Dr. David Edward Marcinko MBA MEd CMP™

PHYSICIAN LAYOFFS: Job Eliminations Across 66 Hospitals

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

By Staff Reporters

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A report published by Becker’s Hospital Review highlights a large number of job elimination efforts that have been announced or already implemented across 66 hospitals, including the following:

As an organizational redesign measure, Oklahoma University (OU) Health has eliminated around 100 positions.
200 healthcare jobs were cut by Oklahoma City-based Integris Health to curb expenses.
ProMedica in Toledo, Ohio, announced plans to lay off 262 employees in March.
337 employees of New York City-based Memorial Sloan Kettering Cancer Center are likely to be laid off shortly.
112 employees of Pikeville Medical Center in Kentucky were laid-off at the end of 2022.
Desert Springs Hospital Medical Center in Las Vegas has already notified its workers that 970 jobs will be lost as it transitions to an emergency department.
California-based Kaweah Health in Visalia is likely to eliminate 94 positions.

These healthcare worker layoffs only reveal a part of the crisis because the complete closure of numerous hospitals is also on the horizon.

While the closure rate is faster for rural hospitals, urban hospitals are not safe either. In November 2022, Atlanta Medical Center (AMC) in Atlanta Georgia, announced its closure, leaving hundreds of workers jobless. This closure also had a severe adverse impact on the availability of trauma care in Atlanta. In 2019, the city council in Washington D.C. voted in favor of closing United Medical Center prior to COVID, leaving a healthcare gap during the pandemic.

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NOTE: The current trend of hospital closures and healthcare job cuts not only affects the healthcare workers and their families but also poses serious questions about the quality of healthcare in the country. Last year, McKinsey & Company predicted that by the end of 2025, the US healthcare system may face a shortage of up to 450,000 registered nurses [RNs].

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Filed under: "Doctors Only", Career Development, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, LifeStyle, Managed Care | Tagged: Becker's Hospital Review, doctor unemplaoyment, hospital closures, layoffs, McKinsey & Company, MD, physician layoffs, RN | Leave a comment »

DAILY UPDATE: Deutsche Bank, YouTube Health Initiative and the Markets

Posted on July 22, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Regulators fined Deutsche Bank $186 million for not fixing anti-money laundering, due diligence, and sanctions controls. This is the third time since 2015 that the Federal Reserve has fined the troubled bank for internal control failures. (CNN Business)

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Under the YouTube Health Initiative, the company partnered with several healthcare organizations, including traditional health systems like Cleveland Clinic in Ohio and Mass General Brigham in Boston, as well as online health education platforms like Osmosis and Psych Hub. Other partners include the medical journal the New England Journal of Medicine, the World Health Organization, and the American Public Health Association.

These health organizations created videos on a range of health topics, which YouTube curates in what it calls “carousels” and labels to indicate that the information comes from reputable sources. If someone searches for information on diabetes, for example, they’ll get a carousel of videos from the health partners on diabetes.

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Here is where the major benchmarks ended yesterday and for the week:

The S&P 500 Index was up 1.47 points at 4,536.34, up 0.7% for the week and the benchmark’s eighth weekly gain in the past 10; the Dow Jones industrial average was up 2.51 points at 35,227.69, up 2.1% for the week; the NASDAQ Composite was down 30.50 points (0.2%) at 14,032.81, down 0.6% for the week.
The 10-year Treasury note yield (TNX) was down about 2 basis points at 3.837%.
CBOE’s Volatility Index (VIX) was down 0.39 at 13.60.

Utility and health care shares were among the strongest performers Friday, which may reflect investors rotating into more “defensive” sectors, which haven’t participated as much in this year’s rally and may be seen as a “relative value” or “catch-up” play.

Energy stocks were also strong as crude oil futures jumped over 2% and posted a fourth straight weekly gain. Regional banks and communication services were among the weakest sectors, while the small-cap-focused Russell 2000 (RUT) fell slightly.

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The “Rich Doctor” Myth

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

Considerations for the Next-Generation of Potential Providers

By Brian J. Knabe MD CMP™ CFP™

SPONSOR: www.CertifiedMedicalPlanner.org

Almost 2 decades ago, Fortune magazine carried the headline “When Six Figured Incomes Aren’t Enough. Now Doctors Want a Union.” To the man in the street, it was just a matter of the rich getting richer.

The sentiment was more precisely quantified, according to health economist and financial advisor Dr. David E. Marcinko MBA CMP™, in the March 31, 2005 issue of Physician’s Money Digest, who with Editor Gregory Kelly reported that a 47-year-old doctor with $184,000 in annual income would need about $5.5 million dollars for retirement at age 65.

Of course, physicians were not complaining back then under the traditional fee-for-service system; the imbroglio only began when managed care adversely impacted income, or when the stock market crashed in 2008; or with passage of the Patient Protection and Affordable Care Act [PP-ACA] in 2010 or its’ full implementation in 2014.

And now, in the post-Trump era?

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INSTANT BANK PAYMENTS? The “FedNow” 24/7 Service

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

By Staff Reporters

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According to Morning Brew, the US banking system is about to speed up, potentially eliminating those frustrating waiting days it can take for money to hit your account. The Fed is launching its FedNow instant payment service later this month. The new system will enable banks to send each other cash instantly, 24/7, as an alternative to the existing system that runs only during regular business hours and often takes days to move money.

FedNow could put America’s banking system on track to catch up to countries like India and Nigeria, where high-speed payments are as common. The US does already have an instant payments system, but it’s private rather than government-backed, and it hasn’t been widely adopted. It’s mostly only used by big banks, and only 1.4% of US transactions happen in real time, according to payment systems company ACI Worldwide.

FedNow enabled services will soon likely appear at the 41 banks that have been certified to participate so far.

People moving money between banks or paying bills could complete their transactions in seconds without the need to plan payments days in advance.
Businesses will be able to access customer payments immediately and to send workers payments more frequently with instant direct deposit rather than the usual payroll cycle.

BUT … Faster payments could mean faster bank runs, too!

Some experts worry that allowing people to drain their bank accounts instantaneously could make SVB-style bank runs more likely. Smaller banks struggling with liquidity would have even less time to react to customer panic and get collateral for emergency government loans to cover fleeing cash.

But there are safeguards built in. FedNow has a transaction limit of $500,000, and banks can set their own ceilings to ensure that customers don’t pull their deposits.

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The HEALTH DICTIONARY SERIES

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

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HEALTH DICTIONARY SERIES

By Ann Miller RN MHA

[An Internet WIKI CROWD-SOURCED Curation Project]*

To keep up with the ever-changing healthcare industrial complex, we must learn new definitions and re-learn old terminology in order to correctly apply it to practice. By aggregating the most up-to-date abbreviations, acronyms, definitions and terms, the Health Dictionary Series offers a wealth of information to help understand the ever-changing terms-of-art in healthcare today.

Each 10,000 item handbook is essential for doctors, nurses, benefits managers and insurance agents, CPAs, and administrators; as well as graduate and under graduate students and professors. Our goal to for each dictionary to be designated as a Doody’s Core Title.

Dictionary of Health Insurance and Managed Care

With more than 8,000 definitions, 4,000 abbreviations and acronyms, and a 3,000 item oeuvre of resources, readings, and nomenclature derivatives, this dictionary covers the Medicare, managed care and Medicaid, private insurance, Veteran’s Administration and PP-ACA language of the entire health and long-term care insurance sector.

Dictionary of Health Economics and Finance

Health economics and finance is an integral component of the health care industrial complex. Its language is a diverse and broad-based concept covering many other industries: accounting, mathematics, the actuarial sciences, stochastics and statistics, salary reimbursements, physician payments, compensation and forecasting are all commingled arenas.

Dictionary of Health Information Technology Security

There is a myth that all healthcare stakeholders understand the meaning of information technology jargon. In truth, the vernacular of contemporary systems is unique, and often misused or misunderstood. Moreover, emerging Heath Information Technology (HIT) thru the HITECG initiatives; in the guise of terms, definitions, acronyms, abbreviations and standards; often puts the non-expert in a position of maximum uncertainty and minimum productivity.

*NOTE: A wiki website allows users to add or update content using their browser thru a hosted server created by the collaborative effort of site visitors. The Hawaiian term “wiki wiki” means “super fast.”

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DAILY UPDATE: S&P, Tesla, Netflix and NASDAQ all Fall as Dow Rises

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

By Staff Reporters

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The S&P 500 and NASDAQ fell on Thursday, weighed down by drops in Tesla and Netflix following their quarterly results, but the Dow advanced for a ninth straight day thanks to gains in Johnson & Johnson following a strong annual forecast.

Here is where the major market benchmarks ended:

The S&P 500 Index was down 30.85 points (0.7%) at 4,534.87; the Dow Jones industrial average was up 163.97 points (0.5%) at 35,225.18; the NASDAQ Composite was down 294.71 points (2.1%) at 14,063.31.
The 10-year Treasury note yield (TNX) was up about 11 basis points at 3.846%.
CBOE’s Volatility Index (VIX) was up 0.22 at 13.98.

Consumer Discretionary stocks, which are considered to have greater exposure to recession than other companies, were among the weakest performers Thursday. Technology stocks also struggled, with the NASDAQ posting its lowest close since July 12th and the Philadelphia Semiconductor Index (SOX) tumbling over 3%.

Health care and utilities, generally considered more recession-proof, were the strongest performers.

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CYBER ATTACK: Closes First Hospital

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

By Staff Reporters

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The healthcare industry cut 97% more jobs in the first half of 2023 compared to the same period in 2022, according to a July 6 report from executive outplacement firm Challenger, Gray, & Christmas.

The report mentioned an unnamed hospital that closed last month due to a cyberattack, which likely contributed to the healthcare job cuts. In June, St. Margaret’s Health in Spring Valley, Illinois, closed, and was the first hospital to publicly attribute a cyberattack to its closure, NBC News reported.

Market and economic conditions were cited as the reasons for the majority of job cuts across all US industries; the report didn’t detail the reasons for healthcare job cuts specifically, except for the NBC News Report.

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DAILY UPDATE: Elon Tweets 2 Words About the Markets

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

By Staff Reporters

Elon Musk underlined the astounding scale of Microsoft and Nvidia’s combined market-value surge on Tuesday with a two-word tweet: “Crazy times.” While Musk didn’t spell out whether he views Microsoft or Nvidia as overvalued, his strong reaction could be a red flag for stock market investors.

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Here is where the major benchmarks ended yesterday:

The S&P 500 Index was up 10.74 points (0.2%) at 4,565.72; the Dow Jones industrial average was up 109.28 points (0.3%) at 35,061.21; the NASDAQ Composite was up 4.38 points at 14,358.02.
The 10-year Treasury note yield (TNX) was down about 4 basis points at 3.744%.
CBOE’s Volatility Index (VIX) was up 0.44 at 13.74.

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KING IS CASH: In a Tough Interest Rate Ecosystem

Posted on July 19, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Cash is king, especially in this tough interest rate environment. That’s proving true in the mergers and acquisitions market this year, according to PwC’s US Deals 2023 midyear outlook, which says companies and private equity with cash in hand are making deals happen. There are “opportunities for corporates with strong balance sheets. Private equity sponsors with large amounts of dry powder also have been getting deals done,” according to PwC.

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

Deal makers need cash because lending has become tougher and more expensive to obtain. Additionally, “the IPO market has remained quiet for over a year.”

Even the private equity market, which often leans heavily on debt financing, is reaching for other ways to get deals done: “Some PE sponsors have turned to more creative financing solutions, including higher equity contribution, seller’s notes, paid in-kind financing and the private credit markets.”

The challenging market is also impacting deal size. PwC found that deal makers are eschewing big deals in favor of smaller opportunities. However, although the deals appear to be smaller, the volume of M&A activity is “relatively strong compared to” COVID pre-pandemic levels.

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DAILY UPDATE: Novartis AG Up, Verizon Down as Markets Surge

Posted on July 19, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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(Bloomberg) — Novartis AG raised its profit outlook and announced plans to buy back as much as $15 billion in shares as it prepares to spin off its Sandoz generics unit. Operating profit excluding some items will likely grow by low double digits this year, the Swiss drug maker said in a statement, raising its forecast for a second time from a prior estimate of high single-digits gains. The stock rose as much as 4% in Zurich trading.

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Shares of U.S. telecom giant Verizon (NYSE: VZ) fell 7.5% in trading on Monday after a series of articles in The Wall Street Journal highlighted the lead in cable sheathing that telecom companies used decades ago. Some analysts downgraded the stock, but the market sold before more details were available from the company.

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Here is where the major market benchmarks ended:

U.S. stocks extended a rally as better-than-expected bank results boosted the S&P 500 and NASDAQ to fresh 15-month highs.

The S&P 500 Index was up 32.19 points (0.7%) at 4,554.98; the Dow Jones industrial average was up 366.58 points (1.1%) at 34,951.93; the NASDAQ Composite was up 108.69 points (0.8%) at 14,353.64.
The 10-year Treasury note yield (TNX) was little changed at 3.793%.
CBOE’s Volatility Index (VIX) was down 0.16 at 13.32.

Financial stocks were among the strongest performers Tuesday, sending the KBW Regional Banking Index (KRX) up over 4%. Oilfield services shares were also strong as crude oil futures gained over 2%. The small-cap Russell 2000 (RUT) gained over 1% and posted a five-month high.

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MICROSOFT: Takes Over Activision Blizzard

Posted on July 19, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

FINALLY?

By Staff Reporters

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Microsoft’s takeover of Activision Blizzard cleared for landing

A federal judge rejected the FTC’s attempt to stop Microsoft from buying the video game publisher Activision Blizzard, paving the way for the $69 billion deal to close as soon as this month.

The FTC argued that the takeover would result in less competition in the video game industry and limit access to Activision’s blockbuster games, but the judge disagreed, saying, “To the contrary, the record evidence points to more consumer access to Call of Duty and other Activision content.”

While the deal still needs UK regulators’ approval, they also signaled yesterday they would let it proceed.

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DAILY UPDATE: Earnings Season Upon Us, Eli Lilly and the Surging Markets

Posted on July 18, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Earnings season picks up: The Q2 reports will come fast and furious this week from companies including Bank of America, Tesla, major airlines, and American Express. But the most tea is expected to be spilled by Netflix, which will give an update on its password-sharing crackdown and discuss how the Hollywood strikes are impacting its business.

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A new study reports Eli Lilly’s Alzheimer’s drug slowed cognitive and functional decline for people with early stages of the disease. The data, published Monday in the Journal of the American Medical Association, found the experimental drug Donanemab slowed decline by 35% compared to a placebo group based on a measure of daily activities such as driving, managing finances and talking about current events. Researchers also shared the data at the Alzheimer’s Association International Conference in Amsterdam.

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Lilly said it submitted an application for traditional Food and Drug Administration approval earlier this year and expects the agency will act before the end of the year.

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Finally, technology shares were among the strongest performers yesterday, with the Philadelphia Semiconductor Index (SOX) surging over 2% to its highest level since January 2022. Smaller companies also performed well, with the small-cap focused Russell 2000 (RUT) up over 1% to end at a five-month high. Financial shares remained robust following mostly better-than-expected results from big banks last week. Here is where the major benchmarks ended:

The S&P 500 Index was up 17.37 points (0.4%) at 4,522.79; the Dow Jones Industrial Average was up 76.32 points (0.2%) at 34,585.35; and the NASDAQ Composite was up 131.25 points (0.9%) at 14,244.95.
The 10-year Treasury note yield (TNX) was down about 2 basis points at 3.805%.
CBOE’s Volatility Index (VIX) was up 0.14 at 13.48.

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Is the ARK Sinking?

Posted on July 17, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Markets: Stocks are rolling following a week that showed our inflation emergency seems to be ending, and big banks are still raking in big profits. The Fed’s so-called “soft landing” scenario—getting inflation down without tipping the economy into a recession—is a distinct possibility, as long as corporate finances don’t end up being shockingly bad this earnings season.
Global economy: While the US economy is chugging along, the same can’t be said for China. Growth in the world’s No. 2 economy hardly budged between the first and second quarters, while youth unemployment hit a record last month. Expect President Xi Jinping to make moves to juice China’s stagnating GDP.

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Curiously, Cathie Wood’s flagship exchange-traded fund has rallied more than 50% this year. Investors are using that as an opportunity to get out.

They have pulled a net $717 million from the ARK Innovation ETF over the past 12 months, according to FactSet. That exodus marks a notable shift for a fund that had consistently drawn investor cash since its 2014 inception. Once the largest actively managed ETF with nearly $30 billion in assets under management, the fund has shrunk to roughly $9 billion, mostly due to investment losses.

Known by its ticker symbol ARKK, Wood’s fund became an investor darling shortly after the onset of the Covid-19 pandemic with hugely successful bets on unprofitable and “disruptive” technology companies. It took in huge amounts of investor money, culminating with a $6.5 billion inflow in the first quarter of 2021, when its share price peaked.

Then, the Federal Reserve’s fastest interest-rate hiking campaign in decades crushed the valuations of unprofitable growth companies, which often attract investors when interest rates are low and returns on safer investments such as CDs are minimal. Shares of ARKK plunged 67% in 2022, but its investors largely held on or bought the dip.

Now, analysts say they expect some of those investors are getting out for good?

MORE: https://medicalexecutivepost.com/2023/07/12/from-active-to-passive-investing/

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DAILY UPDATE: Global Stock Earnings Reports Pending?

Posted on July 17, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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A near-$10 trillion rally for global stocks this year will face a make-or-break moment as hundreds of companies report earnings over the next few weeks.

S&P 500 firms are expected to post a 9% drop in profits in the second quarter, making it the worst season since 2020, according to data compiled by Bloomberg Intelligence.

In Europe, it may be even worse, with a projected 12% slump. But with the bar already low — and some indicators suggesting an earnings recovery next year — strategists are split on how the markets will react.

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DAILY UPDATE: “No July SSI Checks for You”

Posted on July 16, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Supplemental Security Income

By Staff Reporters

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Stocks popped 2% this week, as investors expect the Fed to soon pause or dial back interest rates after the release of the June inflation report. Central bankers have raised rates from zero to over 5% since March of last year, a move that led the S&P 500 to shed 20% in 2022.

And yet, No SSI for you!

DEFINITION: Supplemental Security Income (SSI) is a means-tested program that provides cash payments to disabled children, disabled adults, and individuals aged 65 or older who are citizens or nationals of the USA. SSI was created by the Social Security Amendments of 1972 and is incorporated in Title 16 of the Social Security Act The program is administered by the Social Security Administration (SSA) and began operations in 1974.

Individuals or their helpers may start the application for SSI benefits by completing a short form on SSA’s website. SSA staff will schedule an appointment for the individual or helper within 1–2 weeks and complete the process.

SSI was created to replace federal-state adult assistance programs that served the same purpose, but were administered by the state agencies and received criticism for lacking consistent eligibility criteria. The restructuring of these programs was intended to standardize the eligibility requirements and level of benefits. Although administered by SSA, SSI is funded from the U.S. Treasury general funds, not the SS Trust Fund. As of July 2022, the program provides benefits to approximately five million Americans.

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The Social Security Administration gives, and the Social Security Administration takes away — at least when it comes to beneficiaries who qualify for Supplemental Security Income (SSI) payments.

July is one of the months when the agency doesn’t issue an SSI check. Because of a quirk in the payment schedule, SSI beneficiaries get two payments in March, June, September and December, while no payments are deposited in January, April, July and October.

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DAILY UPDATE: Big Bank Earnings and the Markets

Posted on July 15, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The biggest U.S. banks presented a picture of a resilient economy on Friday, with consumers and businesses continuing to spend and borrow even after a lightning-fast rise in interest rates.

JPMorgan Chase’s profit soared 67% in the second quarter from a year earlier and Wells Fargo’s jumped 57%, lifted by the income they earned lending out money at higher rates. Citigroup’s net interest income was a bright spot, though profit fell 36%. All three banks beat analysts’ expectations for profit and revenue.

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Here is where the major benchmarks ended:

The S&P 500 Index was down 4.62 points (0.1%) at 4,505.42, up 2.4% for the week; the Dow Jones Industrial Average (DJIA) was up 113.89 points (0.3%) at 34,509.03, up 2.3% for the week; the NASDAQ Composite was down 24.87 points (0.2%) at 14,113.70, up 3.3% for the week.
The 10-year Treasury note yield (TNX) was up about 7 basis points at 3.828%.
CBOE’s Volatility Index (VIX) was down 0.29 at 13.32.

Energy shares were among the weakest performers Friday after crude oil futures retreated nearly 2% from 2½-month highs posted Thursday. Regional banks were also lower despite stronger-than-expected quarterly results from their larger peers.

Health care and Consumer Staples were among the strongest performers. The U.S. dollar gained slightly but remained near a 17-month low against the euro.

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About the Richard Feynman Learning Technique

Posted on July 14, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

What it is – How it works?

[By Dr. David Edward Marcinko MBA M.Ed]

I’ve taught at the undergraduate, graduate, business and medical school levels. And, I’ve used and modified the Feynman technique at every level.

***

Learning From the Richard Feynman Technique

Identify the subject. Write down everything you know about the topic.
Teach it to a child. If you can teach a concept to a child, you’re way ahead of the game.
Identify your knowledge gaps. This is the point where the real learning happens.
Organize + simplify + Tell a story. Start to tell your story.

VIDEO: https://collegeinfogeek.com/feynman-technique/

Assessment: Some time the Feynman Technique even reminds me of the 70-20-10 Leadership Model.

LINK: https://medicalexecutivepost.com/2018/05/18/what-is-the-70-20-10-leadership-model/

Conclusion: Your thoughts are appreciated.

***

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Evaluating the “Flipped Classroom”

Posted on July 14, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

What it is – How it Works?

[By Dr. David E. Marcinko MBA M.Ed]

DAVID EDWARD MARCINKO | “Leadership at the intersection of academic research, education and applied business execution”

According to Wikipedia, a flipped classroom is an instructional strategy and a type of blended learning that reverses the traditional learning environment by delivering instructional content, often online, outside of the classroom. It moves activities, including those that may have traditionally been considered homework, into the classroom.

In a flipped classroom, students watch online lectures, collaborate in online discussions, or carry out research at home while engaging in concepts in the classroom with the guidance of a mentor.

Invite Dr. Marcinko

***

MORE: https://medicalexecutivepost.com/2018/09/25/moocs-are-you-an-i-t-educational-futurist/

MORE: https://medicalexecutivepost.com/2018/10/02/what-is-your-teaching-philosophy/

MORE: https://teachthought.com/learning/10-pros-cons-flipped-classroom/

Assessment:

But, does it work? In vivo -OR- in vitro? Your thoughts are appreciated

***

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DAILY UPDATE: Inflation Down – Wall Street Up on PPI

Posted on July 14, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Producer Price Index

By Staff Reporters

***

***

Here is where the major benchmarks ended on Thursday

The S&P 500 Index was up 37.88 points (0.9%) at 4,510.04; the Dow Jones Industrial Average (DJIA) was up 47.71 points (0.1%) at 34,395.14; the NASDAQ Composite was up 219.61 points (1.6%) at 14,138.57.
The 10-year Treasury note yield (TNX) was down about 10 basis points at 3.763%.
CBOE’s Volatility Index (VIX) was up 0.04 at 13.58.

Technology shares were among the strongest performers Thursday, with the NASDAQ-100 Index (NDX) and Philadelphia Semiconductor Index (SOX) both climbing roughly 2% to 18-month highs. Communication Services and regional banks were also strong.

Oilfield services stocks gained on an extended rally in crude oil futures, which pushed above $77 a barrel near a three-month high. The U.S. dollar sank to its weakest point against the euro since February 2022 on expectations U.S. interest rates may have peaked.

***

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DAILY UPDATE: Summer Trauma Season but Not for the Markets

Posted on July 13, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

We hope everyone is staying safe out there, especially because in healthcare, summertime is known as “trauma season.” Accidents nearly double for children, and adult injuries increase by almost 25%, with the main culprits being sports and recreational activities. So remember to put on a helmet, knee and elbow pads; etc.

***

Stocks surged on Wednesday after a cooler-than-expected June consumer price index report eased some worries that the Federal Reserve may tip the economy into a recession as it fights to bring down sticky inflation.

The S&P 500 and Nasdaq Composite jumped 0.74% and 1.15%, respectively, to hit their highest closing levels since April 2022. The Dow Jones Industrial Average added 86.01 points, or 0.25%.

Fundstrat’s Tom Lee told CNBC’s “Closing Bell: Overtime” on Wednesday that today’s CPI print, future expectations for easing and recent stock activity paint a market that is “behaving more like a soft landing” scenario that many deemed unreachable at the start of 2023.

***

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Understanding Chebyshev’s Theorem?

Posted on July 13, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

What it Is – How it works

By Dr. David Edward Marcinko MBA CMP™

http://www.CertifiedMedicalPlanner.org

The rule is often called Chebyshev’s theorem, about the range of standard deviations around the mean, in statistics www.HealthDictionarySeries.org

The inequality has great utility because it can be applied to any probability distribution in which the mean and variance are defined. But first, let us review the Empirical Rule.

Empirical Rule

In probability theory, the central limit theorem (CLT) states that, given certain conditions, the arithmetic mean of a sufficiently large number of iterates of independent random variables, each with a well-defined expected value and well-defined variance, will be approximately normally distributed, regardless of the underlying

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Central Limit Theorem

***

What is a Galton Board?

***

Chebyshev’s Theorem

The Russian mathematician P.L. Chebyshev (1821-1894) proved a theorem which is valid for any distribution of data:

For any number k greater than 1, at least 1-1/k² of the data will fall within k standard deviations of the mean. This theorem produces a few useful rules:

no information can be obtained on the fraction of values falling within 1 standard deviation of the mean
at least 75% will fall within 2 standard deviations
at least 88.8 % will fall within 3 standard deviations

The following figure is a graphical presentation of these rules.

https://en.wikipedia.org/wiki/Chebyshev%27s_inequality

Chebyshev’s Theorem: The proportion of any distribution that lies within k standard deviations of the mean is at least 1 – (1/k2), where k is any positive number larger than 1. This theorem applies to all distributions of data.

Assessment

OK; so basically Chebyshev’s theorem states that 75% of your data will lie within 2 standard deviations of the mean and that 89% of your data will lie within 3 standard deviations of the mean.

And, I believe that this theorem is much more precise than the Empirical Rule, which assumes normality and can be off.

Conclusion

Book Marcinko: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/

Subscribe: MEDICAL EXECUTIVE POST for curated news, essays, opinions and analysis from the public health, economics, finance, marketing, IT, business and policy management ecosystem

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BUSTED: Bank of America as Inflation Cools?

Posted on July 12, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

BofA must refund $100 million to customers, pay $90 million in penalties to the Consumer Financial Protection Bureau and $60 million to the Office of the Comptroller of the Currency. “Bank of America wrongfully withheld credit card rewards, double-dipped on fees, and opened accounts without consent,” said CFPB Director Rohit Chopra, in a statement.

“These practices are illegal and undermine customer trust.”

Combined, it is one of the highest financial penalties in years against Bank of America, which has largely spent the last 15 years trying to clean up its reputation and market itself to the public as a bank focused on financial health and not on overdraft fee income and financial trickery.

***

The latest reading ion core inflation indicates a notable cool-down in June but still exceeds the Federal Reserve’s inflation target of 2%.

Data just released exceeded the expectations of economists surveyed by Bloomberg, who expected inflation to have fallen to 3.1% in June. Inflation rose a modest 0.2% on a monthly basis, accelerating from a 0.1% increase in May. Despite the encouraging report, core inflation — which strips out volatile food and energy prices — rose 4.8%.

Food prices, meanwhile, continued to accelerate faster than overall inflation, rising 5.7% in June compared to a year ago. and, the price of flour rose about 12% in June compared to a year ago, roughly quadruple of the overall inflation rate; while the price of bakery products rose 9.5% over that period and the price of cookies rose nearly 9%.

***

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DAILY UPDATE: Bill Gross Speaks Up, Used Car Prices are Down, but the Markets are Upbeat Before the CPI Report?

Posted on July 12, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

American consumers are on track to run out of cash later this year, Bill Gross has warned.
Consumer spending is a key driver of economic growth. If it drops, a recession might be the result.
“Bond King” Gross said the government’s aggressive spending during the pandemic is still buoying the economy.

American consumers are propping up the economy by spending their pandemic savings, but they’re likely to run out of cash later this year, Gross warned.

“It’s fiscal policy not just monetary policy — stupid,” the billionaire investor tweeted. His point was that government spending and tax rates, along with interest rates and money supply, affect economic growth and inflation.

***

Used Auto Prices Down

Used car prices in America saw the largest monthly slump since the height of the pandemic in June.
The Manheim Used Vehicle Value Index dropped to 215.1 last month, marking a 10.3% tumble from a year earlier.
That’s good news on inflation, which could fall below 3% in June, the analyst said.

***

Here is where the major benchmarks ended: yesterday

The S&P 500^® Index (SPX) was up 29.73 points (0.7%) at 4,439.26; the Dow Jones Industrial Average (DJIA) was up 317.02 points (0.9%) at 34,261.42; the NASDAQ Composite (COMP) was up 75.22 points (0.6%) at 13,760.70.
The 10-year Treasury note yield (TNX) was down about 3 basis points at 3.978%.
CBOE’s Volatility Index (VIX) was down 0.23 at 14.84.

Energy companies led sector gainers Tuesday as crude oil futures extended a rally, with the benchmark WTI contract rising more than 2.5% and touching a 2½-month high on signs of lower Russian production.

The Philadelphia Oil Service Index (OSX) jumped more than 3% to a four-month high. Retail and transportation shares were also among the strongest sectors, while the health care and semiconductor sectors slipped.

***

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APPLE: What is its Corporate Value

Posted on July 12, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

AS INVESTORS – HOW DO WE EVALUATE FINANCIAL RISK?

By Vitaliy Katsenelson CFA

***

***

READ: https://vitaliy.substack.com/p/what-is-the-value-of-apple-how-do?utm_source=substack&utm_medium=email

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CAVA: Rises Post-IPO

Posted on July 11, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Markets: Investors shook off last week’s post-holiday blues with all three major indexes snapping three-day losing streaks yesterday, embracing a new outlook as they wait for more economic data and a new earnings season to start this week.
CAVA rose as analysts got their first chance to comment on the lunch spot since its IPO and were largely bullish on the bowl-maker—it’s already nearly doubled since its market debut last month.

***

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DAILY UPDATE: Minority/BIPOC Mental Health Awareness Month, Inflation and the Markets

Posted on July 11, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

July marks Minority/BIPOC Mental Health Awareness Month

A time when healthcare leaders and policymakers acknowledge the disparities that exist in behavioral health access and outcomes, as well as examine ways to address them. Tell us how your company, hospital, or practice is working to eliminate barriers and ensure equitable access to mental health services.

***

U.S. inflation cooled in May to an annual 4%, its lowest annual rate in more than two years, but core inflation rose by 0.4% month-on-month and 5.3% year-on-year.

And the markets are eagerly awaiting key inflation prints from the U.S. later this week, with the core annual consumer price index (CPI) — which excludes volatile food and energy prices — remaining persistently high to date, despite the headline figure gradually edging closer to the Federal Reserve‘s 2% target.

***

Here is where the major benchmarks ended:

The S&P 500^® Index (SPX) was up 10.58 points (0.2%) at 4,409.53; the Dow Jones Industrial Average (DJIA) was up 209.52 points (0.6%) at 33,944.40; the NASDAQ Composite (COMP) was up 24.77 points (0.2%) at 13,685.48.
The 10-year Treasury note yield (TNX) was down about 4 basis points at 4.008%.
CBOE’s Volatility Index (VIX) rose 0.21 to 15.04.

Chip stocks were among the strongest sectors Monday, with the Philadelphia Semiconductor Index (SOX), jumping about 2%.

Retail and industrial stocks were also strong, while the small-cap focused Russell 2000 index (RUT) gained 1.5%. Utilities and Communication Services ranked among the weakest performers. Volatility perked up, with the VIX touching a five-week high.

***

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PODCAST: Doctors Divorcing from their Hospital Systems

Posted on July 11, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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Earnings Season is Back!

Posted on July 10, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Miss seeing terms like “adjusted profits” and “forward guidance” in the ME-P?

They’re coming back as earnings season got underway on Friday with big banks reporting. Tech companies, in particular, will have to impress to justify their expensive share prices.

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

Also on the economic calendar is June’s inflation report.

***

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FINANCIAL ADVISORS MARKETING: Meaningful “Tchotchkes” for Doctor Prospects

Posted on July 10, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

SPONSOR: www.CertifiedMedicalPlanner.org

According to Wikipedia, a tchotchke is a small bauble, doodad, doohickey, gewgaw, gismo knickknack, swag, thingamabob, thingamajig, toy, trinket, whatchamacallit, whosie-whatsit, widget, etc. Drug representative, various trade vendors and even prospecting financial advisors that give such cheap souvenirs to potential clients are even sometimes called “tchotchke dukes.” This industry practice is well known and wide spread.

Value-Less

Depending on context, the term has a connotation of worthlessness or disposability as well as tackiness, and has long been used in the regional speech of New York City and elsewhere.

The word may also refer to swag, in the sense of the logo pens, key rings and FOBs, t-shirts, golf balls, and other promotional freebies dispensed at trade shows, conventions, and similar large events. Most are largely value-less promotional pieces.

Valuable

Medical professionals of all types are fertile prospects for pharmaceutical representatives, insurance agents, financial advisors and like minded vendors. Most of these commissioned salesmen offer tchotchkes to their doctor clients and prospects as a reminder of their wares.

Assessment

And so, wouldn’t it be interesting for these vendors to offer their doctors something of real value? How about one of our Dictionaries of Health … in our series of three non-clinical handbooks? Affordable, memorable and valuable!

Conclusion

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DAILY UPDATE: Home Sales Slow Down

Posted on July 10, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

Want to know why there are seemingly no houses for sale in the US these days? These numbers should help explain:

The average rate on a 30-year mortgage climbed to 6.81% last week, its highest level of 2023, according to Freddie Mac. At the same time, almost 92% of US homeowners with mortgages have an interest rate of less than 6%, Redfin reported.

So, not many current homeowners are willing to ditch their lower mortgage rates for the higher one that would come with a new house.

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Markets: As Wall Street heads into another earnings season this week, no one has much of a clue where stocks will go from here. Bloomberg notes there’s a whopping 50% difference between the most bullish analyst forecast for the S&P 500 for the rest of 2023 and the most bearish.

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TRACKING STOCK: What is It?

Posted on July 10, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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A tracking stock, also known as letter stock and/or targeted stock is a specialized equity offering issued by a company that is based on the operations of a defined business within the larger organization (such as, for instance, a wholly owned subsidiary of a diversified firm). Therefore, the tracking stock will be traded at a price related to the operations of the specific division of the company being “tracked”.

Tracking stock is typically limited, or has no voting rights. Often, tracking stock is issued to separate a high-growth (but initially, unprofitable) division from its parent company, while the parent company and its shareholders remain in control of the subsidiary’s operations.

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

Breaking New Example

The Atlanta Braves professional baseball team is set to be spun-off into an independent company along with their related properties (Battery) in two weeks. Along with this change, an as-of-yet unknown amount of equity in the company is set to be publicly traded on the stock market. The easiest explanation of this transition is to get a more accurate (Liberty Media’s Ownership) valuation of the franchise as a precursor to a sale. The Braves already have a pretty unique business structure, being owned by a publicly traded media conglomerate as a semi-autonomous entity within the conglomerate and a tracking stock, but this formalizes the franchises independence much more.

In the view of some, there is significantly more downside as a fan than upside to a sale, as the absolute upside involves more spending on the team payroll, but the team already is near the top of the league in payrolls and the team performance on the field is clearly top tier in the league. The downside is that the new ownership meddles more in the operations of the club in a negative way and/or slashes budgets, etc.

***

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DAILY UPDATE: Postage Stamps Become More Expensive!

Posted on July 9, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Consider this ME-P as a PSA for anyone getting married and/or preparing to send a million thank-you notes: The price of a USPS first-class “Forever” postage stamp is rising from 63 cents to 66 cents, effective tomorrow.

You don’t hear much about stamp inflation, but it’s been soaring. The price of stamps has jumped 32% since early 2019, when they cost just 50 cents. Then again, the USPS has to make up for emptier mailboxes somehow. Volume for first-class mail (which includes letters) has plunged 51% since 2006.

WHY?

Can you say e-mail, twitter, social media and text-messages, etc?

***

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DAILY UPDATE: New Auto Sales and the Slippery Markets

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

By Staff Reporters

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Despite high prices, new car sales have been remarkably strong so far this year and are up 12% compared to the first half of 2022, according to Cox Automotive.

***

Here is where the major benchmarks ended:

The S&P 500^® Index (SPX) was down 12.64 points (0.3%) at 4398.95, down 1.2% for the week and just the second weekly decline in the past eight weeks; the Dow Jones Industrial Average (DJIA) was down 187.38 points (0.6%) at 33,734.88, down 2% for the week; the NASDAQ Composite (COMP) was down 18.33 points (0.1%) at 13,660.72, down 0.9% for the week.
The 10-year Treasury note yield (TNX) was up about 2 basis points at 4.06%.
CBOE’s Volatility Index (VIX) was down 0.61 at 14.83.

Energy shares were among the strongest performers, with the Philadelphia Oil Service Index (OSX) surging more than 6% to a four-month high. Benchmark WTI crude futures jumped more than 2% to close at a six-week high on hopes that OPEC+ production cuts will tighten supplies.

Regional banks and transportation stocks were also strong.

And, Samsung fell yesterday after revealing that its profits dropped 96% last quarter, giving the company its smallest quarterly profit since 2009 as it continues to sit on more memory chips than the market wants.

***

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JOBS: 225,000+ as Unemployment Falls

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

By Staff Reporters

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The U.S. is expected to have added tens of thousands of jobs in June, continuing to defy high interest rates and stubborn inflation, But any signs of slower job and wage growth last month could signal the labor market may be cooling down.

Economists surveyed by Bloomberg project that 225,000 jobs were added to the economy in June while the unemployment rate is expected to have slipped to 3.6% – down from 3.7% the previous month. And a projected 4.2% average hourly wage bump over the previous June would be the smallest yearly uptick since 2021.

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e-BOOKS: For Doctors, Financial Advisors, CPAs, Insurance Agents, Medical Consultants and Health Law Attorneys

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

By Ann Miller RN MHA CMP™

INTRODUCING OUR NEXT GENERATION e-BOOK LIBRARY FROM iMBA, Inc.

An e-book is an electronic or digital book that can be read on a computer or a handheld device.

Our new e-books consists of text, images, and are fixed to a specific spot on the page.

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DAILY UPDATE: Apple and the Markets Zoom!

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

By Staff Reporters

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When markets closed Friday, Apple’s market capitalization was over $3 trillion, making it the most valuable company — ever. It’s a massive milestone for the tech giant, which warned investors in May that its current quarter revenue was expected to decline. But Friday’s stock price increasing by just over 2 percent to close at $193.97 per share suggests that investors are still confident in the company, a bright spot in an industry that has otherwise been rocked by layoffs over the past year.

Curiously, Goldman Sachs is considering exiting its partnership with Apple, the Wall Street Journal reported on Friday, citing sources familiar with the matter.

The iPhone-maker and Goldman Sachs started rolling out a virtual credit card in 2019. The bank is in talks with American Express to take over its Apple credit card and other ventures with the tech giant, the report added.

***

Here is where the major benchmarks ended:

The S&P 500 Index was up 53.94 points (1.2%) at 4,450.38, a gain of 16% for the first half of 2023. The Dow Jones Industrial Average (DJIA) was up 283.18 points (0.8%) at 34,407.60, up 3.8% in the first half. The NASDAQ Composite was up 196.59 points (1.5%) at 13,787.92 for a first-half gain of 32%.
The 10-year Treasury note yield (TNX) was down about 2 basis points at 3.837%.
CBOE’s Volatility Index (VIX) was down 0.15 at 13.39.

Oilfield services companies and others in energy led sector gainers Friday, after crude oil futures rose 1% (though oil prices are down 12% so far this year).

Technology and Consumer Discretionary stocks were also strong performers, while regional banks were among the laggards. The U.S. Dollar Index (DXY) eased slightly. It is down about 0.5% for the first half.

***

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DAILY UPDATE: Leqembi Approved Ahead of Non-Farm Payroll Report with Good/Bad News Markets

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

By Staff Reporters

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(AP) — U.S. officials granted full approval to a closely watched Alzheimer’s drug on Thursday, clearing the way for Medicare and other insurance plans to begin covering the treatment for people with the brain-robbing disease. The Food and Drug Administration endorsed the IV drug, Leqembi, for patients with mild dementia and other symptoms caused by early Alzheimer’s disease. It’s the first medicine that’s been convincingly shown to modestly slow Alzheimer’s cognitive decline.

***

Markets: Yesterday was yet another “good news is bad news” day on Wall Street. After the ADP employment report showed private sector companies added more than 2x the jobs that were forecast last month, stocks fell and Treasury yields surged—an indication that investors expect the Fed to resume hiking interest rates to cool down the job market. So, all eyes are on the non-farm payrolls report since a stronger-than-expected report could result in even more Fed rate hikes than currently expected. Here is where the major benchmarks ended yesterday:

The S&P 500^® Index was down 35.23 points (0.8%) at 4,411.59; the Dow Jones Industrial Average (DJIA) was down 366.38 points (1.1%) at 33,922.26; the NASDAQ Composite (COMP) was down 112.61 points (0.8%) at 13,679.04.
The 10-year Treasury note yield (TNX) was up about 9 basis points at 4.035%.
The CBOE Volatility Index (VIX) was up 1.25 at 15.43.

Energy was among the weakest sectors despite crude oil futures touching a two-week high.

Regional banks and Consumer Discretionary stocks were also lower. Volatility expectations based on the VIX jumped to their highest level since late May.

***

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

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

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Filed under: "Ask-an-Advisor", "Doctors Only", Alerts Sign-Up, Drugs and Pharma, Ethics, Health Law & Policy, Healthcare Finance, Investing | Tagged: ADP, Alzheimer's disease, DJIA, DOW, FDA, fed, FOMC, Leqembi, medicare, NASDAQ, non-farm payrolls, regional banks, S&P 500, Treasury yields, VIX | Leave a comment »

Our ME-P Speaker’s Roster

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

**The “MedicalExecutive-Post” – Well-Known On the National Podium**

[By Staff Writers

All our print guide, textbook authors and blog editors are well-regarded, witty and insightful speakers targeting informed healthcare administrators, CXOs, physicians, nurse-executives, leaders and related audiences.

Contact us for more details about having them speak at your next medical conference, financial services meeting, management seminar or corporate retreat: MarcinkoAdvisors@msn.com or [phone: 770.448.0769]

Speakers will be chosen for specific events based on topic areas or proximity, and the Medical Executive-Post staff will arrange logistical details, payment and honoraria; etc.

Press Corps

If you represent a medical society, financial institution or are a member of the media or press corps and want to be included on our topic release list; please phone [770.448.0769], fax [775.361.8831] or e-mail us at MarcinkoAdvisors@msn.com Be sure to include “press list” or other “topic designation” in your subject line.

Speaker: If you need a moderator or a speaker for an upcoming event, Dr. David Edward Marcinko; MBA – Editor and Publisher-in-Chief – is available for speaking engagements. Contact him: MarcinkoAdvisors@msn.com Formal CV: dem-formal-cv

About Dr. David Edward Marcinko; MBA [Publisher-in-Chief]

Dr. David E. Marcinko brings to the Executive Post over 20 years of senior–executive level leadership, strategy and advisory experience in the clinical, economics, financial management and health administration technology publishing industry. As founder and CEO of iMBA, a consulting firm targeting physician clients thru the monetization of publishers’ digital assets, Dr. Marcinko has designed and established numerous content licensing strategy and executing deals on behalf of primary and secondary publishers with aggregators, syndicators, redistributors and specialty vendors within the integrated medical information ecosystem.

About: Ex Education Leadership Philosophy Dr. Marcinko

Business Sketch: Business Sketch DEM

Interview: Arkansas Medical News Interviews Dr. Marcinko

* 8

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DAILY UPDATE: Meta Launches “Threads” with Stable Stock Benchmarks

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

By Staff Reporters

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[AP]: Meta is poised to unveil a new app that appears to mimic Twitter — a direct challenge to the social media platform owned by Elon Musk. A listing for the app, called Threads, just appeared on Apple’s App Store, indicating it would debut as early as today. It is billed as a “text-based conversation app” that is linked to Instagram, with the listing teasing a Twitter-like micro-blogging experience.

“Threads is where communities come together to discuss everything from the topics you care about today to what’ll be trending tomorrow,” it said.

***

Here is where the major benchmarks ended:

The S&P 500 Index was down 8.77 points (0.2%) at 4,446.82; the Dow Jones Industrial Average was down 129.83 points (0.4%) at 34,288.64; the NASDAQ Composite was down 25.12 points (0.2%) at 13,791.65.
The 10-year Treasury yield (TNX) was up about 7 basis points at 3.932%.
The CBOE Volatility Index (VIX) was up 0.49 at 14.19.

Chemical makers and other materials sector companies were among the weakest performers Wednesday. Semiconductor shares were also lower, as were many energy-company shares despite a 3% surge in crude oil futures. U

Utility stocks were among the strongest performers.

***

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

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

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Alternative Investments, Experts Invited, Funding Basics, iMBA, Inc., Investing | Tagged: COBE, DJIA, DOW, FB, inflation, Meta, NASDAQ, oil, S&P 500, Threads, TNX, treasury yeilds, VIX, Volatility Index | Leave a comment »

CMS: Projected National Health Expenditures to Surpass $7 Trillion Dollars

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

By Health Capital Consultants, LLC

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Projected National Health Expenditures to Surpass $7 Trillion

On June 14th, 2023, CMS released health insurance enrollment and national health expenditure (NHE) projections for 2022 through 2031.

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

The NHE, which is published annually, is the official U.S. estimate of insurance enrollment and health spending. CMS projects that from 2022 to 2031, the NHE’s annual growth rate of 5.4% will surpass the U.S. gross domestic product (GDP) annual growth rate of 4.6%. As a result, health spending as a share of the U.S. GDP is set to jump from 18.3% in 2021 to 19.6% in 2031.

This Health Capital Topics article will review the notable findings from CMS’s projection report. (Read more…)

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Filed under: "Advisors Only", Accounting, Drugs and Pharma, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Taxation | Tagged: CMS, GDP, Health Capital Consultants LLC, health expenditures, national health expenditures, NHE | Leave a comment »

THANK YOU: Emergency Room and Department Medical Professionals

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

A SINCERE SHOUT OUT!

By Staff Reporters

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We hope you’ve recovered from overindulging in hot dogs, beer and parade candy; yesterday. The hospital employees out there are probably even busier than usual today, as more than 45,000 people on average visited emergency rooms on both July 4th and 5th due to holiday-related injuries.

On behalf of those ER patients, we thank all doctors, nurses, technicians and healthcare workers for their service.

***

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Filed under: "Doctors Only", Alerts Sign-Up, Career Development, Drugs and Pharma, Ethics, LifeStyle, Op-Editorials, Touring with Marcinko | Tagged: doctors, ED, emergency care, emergency department, emergency room, ER, nurses | Leave a comment »

DAILY UPDATE: Post Independence Day, Stock Futures and Future Salaries

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

By Staff Reporters

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Here is where the major benchmarks ended on Monday:

The S&P 500 Index was up 5.21 points (0.1%) at 4,455.59; the Dow Jones Industrial Average (DJIA) was up 10.87 points at 34,418.47; the NASDAQ Composite was up 28.85 points (0.2%) at 13,816.78.
The 10-year Treasury note yield (TNX) was up about 4 basis points at 3.862%.
The CBOE Volatility Index^® (VIX) was little changed at 13.58.

Financial companies had a good day Monday, with the KBW Regional Banking Index (KRX) rising more than 2%.

The consumer discretionary sector was also strong, while energy companies got a bump as crude oil futures reached their highest level in more than a week.

Health Care stocks lagged.

***

Wall Street is hoping for a strong start to the second half of 2023 taking cues from the recent tech rally that has boosted the overall investor sentiment. Turning toward the U.S.-China trade war, on Monday, the mainland posed restrictions on the export of gallium and germanium to the U.S. citing national security concerns. These metals are used in semiconductor manufacturing and the curb is being used as a means of retaliation to the U.S. chip ban on China.

Remarkably, Tesla (NASDAQ:TSLA) stock has been on an uphill climb lately, thanks to the growing adoption of its North American Charging Standard (NACS) charging connectors by major automakers including General Motors (NYSE:GM), Ford (NYSE:F), and Rivian (NASDAQ:RIVN). Moreover, the EV maker posted better-than-expected auto delivery and production numbers for the month and quarter ending June 30, pushing shares up 6.9% on July 3.

***

Future Salaries Will Decrease?

Median incomes are projected to drop over the next few decades, falling by 0.43 percentage points per year between now and 2020, 0.52 points per year between 2020 and 2030, and 0.2 points per year between 2030 and 2040.

Although the figures on their own are not staggering, the percentage drops over time will add up significantly. By 2050, an employee who earned $50,000 in 2013 will only make $44,000. The number is even more noticeable after accounting for inflation.

***

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Filed under: "Ask-an-Advisor", Accounting, Alerts Sign-Up, Events-Planner, Financial Planning, Funding Basics, Investing, LifeStyle | Tagged: Accounting, CBOE, DJIA, DOW, future salaries, futures, inflation, KBW, NASDAQ, oil, S&P 500, salaries, Tesla, Treasury yields, Volatility Index | Leave a comment »

DAILY UPDATE: July 4th Business & Economics

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

By Staff Reporters

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July Fourth is Today

If you haven’t bought supplies for your cookout yet, you’ll find that sirloin steak and processed cheese for your burger are more expensive than last July Fourth, but chicken and eggs are cheaper, according to Wells Fargo’s Chief Agricultural Economist Michael Swanson.

Plus, filling up your gas tank will cost you about $1.30 less per gallon than a year ago, per AAA.

Jobs Report Incoming

The June jobs report highlights a relatively slow week for economic data. Once again, like in every month before it since January 2021, the report is expected to show that companies are still on the hiring grind, adding an estimated 225,000 new jobs last month.

***

***

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Experts Invited, Financial Planning, Funding Basics, Investing | Tagged: burgers, cheese, cookout, eggs, gas, Independence Day Economics, jobs report, July Fourth economics, Michael Swanson, new jobs, steak, Wells Fargo | Leave a comment »

MID-YEAR: Stock Market Wrap-Up

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

By Staff Reporters

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Investors are coming out of the mid-year investing season enthused and thanks to an Artificial Intelligence fueled stock market rally that turned into an everything rally.

The NASDAQ posted its best H1 since 1983, and the S&P 500 had its best first-half performance since 2019.

But, don’t expect Wall Street fireworks for the next few days. The US stock market will close early today and shut down tomorrow for Independence Day.

***

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Filed under: "Ask-an-Advisor", Information Technology, Investing | Tagged: A.I., AI, artificial intelligence, HIT, Information Technology, Investing, IT, NASDAQ, S&P 500, stock markets, stocks rally | Leave a comment »

BEWARE: Ransomware Attacks in Healthcare

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

HHS CYBER SECURITY PROGRAM

By Staff Reporters

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According to Healthcare Brew, the rising tide of ransomware attacks in healthcare is exacting a hefty price from hospitals and other medical providers who’ve had their data locked up by cyberattacks.

Healthcare providers face potential costs arising from more than just the initial ransom; targeted systems have seen lost patient revenue, the need for remediation, and additional recovery costs. And even the largest health systems in the country aren’t immune to the costly ripple effects, such as delayed patient care, including surgeries, that can linger even after an initial attack.

“Not only is the frequency [of ransomware attack] picking up, but I’d say the magnitude or the size is also getting bigger,” said Brian Tanquilut, a healthcare services analyst at Jefferies.

CommonSpirit Health, one of the nation’s largest hospital chains, was hit with a high-profile cyberattack in October. The system has not publicly disclosed the financial fallout, but a Dec. 1 update published on the company’s website said that the cyberattackers gained access to personal information for some patients and that an investigation is ongoing. Chad Burns, a spokesperson for CommonSpirit, declined requests for an interview.

A report from the cybersecurity firm Sophos determined that “the average remediation cost [from a ransomware attack] went up from $1.27 million in 2020 to $1.85 million in 2021.” For others, it’s much more costly.

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

Tenet Healthcare, a Dallas-based healthcare company, reported a loss of about $100 million attributed to a ransomware attack in April, according to its second-quarter earnings report. San Diego-based Scripps Health said a ransomware attack cost it nearly $113 million in May and June 2021 primarily due to lost revenue, along with recovery costs. Keep reading here.

***

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

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Filed under: "Doctors Only", Career Development, Ethics, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Information Technology | Tagged: Cyber Security Program, HHS, HHS Cyber Security Program, RansomWare, ransomware attacks, RANSOMWARE Attacks in Healthcare | 1 Comment »

DAILY UPDATE: A Tesla Monday & Super Moon Holiday Weekend

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

By Staff Reporters

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United States stock markets will be closing early on Monday, July 3rd, in observance of the Independence Day holiday.

In recognition of the federal holiday, the Nasdaq and New York Stock Exchange will close at 1 p.m. ET on Monday and remain closed Tuesday.

The U.S. bond market will close at 2 p.m. Eastern on Monday and will also remain closed Tuesday.

***

Nevertheless, Tesla beat expectations in the second quarter of 2023, announcing yesterday that it produced nearly 480,000 vehicles and delivered over 466,000.

The majority of production and deliveries were the Model 3 sedan and Model Y crossover, with 460,211 produced and 446,915 delivered. The electric car maker produced 19,489 of the higher-priced Model X and Model S and delivered 19,225.

***

And over the next few nights a super-moon is coming for the 2023 4th of July holiday weekend.July’s full moon, also called the buck moon, will be biggest on the nights of Sunday July 2nd and Monday July 3rd.

According to the Old Farmer’s Almanac, the moon will hit its peak illumination at 7:39 a.m. on Monday July 3 rd. It will be below the horizon at that precise moment, the Almanac said, so plan to look towards the southeast after sunset to watch it rise up into the evening sky.

***

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

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

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Investing | Tagged: bond market, DJIA, DOW, electric cars, eva, full moon, independence, NASDAQ, NYSE, stock markets, super moon, supermoon, Tesla | Leave a comment »

PODCAST: The CIGNA Group CEO

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

By Staff Reporters

Health Unscripted Podcast: Lessons from a purpose-driven CEO featuring David Cordani

LISTEN: https://tinyurl.com/bddj8bud

***

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Filed under: "Doctors Only", Career Development, Ethics, Health Economics, Health Insurance, Health Law & Policy, Risk Management, Videos | Tagged: CEO, Cigna, Cordani CEO Cordani, David Cordani, health, Purpose driven life | 1 Comment »

FAFSA: Last Day to Apply!

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

SPONSOR: http://www.CertifiedMedicalPlanner.org

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There are many ways to pay for college in the United States, but one of the most important is the Free Application for Federal Student Aid (FAFSA), which is operated through the US Department of Education. Each academic year, the deadlines for FAFSA remain relatively similar.

Applications open on October 1st and close on June 30th. Even with that window, it’s a good idea to submit your FAFSA as early as possible because many schools distribute funding on a first-come, first-served basis.

MORE: https://www.coursera.org/articles/when-is-fafsa-due

***

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Filed under: "Advisors Only", Alerts Sign-Up, CMP Program, Financial Planning | Tagged: Certified Medical Planner™, CMP, college aid, college education, Coursera, Department Education, FAFSA, federal college aid | Leave a comment »

SPAC: Insider Traders Charged

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

By Staff Reporters

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Three charged with insider trading related to Trump’s SPAC deal

The DOJ arrested three Florida investors, alleging they made more than $22 million in illegal profits through trading stock in the SPAC that took former President Trump’s social media company public.

The men are accused of trading shares in Digital World Acquisition Corporation based on nonpublic knowledge and making bank in October 2021 when news it planned to acquire Truth Social made its stock soar. Neither the former president nor his family members are implicated.

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

SPACs: https://medicalexecutivepost.com/2022/09/21/spac-popularity-soaring-in-healthcare/

***

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Filed under: Breaking News, Ethics, Funding Basics, iMBA, Inc., Investing | Tagged: DOJ, SPAC, SPAC fraud, Trump, Truth Social | Leave a comment »

DAILY UPDATE: Economic News Lifts Stocks

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

By Staff Reporters

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Big banks powered the Dow higher h of positive economic headlines dropped. Financial institutions aced their Fed “stress test” that measures how they’d hold up during a downturn, Q1 GDP was revised much higher than previously calculated, and the number of Americans filing new unemployment claims fell the most in 20 months.

***

Solid economic numbers lifted the S&P 500 and Russell 2000 to nearly two-week highs. So, here is where the major benchmarks ended:

The S&P 500 Index was up 19.58 points (0.5%) at 4,396.44; the Dow Jones Industrial Average (DJIA) was up 269.76 points (0.8%) at 34,122.42; the NASDAQ Composite (COMP) was little changed at 13,591.33.
The 10-year Treasury note yield (TNX) was up nearly 13 basis points at 3.838%.
CBOE’s Volatility Index (VIX) was up 0.11 at 13.54.

Financial companies were among the strongest sectors Thursday, with the KBW Regional Banking Index (KRX) rising nearly 2% to its highest level in over a week.

Oilfield services stocks also gained behind strength in crude oil futures, which briefly climbed above $70 a barrel to their highest price in a week. Communications services and technology shares were among the weakest sectors.

The U.S. Dollar Index (DXY) strengthened to its highest level in over two weeks amid expectations for higher interest rates.

***

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

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

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Alternative Investments, Financial Planning, Funding Basics, Investing, Risk Management | Tagged: banks stress test, big banks, DJIA, DOW, DXY, energy, GDP, gold, KBW, NASDAQ, oil, S&P 500, TNX, treasury index, US Dollar, VIX | Leave a comment »

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