 23, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

The 2023 federal budget deficit surged by 23% to $1.7 trillion, leaving the US in its deepest yearly fiscal hole outside of the Covid era, according to the Treasury Department, which released the data on Friday.

But a closer look reveals the financial picture is even worse than the headline #s suggest.

The Treasury recorded the Biden administration’s ~$300 billion student loan forgiveness program as a cost last year, but it was struck down by the Supreme Court and never took effect, resulting in the Treasury considering it a savings this year.
That means the year over year increase effectively doubled from $1 trillion in 2022 to $2 trillion in 2023.

***

The benchmark 10-year Treasury bond yield rose above 5% and to its highest since 2007 on Monday, as a roaring U.S. economy led investors to expect interest rates to stay high for an extended period. The combination of those higher yields and risk of a wider conflict in the Middle East soured sentiment at the start of a week full of mega-cap earnings and key data, and pushed global shares down to seven-month lows.

***

Chevron said it would buy Hess in an all-stock deal worth $53 billion, the second major oil tie-up this month following Exxon Mobil’s deal to buy Pioneer Natural Resources. The U.S. energy company said buying Hess would upgrade and diversify its portfolio, marking Chevron’s entrance into an Exxon-led partnership overseeing a generational oil find in Guyana, while picking up additional U.S. shale assets largely in North Dakota. Chevron also highlighted the attraction of Hess’s assets in the Gulf of Mexico and its natural-gas business in Southeast Asia.

***

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Financial Planning, Funding Basics, Investing | Tagged: budget, budget deficit, CBOE, Chevron, crude oil, DJIA, DOW, Exxon, federal budget, federal budget deficit, gasoline, Hess, inflation, NSDAQ, oil, PNS, Russell 2000, S&P 500, treasury bonds, treasury yoelds, US Budget Deficit, VIX | Leave a comment »

D.E. MARCINKO & Associates, Inc.

Posted on October 23, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

At D.E. Marcinko & Associates our clients traditionally include physicians [MD, MBBS and DO], dentists [DDS and DMD], podiatrists [DPM], Registered Nurses [RNs], Certified Registered Nurse Anesthetists [CRNA], Physician Assistants [PA] and Nurse Practitioners [NP]. A growing cohort of clients include medical technologists, physical, speech and occupational therapists, etc.

The above are naturally segregated into three career tranches: 1. New practitioners, 2] Mid-Career practitioners and 3] Mature practitioners. We serve them all and are fully prepared for any special needs situation that may arise in any tranche [death, divorce, adverse risk event and/or bankruptcy, etc].

D.E. Marcinko & Associates understands the complexity of financial and non-financial deal terms because we are also doctors. Our “hard” knowledge of your business comes from being actual healthcare facility owners, operators and medical practitioners [with additional professional licenses and expertise] enabling us to effectively analyze your business, take corrective measures and present your healthcare entity in the best possible and accurate light.

***

But, if you’re looking at this website, chances are you are fed up, burned out, seeking practice management techniques or a better work-life balance. Or, you are looking for a new non-clinical career, thinking of finance, investing, retirement, or all of the above. Perhaps you are just looking to regain the joy and meaning in your medical or professional career? This is known as “soft” psychology, coaching, personal consulting or fraternal advice.

***

Regardless, of your “soft” personal or “hard” corporate needs, our transparent Fees for Service [FFS] model is moderated for all colleagues based on the acuity and urgency of their engagements. Reduced rates and/or limited charity work may also be possible.

***

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

***

Filed under: "Advisors Only", "Ask-an-Advisor", "Doctors Only", Accounting, Career Development, Estate Planning, Ethics, Experts Invited, Financial Advisor Listings, Financial Planning, Health Economics, Health Law & Policy, Healthcare Finance, Interviews, Investing, LifeStyle, Managed Care, Marketing & Advertising, Media Mentions and PR, mental health, Op-Editorials, Practice Management, Practice Worth, Risk Management, Sponsors, Touring with Marcinko | Tagged: advising, coaching, David Edward Marcinko, david marcinko, Dr. David Edward Marcinko, Dr. Marcinko, Marcinko advisors, Marcinko Associates, psychology | Leave a comment »

TRANSFER ON DEATH: TOD Deeds

Posted on October 23, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAdvisors@msn.com

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What Is a Transfer on Death (TOD) Deed?

TOD deeds are legal documents that can be filed in local land records offices, and do not require the notice of the beneficiary, though it’s probably a good idea to inform them. Each state has its own requirements as to what the deed entails. TOD deeds are offered in 27 states (and D.C.).

These deeds are revocable once filed. Beneficiaries have no ownership claim to your property while you’re still alive. You maintain full control of the property, including responsibility for any mortgage debt, taxes, liens and the like. Once you pass away, the property will transfer to your named beneficiary, along with any debts attached to it.

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

Pros and Cons of a Transfer on Death Deed

Before signing a transfer on death deed, there are a few things to keep in mind.

Pros

You retain ownership while you’re still alive. Your beneficiary only takes over once you pass away; until then, you make all decisions about your property, and can even sell it if you choose. This makes a TOD deed a better choice than, say, adding someone as a joint owner on your property. (In that case, you would need their permission before selling, refinancing, mortgaging or even improving the home.)
It is revocable. If you choose to withdraw or revoke your transfer on death deed, you can do so at any time. You can also replace an existing TOD deed with a new one, if desired.
It’s simple. Establishing a transfer on death deed is easy. It just requires signing the document and filing with your county land records office. You don’t even need to let the beneficiary know you’ve done it.
Anyone can be named you beneficiary. You can use a transfer on death deed to pass property to anyone when you die. This includes family members, friends, other loved ones or even charitable causes.

Cons

Joint ownership takes precedence. If the property is jointly owned with someone else, that ownership supersedes a TOD deed. The property will instead transfer to the other owner if you pass away. Once they also pass away, the TOD deed will go into effect (if still valid).
If your beneficiary dies first, your property goes to probate anyway. If you pass away along with or after your beneficiary, and don’t have a backup beneficiary named, your property will go through probate with the rest of your estate.

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

***

Filed under: "Ask-an-Advisor", Estate Planning, Ethics, Experts Invited, Risk Management | Tagged: beneficiary, deed, deeds, Estate Planning, NextGen Wealth, ownership, probate, revocable, TOD, transfer on death, trust, wealth transfer | Leave a comment »

PODCAST: Health Insurance Dis-Intermediation

Posted on October 23, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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DAILY UPDATE: US Budget Deficit Rises as Stock Markets Drop

Posted on October 21, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The U.S. government on Friday posted a $1.695 trillion budget deficit in fiscal 2023, a 23% jump from the prior year as revenues fell and outlays for Social Security, Medicare and interest costs on the federal debt rose significantly.

The Treasury Department said the deficit was the largest since a COVID-fueled $2.78 trillion gap in 2021 and marks a major return to ballooning deficits after back-to-back declines during President Joe Biden’s first two years in office. The deficit comes as Biden is asking Congress for $100 billion in new foreign aid and security spending, including $60 billion for Ukraine and $14 billion for Israel, along with funding for U.S. border security and the Indo-Pacific region.

***

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

***

Here is where the major benchmarks ended:

The S&P 500^® Index was down 53.84 points (1.3%) at 4,224.16, down 2.4% for the week; the Dow Jones Industrial Average (DJI) was down 286.89 points (0.9%) at 33,127.28, down 1.6% for the week; the NASDAQ Composite was down 202.37 points (1.5%) at 12,983.81, down 3.2% for the week.
The 10-year Treasury note yield was up about 8 basis points at 4.907%.
CBOE’s Volatility Index (VIX) was up 0.26 at 21.71.

Small-cap stocks, which are considered to be more exposed to economic uncertainty, were also soft, as the Russell 2000 Index (RUT) dropped to a 12-month low and was 2.2% lower for the week.

Gold futures rose 2.3% for the week and ended near a three-month high, as the fighting in the Middle East fueled demand for assets considered to be safe havens. Volatility based on the VIX spiked to its highest level since March.

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Financial Planning, Funding Basics, iMBA, Inc., Investing | Tagged: budget deficit, CBOE, DJI, DJIA, DOW, gold, medicare, NSDAQ, oil, Russell 2000, Russell 2000 Index, RUT, S&P 500, social security, Treasury Department, VIX | Leave a comment »

ECONOMY: Still Strong

Posted on October 20, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

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***

In the last 20 months, the US Federal Reserve has jacked up interest rates to a 22-year high to tame soaring inflation. And inflation has come down to about half of its June 2022 peak. But the economy is still strong.

The Fed’s rate-hiking jamboree was expected to slow hiring, spending, and broader economic growth as unfortunate side effects of popping the inflation balloon. However, a series of recent reports shows that the US economy is still roaring in the ’20s:

Jobs: Employers smashed expectations by adding 336,000 jobs in September, and the unemployment rate remains at a low level of 3.8%.
Spending: Retail sales also blew past estimates in September, a sign that American consumers remain the undisputed shopping world champs. This probably helped: Americans’ household wealth surged 37% from 2019 to 2022, according to Fed data released on Wednesday. That’s more than double the second-highest increase on record.
Economy: After the strong retail sales numbers came out this week, Morgan Stanley raised its Q3 economic growth outlook to 4.9% from 4.5%. Context: One year ago this week, Bloomberg economists predicted a 100% chance of a recession…within a year.

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Filed under: "Ask-an-Advisor", Financial Planning, Funding Basics, Glossary Terms, Marcinko Associates | Tagged: Daivd Marcinko, economy, fed, Federal Reserve, inflation, Marcinko Associates, strong economy | Leave a comment »

RETAIN A PHYSICIAN COACH: “From Chaos to Calm” in 2024?

Posted on October 20, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

SPONSOR: http://www.MARCINKOASSOCIATES.com

***

***

“FROM CHAOS-TO-CALM”

If you’re looking at this tab, chances are you are fed up, burned out, seeking better work-life balance, looking for a new non-clinical career, thinking of retirement, or all of the above. Perhaps you are just looking to regain the joy and meaning in your medical career.

No worries! You may have come to the right place.

LEARN MORE: https://medicalexecutivepost.com/2022/10/24/personal-coaching-dr-marcinko-at-your-service/

COACHING: Careers

THANK YOU

***

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