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By Ryan Yonk and April Liu
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READ HERE: https://www.aier.org/article/public-health-amidst-a-smart-pandemic/
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Filed under: Drugs and Pharma, Ethics, Events-Planner, Experts Invited, Health Insurance | Tagged: April Liu, covid, pandemic, public health, Public Health Amidst a Smart Pandemic, Ryan Yonk, smart pandemic | Leave a comment »
Testing Free-Market Principles and Medical Licensing
By Mike Accad MD
It’s been a little over a 100 years since medical licensing laws were introduced in the US. If people doubt that slippery slopes are real, they should reflect on that history.
In our latest video, Anish Koka and I discuss a “white paper” jointly written by Jeffrey Flier, former dean at Harvard Medical School, and Jared Rhoads from the Dartmouth Institute, calling for some deregulation of the apparatus that rules the supply of physicians and their scope of work. The paper gives an exhaustive account of the bureaucratic mess and offers some possible remedies.
LINK: http://alertandoriented.com/should-doctors-protect-their-turf/
RELATED: https://medicalexecutivepost.com/2014/09/26/is-medical-licensing-really-necessary/
Your thoughts are appreciated.
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By Staff Reporters
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On “Hard Working” HMO Physicians
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By Dr. David E. Marcinko MBA CMP®
INVITE DR. MARCINKO: https://medicalexecutivepost.com/dr-david-marcinkos-
One of my favorite patients told me this anecdote as he recalled the story of the old man who spent a day watching his physician son treating HMO patients in the office.
The doctor had been working at his usual feverish pace all morning, and although he was working hard, bitterly complained to his dad that he was not making as much money as he used to.
Finally, the old man interrupted him and said,
“Son, why don’t you just treat the sick patients?”
The doctor-son looked annoyed at his father, and responded,
“Dad, can’t you see, I don’t have time to treat just the sick ones.”
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By Vitaliy Katsenelson CFA
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Introduction to Stoic Philosophy: Knowing and Doing
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[By Staff Reporters]
We do not have enough space to cover the subject fully. And, “important” does not necessarily indicate good or bad. But, we will try to review these three Greek Philosophers.
PLATO
Plato is important because his philosophy underpins autocratic political philosophies such as Kant, Nazism and Communism. Metaphysically he fights a war against reality claiming only a superior mind, like his, can be trusted. He had a pessimistic view of human beings.
ARISTOTLE
Aristotle is responsible for the explosion of progress since the Renaissance. His focus on identification (A is A), and reason, as the key to human knowledge and happiness has been a force for good. His heirs like Aquinas and Rand have sought to round out his discoveries. He was the optimist. If you look at the the cultural climate in the USA today, you will see a resurgence of Platonism (socialism).
And, in the face of unparalleled quality of life and prosperity, harbingers of doom capitalize in the unwillingness of many to do the work required for freedom. Identity is ignored in the attempt to avoid the requirements for happiness: Effort and thought. Hopefully the pendulum will swing back to an Aristotelian era.
SOCRATES
Socrates was the bridge between the two great minds of Plato and Aristotle, and a story teller whose skills and abundance ensured the survival of his own.
Assessment
Much as Socrates’ thought systems – so we put our coin on Plato as the premier Greek Philosopher. Without Plato, Socrates’ thought would not have survived a century past his execution; still less a millennia.
Aristotle certainly influenced Alexander, but it’s hard to credit Aristotle for Alexander’s legacy, which was largely military in nature.
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LATIN PHRASES
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Conclusion
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[Emergency Request]
By Staff Reporters
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Children’s hospitals are asking the federal government to declare a public health emergency to help them deal with the surge of RSV cases. Infants are being hospitalized at seven times the rate of 2018.
DEFINITION: Respiratory syncytial virus, also called human respiratory syncytial virus and human orthopneumovirus, is a common, contagious airborne virus that causes infections of the respiratory tract. It is a negative-sense, single-stranded RNA virus.
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Filed under: Breaking News, Ethics, Health Insurance, iMBA, Inc., Managed Care, Professional Liability | Tagged: covid, public health, Respiratory syncytial virus, RSV | Leave a comment »
By Staff Reporters
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Elizabeth Holmes, the founder and former CEO of the doomed medical startup firm Theranos, has been sentenced to 11.25 years in prison for her role in defrauding investors and consumers about the potential of her company’s blood-testing device.
Holmes’ sentence will be followed by three years of supervised release. She will be required to self-surrender at a later date, according to NBC.
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U.S. equities ended the day higher and the week mostly lower in a choppy trading session, as investors digested mixed corporate results and some disappointing economic data. Earnings were in focus with the season coming to a close, as Applied Materials handily beat the Street’s forecasts and upped its guidance, Gap posted a profit on the back of a tax benefit, making it unclear if it is comparable to forecasts, and Williams-Sonoma saw record earnings growth but fell short of predictions.
Economic reports were lackluster, as existing home sales slumped amid the persistent rise in interest rates, and the Leading Economic Index tumbled double what was expected.
Treasury yields rose following the economic data, as did the U.S. dollar, while crude oil and gold prices declined.
European stocks were higher despite geopolitical tensions remaining, and as the markets continued to digest the U.K. budget announcement. Markets in Asia finished out a volatile week mixed in a quiet trading session.
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Filed under: Alerts Sign-Up, Ethics, iMBA, Inc., Investing | Tagged: Elizabeth Holmes, stocks, stocks rise, Theranos | 1 Comment »
By Staff Reporters
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On World Pancreatic Cancer Day, loved ones, communities and organizations around the world unite to shine a light on pancreatic cancer and share our universal message that it’s about time we all know the symptoms!
Raise awareness on this special day as we share the facts about this disease, survivor stories and what you can do to make an impact.
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By Staff Reporters
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DEFINITION: Passive income is a type of unearned income that is acquired automatically with minimal labor to earn or maintain. It is often combined with another source of income. In the United States, the IRS divides income into three categories: active income, passive income, and portfolio income.
CITE: https://www.r2library.com/Resource/Title/082610254
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For those physicians fully invested in non-dividend-paying stocks, bear markets are a difficult time. However, they’re an opportunity for those with cash or income-producing assets.
WY? Bear markets can accelerate any investors’ capacity to generate passive income because they can turn dividend income and idle cash into bigger income streams. That can enable investors to make more money in the future, putting them even closer to reaching their financial goals.
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DEFINITION: The Pew Research Center defines the middle class as households that earn between two-thirds and double the median U.S. household income, which was $65,000 in 2021, according to the U.S. Census Bureau. 21 Using Pew’s yardstick, middle income is made up of people who make between $43,350 and $130,000.
CITE: https://www.r2library.com/Resource/Title/0826102549
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The American middle class is facing the biggest hit to its wealth in a generation going into the midterm election, although it is also entering the vote richer than it has ever been thanks to a decade of cheap money and the wealth boom it fed.
That’s the conclusion of a Bloomberg News examination that paired new wealth data with an exclusive Harris Poll of attitudes of the 100 million adults who sit at the core of the US economy and its politics ahead of the election.
READ HERE: https://www.bloomberg.com/graphics/2022-us-midterms-middle-class-wealth/?leadSource=uverify%20wall
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Filed under: "Ask-an-Advisor", Career Development, Estate Planning, Financial Planning, Investing, LifeStyle | Tagged: middle class, MIDDLE CLASS: Once-in-a-Generation Wealth Boom Ends, once generation, Wealth, wealth boom, wealth boom ends | Leave a comment »
By Dr. David E. Marcinko MBA
Hermeneutics (/ˌhɜːrməˈnjuːtɪks/) is the theory and methodology of interpretation, originally the interpretation of biblical texts, wisdom literature, and philosophical texts.
Hermeneutics is more than interpretive principles or methods we resort to when immediate comprehension fails. Rather, hermenetics is the art of understanding and of making oneself understood.
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MORE: https://medium.com/@danpantelo/hermeneutics-why-people-interpret-things-differently-870f35436fe8
Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
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ORDER: http://www.HealthDictionarySeries.org
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By Staff Reporters
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U.S. equities ended the day lower in a cautious trading session as the markets reacted to a host of economic and corporate data. Investors also weighed comments from Fed officials who signaled that the rate-hiking campaign to slow the pace of inflation is not considered sufficiently restrictive.
On the economic front, housing starts and building permits fell, jobless claims moderated slightly more than expected, while manufacturing activity in Philadelphia tumbled.
Earnings reports again offered mixed results, as Cisco Systems beat on both the top and bottom lines, but NVIDIA fell well short of estimates amid the continued problems plaguing the chip industry, and Macy’s topped forecasts amid strength in its luxury units.
Treasury yields were higher, and the U.S. dollar rose, while crude oil prices fell, and gold lost ground.
European stocks were lower for the most part, as geopolitical tensions dampened investor sentiment, and as the U.K. announced its new budget plans. Markets in Asia finished mostly lower amid weakness in technology stocks.
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[By Staff reporters]
In the field of psychology, the Dunning–Kruger effect is a cognitive bias in which people of low ability have illusory superiority and mistakenly assess their cognitive ability as greater than it is.
The cognitive bias of illusory superiority comes from the inability of low-ability people to recognize their lack of ability; without the self-awareness of metacognition, low-ability people cannot objectively evaluate their actual competence or incompetence.
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More: https://www.cmu.edu/dietrich/sds/docs/loewenstein/physicianNarcissism.pdf
Assessment
On the other hand, people of high ability incorrectly assume that tasks that are easy for them are also easy for other people. And so, are doctors especially guilty of this effect?
Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements.
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MORE FOR DOCTORS AND NURSES:
“Insurance & Risk Management Strategies for Doctors” https://tinyurl.com/ydx9kd93
“Financial Management Strategies for Hospitals” https://tinyurl.com/yagu567d
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Filed under: Ethics | Tagged: Dunning–Kruger | 15 Comments »
By Eric Bricker MD
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Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
Originally, a Potemkin Village was any construction whose sole purpose was to provide an external façade making people believe a failing country was prosperous.
DEFINITION: https://en.wikipedia.org/wiki/Potemkin_village
The term comes from a fake portable village built to impress Empress Catherine II by her lover Grigory Potemkin, during her journey to Crimea, in 1787.
The term “Potemkin” has spawned other linguistic machinations, as well:
P-NUMBERS: Are made up and appear to be valid and legitimate but are not based in reality.
P-POLITICS: Candidates who say have a certain amount of donated money but have actually received less.
P-HOSPITALS: Impressive, but actually sham facades, in Wuhan, China?
P-NETWORKS: Erroneous quantitative data point like “counts”, “likes” or “winks” for posts on social media forums or e-boards; etc.
LINK: https://thefuturebuzz.com/2012/06/12/social-proofiness-spotting-digital-potemkin-numbers/
Conclusion: Do you know of any other word derivations? Please opine.
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Filed under: Glossary Terms, Touring with Marcinko, Videos | Tagged: Potemkin | 2 Comments »
By Staff Reporters
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U.S. equities finished lower in choppy action amid a full slate of economic reports, including the Import Price Index, which fell at a slower pace than expected to complete October’s inflation picture. In other economic news, retail sales rose at a faster rate than anticipated, the Federal Reserve’s report on industrial production and capacity utilization marked an unexpected decline for both, and business inventories rose less than predicted. Housing data was also in focus, as the NAHB Housing Market Index indicated home builder sentiment dropped more than expected and to a fresh post-pandemic low, while mortgage applications were up for the first time in eight weeks.
Earnings reports offered varied results, as Target missed earnings expectations and delivered disappointing guidance, while Lowe’s posted a positive earnings surprise and raised its full-year outlook. In other equity news, shares of Discover Financial are rising after the company announced that it would resume its share repurchase program.
Treasury yields were lower, the U.S. dollar declined slightly, and crude oil prices fell, while gold gained modest ground. European stocks were lower following a host of inflation data in the region, and as geopolitical tensions surrounding the war in Ukraine continued to put a damper on sentiment.
Asian stocks ended the day lower in a quiet trading session, as markets in mainland China and Hong Kong were unable to continue a recent rally.
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By Staff Reporters
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The Charles Schwab Corporation (SCHW) announced, on March 31, 2022, the upcoming launch of a new service, Schwab Personalized Indexing. Schwab touts this as a new solution that brings the power of customized portfolio and tax management to a broader spectrum of investors.
Rick Wurster, president of The Charles Schwab Corporation, stated in a press release: “Direct indexing has long been available to ultra-high net worth investors and institutions able to meet very high investment minimums. But now, thanks to technology innovations and industry developments like Schwab’s introduction of online commission-free trading, we’re able to lower the barriers to direct indexing for more investors and the advisors who serve them.” Schwab expects the new service, which is trademarked, to be available by the end of April 2022.
Unlike an index fund, direct indexing involves direct ownership of the underlying securities in an index. Thus, it may offer a greater level of tax management for the investor. Within separately managed accounts, Schwab Personalized Indexing is based on a proprietary optimization process that includes daily monitoring of client portfolios and tax-loss harvesting technology. Each client account is to be optimized based on its current holdings and the potential capital gains taxes due on unrealized gains.
Investors initially can choose among three index-based strategies that can be customized. These are a U.S. large cap strategy based on the Schwab 1000 Index, a U.S. small cap strategy based on the S&P SmallCap 600 Index, and an environmental, social, and governance (ESG) strategy based on the MSCI KLD 400 Social Index. Each strategy seeks index-like returns with enhanced after-tax benefits. Schwab expects to add more strategies and features during the next 12-18 months.
Schwab Personalized Indexing initially will require an account minimum of $100,000. Schwab notes that most direct indexing offerings currently on the market start at $250,000 or higher.1
Fees start at 0.40% of assets. Schwab indicates that this is less expensive than many direct indexing programs currently available to advisors and investors.
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Filed under: "Ask-an-Advisor", Alternative Investments, Breaking News, Experts Invited, Investing | Tagged: index, index fund, Personalized Indexing, Schwab, SCHWAB: Introduces Personalized Indexing | Leave a comment »
By Staff Reporters
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Filed under: "Advisors Only", "Doctors Only", Accounting, Ethics, Experts Invited, Quality Initiatives, Videos | Tagged: DO, Eric Bricker MD, MD, MEDICAL BILLING ABUSE: Radiologists Charges, radiologists, radiology | Leave a comment »
By Staff Reporters
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According to journalist Neal Freyman:
The days of an internet company trying to e-scooter their way to solving world hunger through solar-powered NFT horse racing just to compete with Disney+ are over. Futuristic projects that were once a staple of Big Tech line items are getting squeezed in this “we definitelycan’t afford that anymore” economy.
That was made very clear yesterday.
1. As part of its anticipated mass layoffs this week, Amazon began to cut employees who were working on its AI assistant, Alexa. That division has an operating loss of more than $5 billion per year.
2. The hedge fund TCI Fund Management, which has a $6 billion stake in Alphabet, urged Google’s parent company to join its Big Tech peers in laying off workers yesterday, saying it’s overstaffed and paying its employees too much. It took specific aim at Google’s famous Other Bets division that incubated “moonshot” projects like Waymo, the autonomous vehicle company. That Other Bets unit brought in $3 billion in revenue over the last five years, but incurred $20 billion in operating losses, TCI’s letter to CEO Sundar Pichai said.
Big picture: While Snap and Microsoft are also nixing riskier long-term bets, the big Big Tech exception is Meta. Zuckerberg has cut back on some experimentation, but is staying committed to spending billions on the metaverse, despite investor concerns.
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Filed under: "Advisors Only", Alternative Investments, Breaking News, Events-Planner, Information Technology | Tagged: big tech, BIG TECH: Digital Wrecks, digital, digital wrecks, Neal Freyman, tech | 1 Comment »
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Some of the biggest players in the financial industry are launching a digital dollar pilot program while the crypto sector reels from FTX’s collapse. About a dozen global giants, including Citigroup, HSBC, Mastercard and Wells Fargo, announced plans on Tuesday to test use of a digital token for 12 weeks in conjunction with the Federal Reserve Bank of New York, with the intention of examining how effective a digital currency is in speeding up payments.
U.S. equities posted gains following the release of a softer-than-expected read on wholesale price inflation. The report came in the wake of last week’s consumer price inflation release that continued to temper expectations regarding how aggressive the Fed could remain with its monetary policy tightening.
However, stocks finished well off the highs today, as geopolitics again flared following reports of Russian missiles crossing into NATO-member Poland, killing two individuals. The economic docket also offered the Empire Manufacturing Index, which showed that manufacturing activity in the New York region expanded, versus estimates calling for it to remain in contraction territory. Some retail heavyweights released earnings reports, as Dow members Walmart and Home Depot both beat estimates, with the former raising its guidance and authorizing a new share repurchase program, and the latter reaffirming its full-year outlook.
Treasury yields declined following the inflation data, and the U.S. dollar finished lower. Crude oil prices rose, and gold also traded to the upside.
Stocks in Asia finished mostly higher, led by mainland Chinese and Hong Kong stocks, amid moves to ease China’s COVID restrictions. European stocks were also higher for the most part as investors continued to digest recent monetary policy actions as a result of inflationary concerns.
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UPDATE 83% Penalized!
By Eric Bricker MD
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HRRP PODCAST: https://www.youtube.com/watch?v=mwRrKM83CVQ
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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Insurance, Health Law & Policy, Healthcare Finance, Professional Liability, Quality Initiatives, Research & Development, Videos | Tagged: Eric Bricker MD, hospital readmission penalties, hospital readmissions, HRRP, medicare, Medicare Re-Admission Penalties, PodCast | Leave a comment »
By Staff Reporters
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Op-eds. Cross and Re-Posts, Links and Columns. Great ideas for improving physician focused financial planning, health insurance, economics and the financial ecosystem; etc. Pitches for healthcare-focused startups and business. Write-ups of original research. Reviews of new health care products, DME and AI. Data driven analysis of health care trends. Policy proposals; etc.
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By Staff Reporters
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The world’s population will likely hit an estimated 8 billion people today, according to a United Nations projection.
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Courtesy: www.CertifiedMedicalPlanner.org
Anscombe’s Quartet comprises four data sets that have nearly identical simple descriptive statistics, yet have very different distributions and appear very different when graphed. Each dataset consists of eleven (x,y) points.
They were constructed in 1973 by the statistician Francis Anscombe to demonstrate both the importance of graphing data before analyzing it and the effect of outliers and other influential observations on statistical properties. He described the article as being intended to counter the impression among statisticians that “numerical calculations are exact, but graphs are rough.”
So, always plot that data!
Assessment: Your thoughts and comments are appreciated.
DICTIONARIES FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs
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Filed under: Glossary Terms, Health Economics, Videos | Tagged: Anscombe's Quartet | Leave a comment »
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U.S. equities declined in a choppy and cautious trading session as investors await a host of notable economic reports later this week. The economic docket, while empty today, will round out the inflation picture with release of the Producer Price Index (PPI), as well as the Import Price Index on Wednesday. The releases will follow last week’s cooler-than-expected Consumer Price Index (CPI), which appeared to soothe concerns about how aggressive the Fed will need to remain as FOMC Vice Chair Lael Brainard said it will “probably be appropriate soon” to slow down the pace of interest rate hikes. And Hasbro was the S&P 500’s biggest loser of the day as Bank of America downgraded the stock.
Treasury yields were mostly higher, and the U.S. dollar rose, paring some of last week’s tumble.
Crude oil prices were lower, while gold reversed to the upside following losses earlier in the day.
Equity news was light, with Tyson Foods missing on the bottom line, but reporting record sales for the year and upping its quarterly dividend.
Stocks in Asia were mixed, with Hong Kong leading the region in gains following a jump in property stocks, while European stocks ended the day mostly higher in cautious trading.
Cryptocurrency lender BlockFi just admitted it has significant exposure to Sam Bankman-Fried’s crypto exchange FTX, and associated entities, that last week filed for bankruptcy.
Finally, although it’s become more difficult to find qualified healthcare professionals, it’s proving just as difficult to retain staff, especially when working with fewer resources. At the recent HR Healthcare conference in Austin, much of the retention conversation focused on improving the quality of work life and flexibility. But we want to hear how you’re solving retention and staffing problems: Share your insights right here on the ME-P.
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Filed under: Alerts Sign-Up, Alternative Investments, Financial Planning, Health Economics, Investing | Tagged: BlockFi, healthcare provider, inflation, inflation data, Stocks Lower | Leave a comment »
Courtesy: www.CertifiedMedicalPlanner.org
By Dr. David E. Marcinko MBA
A belief that rational decisions can be made with quantitative data and measures alone, when in fact the things you can’t measure are often the most consequential.
Secretary McNamara, who tried to quantify every aspect of the Vietnam War.
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QUERY: Is this also a metaphor for the “Art” and Science of Medicine and Economics?
Assessment: Your thoughts and comments are appreciated.
HEALTH DICTIONARIES FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs
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Filed under: Glossary Terms, Health Economics, Healthcare Finance, Videos | Tagged: McNamara Fallacy, McNamara [Bio] Statistical Fallacy | Leave a comment »
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Elizabeth Holmes will find out how much time she’s spending in prison. The Theranos founder will be sentenced on Friday after being found guilty of fraud for lying to investors about her blood-testing startup. Prosecutors want 15 years.
MORE: https://medicalexecutivepost.com/2014/10/28/about-theranos/?preview=true
Meanwhile, beaten-down tech stocks were the stars of last week’s rally, staging their biggest two-day pop since the financial crisis after inflation numbers came in cooler than expected. Investors still caution that this might be a classic case of a “bear market rally,” or a brief glimpse of the sun before the storm clouds return. Corporations haven’t exactly been lighting it up with profits right now.
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By Eric Bricker MD
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By Staff Reporters
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The IRS just noted that there are no changes made to the taxability of income but only in the reporting rules for Form 1099-K. Taxpayers are still required to report all income on their tax return unless it is excluded by law. This is whether they receive a Form 1099-NEC, Nonemployee Compensation; Form 1099-K; or any other information return.
Previously businesses would generally receive a 1099-K tax form only when their gross payments exceeded $20,000 for the year and the business conducted at least 200 transactions.
According to the new 1099-K rule, the gross payments threshold has been lowered to just over $600 for the year with the transactions threshold no longer applying. Now a single transaction exceeding $600 can trigger a 1099-K. This includes transactions through credit cards, debit cards, banks, PayPal, Uber, Lyft, and other third-party payment settlement entities.
The 1099-K form includes information about the payment processor and the company receiving payments, and a monthly breakdown of total payments, among other information.
According to the IRS, the lower information reporting threshold and the summary of income on Form 1099-K will make it easier for taxpayers to track the amounts received.
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Filed under: "Ask-an-Advisor", Accounting, Investing, Taxation | Tagged: Accounting, FORM 1099-k, IRS, New 1099-K Reporting Rule, tax | 1 Comment »
By Rick Kahler MSFS CFP®
When it comes to investing, it’s a losing proposition to try and be anything better than average. Even if you are a doctor.
I was recently reminded of this important investing precept when I attended a presentation by Ken French, a noted professor of finance at Dartmouth College.
Dr. French Speaks
“The theory is institutions are smarter than ‘dumb’ individual and can add value,”
said French.
“That is simply not true.”
His research has found that institutions are no better at trying to beat the market than individual investors. When you pay someone to do better than the market, French told us,
“You should expect to lose. It’s really hard to identify the great managers. You are wasting your time and money trying to beat the market.”
If there’s no point in trying to beat the market through “active” investing, what is the best way to invest? Through “passive” investing, that accepts average market returns. You need to reduce expenses, diversify your portfolio into index funds of various asset classes, minimize taxes, and exhibit discipline.
You may be thinking that, if “passive” is the way to go, you might as well make things even simpler. Why not just put your retirement money in the bank and forget it? While you can certainly do that, the results may be disastrous. If you want more than just Social Security for your retirement, you need your money to grow.
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Considerations
In 1913, nine cents bought a quart of milk. In 1963, the same nine cents bought a small glass of milk. In 2015, nine cents bought seven tablespoons of milk. Clearly, putting money under the mattress doesn’t work for the long term. The culprit of the declining purchasing power of that nine cents is inflation. The moral of this story is to make sure your money grows at least as fast as inflation. That requires investing it.
Example:
It would require $13 today to equal the purchasing power that $1 provided in 1926. Had you put one dollar in the bank in 1926, you would have $21 today. Having invested the dollar in long-term bonds would give you $132. However, invested in the S&P 500 Index (stocks), you would have $5,386.
A Mix
Does that mean you should invest all of your retirement assets in stocks? If you are one year old, probably so. If you are 60 years old, probably not. For most of us, a mixture of index funds that include many asset classes—such as global stocks, global bonds, global real estate, and commodities—is the best strategy.
Assessment
Research supports the value of diversified passive investing as long-term strategy. According to a study by Dalbar, Inc., average passive investors earn 3% to 4% more annually than average active investors. Over time, that makes a huge difference.
Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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Filed under: Investing | Tagged: active investing, Dalbar, Investing, passive investing, Rick Kahler CFP® | Leave a comment »
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EDITOR’S NOTE: I first Met Richard Helppie when I was in business school. He was the CEO of Superior Consultant at the time and very gracious to me with with his advice. Today he is a respected philanthropist and publisher of The Common Bridge. -David E. Marcinko
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THE RE-EMERGING RE-VOLUTION!
By Dr. David Edward Marcinko MBA CMP®
SPONSOR: http://www.CertifiedMedicalPlanner.org
HISTORY
DIGMAs (Drop-In Group Medical Appointments) are medical office appointments with a patient’s physician that take place in a supportive group setting. The model, developed in 1996 by Kaiser Permanente psychologist Dr. Ed Noffsinger, is a combination of an extended medical appointment with the patient’s own physician and effective group learning and support.
The group consists of the physician, a behavioral health professional, and patients from the physician’s panel. DIGMAs are best suited for routine appointments. Unfortunately, the nascent concept was met with mockery and great derision after the PP-ACA era.
PRANKSTERS: https://medicalexecutivepost.com/2016/01/31/group-drop-in-doctor-visits-evolving/
Today, after the pandemic and with the rise of tel-health and tele-medicine, Shared Medical Appointments (SMAs), also known as Group Medical Visits [GMVs], are again a growing topic of discussion among providers and health economists, looking for ways to increase access to care and improve efficiency. The group visit format is also getting more attention in recent years as a strategy to add value for the patient. They typically involve up to a dozen patients or so and offer various efficiencies as well as benefits of shared discussion and experiences.
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Behavioral Changes
Moreover, physicians and medical providers know that simply telling patients what to do often does not improve their health. The basic premise of DIGMAs, SMAs and GMVs is to build more patient engagement and inspire lasting behavior change by offering patients the opportunity to share their personal experiences not only with their provider but also with other patients dealing with similar issues.
BILLING: https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/group-visits.html
QUERY: Might this be an approach for tele-health visits as well as rural healthcare, etc.
ASSESSMENT: Your thoughts are comments are appreciated.
SECOND OPINIONS: https://medicalexecutivepost.com/schedule-a-consultation/
INVITE DR. MARCINKO: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/
THANK YOU
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Filed under: CMP Program, Managed Care, Practice Management, Research & Development, Touring with Marcinko | Tagged: Certified Medical Planner™, CPM, David Edward Marcinko, DIGMAs, Dr. Ed Noffsinger, Drop-In Group Medical Appointments, Group Medical Visits, Shared Medical Appointments | 1 Comment »
[By staff reporters]
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An animation illustrating how the Doppler effect causes a car engine or siren to sound higher in pitch when it is approaching than when it is receding. The pink circles represent sound waves.
Wikipedia: The reason for the Doppler effect is that when the source of the waves is moving towards the observer, each successive wave crest is emitted from a position closer to the observer than the crest of the previous wave. Therefore, each wave takes slightly less time to reach the observer than the previous wave. Hence, the time between the arrivals of successive wave crests at the observer is reduced, causing an increase in the frequency. While they are traveling, the distance between successive wave fronts is reduced, so the waves “bunch together”. Conversely, if the source of waves is moving away from the observer, each wave is emitted from a position farther from the observer than the previous wave, so the arrival time between successive waves is increased, reducing the frequency. The distance between successive wave fronts is then increased, so the waves “spread out”.
For waves that propagate in a medium, such as sound waves, the velocity of the observer and of the source are relative to the medium in which the waves are transmitted. The total Doppler effect may therefore result from motion of the source, motion of the observer, or motion of the medium. Each of these effects is analyzed separately. For waves which do not require a medium, such as light or gravity in general relativity, only the relative difference in velocity between the observer and the source needs to be considered.
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By Staff Reporters
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The US will extend its Covid public health emergency through the spring of 2023 in anticipation of another winter surge.
The emergency, first issued in January 2020, broadens eligibility for both Medicaid and the Children’s Health Insurance Program, and the government estimates that ~15 million people will lose their benefits from those programs once it ends.
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Filed under: Breaking News, Drugs and Pharma, LifeStyle, Risk Management | Tagged: covid, Covid-19, COVID: US Public Health Emergency Extended, US Public Health Emergency Extended | Leave a comment »
WITH ADJUDICATION CONSIDERATIONS
By Anonymous MD
Now you will learn and know just one reason why doctors are pulling their hair out, felling stress, burn out and may even consider suicide?
Only 54 pages of steps for one electronic claim.
READ: https://www.aetnabetterhealth.com/florida/assets/pdf/provider/Claims%20Training%20Powerpoint1.pdf
AETNA® – We are NOT glad we met ya!
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By Staff Reporters
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| U.S. equities ended the day and week higher following Thursday’s trading session, which posted the largest daily gain since 2020. Yesterday’s sharp rise came in the wake of a cooler-than-expected October consumer price inflation report, which seems to be curbing expectations regarding how aggressive the Fed could remain with its monetary policy tightening. The ongoing turmoil in the cryptocurrency markets kept sentiment in check after crypto exchange FTX.com voluntarily began Chapter 11 bankruptcy procedures. The bond markets were closed today in observance of the Veteran’s Day holiday, giving Treasuries a breather after yesterday’s plunge, while the U.S. dollar continued its fall. Crude oil prices were sharply higher, and gold gained modest ground. News on the equity front was focused on some tertiary earnings reports, with Toast Inc. posting a wider loss that expected, and Doximity beating on both the top and bottom lines, as well as announcing a new share repurchase program. The lone economic report for today showed that consumer sentiment for November deteriorated more than expected. Stocks in Asia rallied following yesterday’s gains in the U.S and amid news that China will relax travel restrictions, while European stocks ended the day mixed, tempering the previous trading session’s solid gains. |
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By Staff Reporters
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Following his crypto exchange’s epic implosion, FTX boss Sam Bankman-Fried (SBF) said he was sorry for mistakes he made, and pledged to “give anything I have to” in order to raise the $4 billion in capital FTX needs to avoid bankruptcy.
As the SEC bear down on the company, shady activities are coming to light: FTX loaned its affiliated firm, Alameda Research, ~$10 billion worth of customer assets to fund high-risk bets, per the WSJ.
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Filed under: "Ask-an-Advisor", Accounting, Alternative Investments, Breaking News, Investing | Tagged: binance, crypto, cryptocurrency, FTX, SBF | Leave a comment »
By Staff Reporters
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Unlike banks, the New York Stock Exchange doesn’t close on Veterans Day. Wall Street will have a full day of trading, and operate as usual on Veteran’s Day. Bond markets, which work with the federal government, will also be closed.
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U.S. stocks closed sharply higher yesterday, with all three major indexes posting their best day of gains since 2020 as investors cheered signs that U.S. inflation finally might be headed lower.
READ: https://medicalexecutivepost.com/2022/11/10/the-cpi-and-stock-markets/
For example, the Dow Jones Industrial Average shot up about 1,198 points, or 3.7%, ending near 33,712, marking its highest level since August and its best daily percentage gain since May 2020, according to Dow Jones Market Data. The S&P 500 index gained 5.5% and the NASDAQ Composite Index closed up 7.4%, their best daily percentage increases since 2020. The sharp rally on Wall Street was led by gains in technology and communication shares, segments of the S&P 500 that booked massive gains of about 8.3% and 6.3%, respectively, according to FactSet.
Buyers came out in force after the release of October’s consumer-price index showed a 7.7% annual rate of inflation, down from 9.1% this summer, while spurring hopes that the Federal Reserve might be making headway in its fight to bring inflation down to its 2% target.
That took some of the attention off the ongoing woes at crypto exchange FTX, with bitcoin down near a 2-year low. The 10-year Treasury rate also dropped to about 3.8% Thursday, down from a 4.2% high in October ahead of the three-day weekend for the U.S. bond market, which will remain closed on Friday for Veterans Day. U.S. stock exchanges, however, will remain open Friday.
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By Staff Reporters
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The consumer price index (CPI), the inflation report we dislike every month, dropped today and showed that price growth cooled off a bit in October (but is still far higher than where the FOMC wants it).
The Consumer Price Index (CPI) for October reflected a 7.7% increase over last year and 0.4% increase over the prior month, better than Wall Street expected. Economists surveyed by Bloomberg called for a 7.9% annual rise and 0.5% monthly gain.
The S&P 500 (^GSPC) rallied 5.5% — its biggest intraday gain since April 2020 — while the Dow Jones Industrial Average (^DJI) jumped 1,200 points, or 3.7%, the most since May 2020. The technology-heavy Nasdaq Composite (^IXIC) advanced a whopping 7.4%, its sharpest climb since emerging from the pandemic crash in March 2020. Meanwhile, Treasury yields tumbled following the report, with the benchmark 10-year note falling well below the 4% level.
Meanwhile, earnings season rolls on with reports from Disney, AMC, Palantir, Beyond Meat, and more.
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Filed under: "Ask-an-Advisor", Breaking News, Financial Planning, Investing | Tagged: Consumer Price Index, CPI, earnings, earnings report, stock markets, The CPI and Stock Markets | 1 Comment »
By Staff Reporters
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It’s a big day for anyone trying to read Jerome Powell today because the October consumer price index report gets released this morning.
Economists expect to see the annual inflation rate come in at 7.9%, so anything higher is likely to spark fear that the Fed could get even more aggressive with its rate hikes.
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ORDER: https://www.r2library.com/Resource/Title/0826102549
Filed under: "Ask-an-Advisor", Breaking News, Glossary Terms, Health Economics, Investing, LifeStyle | Tagged: economy, economy today, the economy, traditional economy | 1 Comment »
By Staff Reporters
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U.S. equities tumbled in the wake of yesterday’s U.S. midterm elections that failed to provide clarity on the political front.
U.S. stocks plummeted Wednesday after three days of gains, as investors mulled over a mixed verdict from the midterm election results and highly anticipated inflation data looms on the docket.
The S&P 500 (^GSPC) shed over 2%, while the Dow Jones Industrial Average (^DJI) fell by nearly 650 points, or roughly 2%. The technology-heavy Nasdaq Composite (^IXIC) dragged down by almost 2.5%, or 260 points.
Meanwhile, volatility in the cryptocurrency markets continued as Binance Holdings ditched its plans of acquiring FTX.com, which has experienced some liquidity issues. Earnings reports continued to trickle in, with Dow member Walt Disney Company missing Q4 expectations. In other equity news, Meta Platforms announced large-scale layoffs as the company tries to become a more leaner communication services firm.
Treasuries were mixed, and the U.S. dollar was solidly higher, while crude oil prices fell, and gold saw some pressure. Economic news was light, with mortgage applications falling for a seventh-straight week.
Asia finished mixed following some Chinese inflation data, and Europe also diverged.
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Filed under: Alerts Sign-Up, Financial Planning, Health Law & Policy, Investing, LifeStyle | Tagged: balance power, stocks, stocks fall, Stocks Fall as Balance of Power in US Congress Uncertain, US Congress Uncertain | Leave a comment »
By Eric Bricker MD
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CITE: https://www.r2library.com/Resource/Title/0826102549
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Filed under: "Ask-an-Advisor", "Doctors Only", Career Development, Events-Planner, Financial Planning, Health Economics, Healthcare Finance, LifeStyle, Videos | Tagged: CPI, Eric Bricker MD, healthcare, inflation, PODCAST: Inflation Impact on Healthcare | Leave a comment »
By Staff Reporters
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Shares of Robinhood, the brokerage, plummeted by 15% as FTX was acquired to save it from collapsing. Sam Bankman-Fried bought a 7.6% stake in May in Robinhood, a brokerage meant to attract Millennial investors who sought to invest in cryptocurrencies.
But Bankman-Fried, the founder of FTX, a popular cryptocurrency exchange, faced even larger hurdles that investors were not aware of.
Robinhood (HOOD) – Get Free Report shares tumbled on Nov. 8, falling by as much as 15.54% in mid-day trading to $10.22 a share as Binance, the crypto behemoth, said it would acquire FTX, which was once its rival due to a “liquidity crunch.”
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Filed under: "Ask-an-Advisor", Accounting, Investing | Tagged: brokerage, Robinhood, ROBINHOOD: The Brokerage Collapses? | Leave a comment »
Historical Review
By Staff Reporters
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Now that the voting is behind us, it might be safe to start checking your portfolio. In recent history, stocks have only gone up after midterm elections:
Why?
There’s some debate, but partisan gridlock can be advantageous for business because it minimizes the chance of major changes to taxes or other laws that impact companies. It also doesn’t hurt to have the uncertainty of the election in the rear-view mirror.
Right now however, investors are more focused on the FOMCs’ rate hikes in response to inflation. While politicians from both sides of the aisle have criticized Jerome Powell’s recent decisions, he’s unlikely to change course due to the election outcome. Plus, economists seem pretty convinced the US is headed toward a recession, regardless of who’s in control in Washington.
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Filed under: Breaking News, Financial Planning, Health Law & Policy, LifeStyle, Voting Polls | Tagged: elections, ELECTIONS: Money and Markets, markets, money, stock markets | Leave a comment »
By Staff Reporters
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U.S. equities finished higher, but well off the highs of the day, as some caution may have set in ahead of the results of today’s midterm elections. The economic docket was relatively light, with the most notable report being the Small Business Optimism Index, which declined in line with expectations versus the prior month.
However, later this week, we will get a key read on October’s Consumer Price Inflation (CPI), along with commentary from FOMC officials after last week’s rate hike. Treasury yields were lower, and the U.S. dollar lost ground, while crude oil prices fell, and gold jumped.
Earnings reports offered varied results, as Lyft posted a larger-than-expected loss, while Activision Blizzard and DuPont beat earnings estimates, with the latter announcing a new share repurchase program. Asian stocks ended mixed ahead of a busy conclusion to the week, while European stocks were higher, as the international markets grapple with economic data and recent monetary policy actions.
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BUSINESS MEDICINE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283
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Filed under: Alerts Sign-Up, Interviews | Tagged: Cautious Stock Rally Tempers Before Election Results, election results, stock rally | Leave a comment »
By Eric Bricker MD
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VOTE SAFELY
By Staff Reporters
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Filed under: Quality Initiatives | Tagged: election day, Election Day 2020, vote | Leave a comment »
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By Staff Reporters
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The outcome of today’s midterm elections could be influenced by something the government has little control over: the cost of filling up your car with gas. Since the 1970s, presidential approval ratings have tended to sag when gas prices rise. And that correlation has been especially pronounced this year as inflation has run rampant and gas prices have spiked.
NOTE: Recall that correlation is NOT causation!
Gas prices are the only consumer good whose price we’re reminded of virtually every time we leave the house, experts say. Unlike salmon fish or outdoor patio furniture, ties, shirts or sneakers, the price of gas is advertised in size-500 font on huge signs that you can’t help but notice. In fact, gas prices have been so beaten into us that they can change our behavior over decades. Researchers at the University of Pennsylvania discovered that people who experienced raging gas prices in their formative driving years in the 1970s seemed less likely to drive to work 20 years later than other age cohorts.
The curious part about the link between voter sentiment and gas prices is that gas prices have very little to do with the White House. Gas prices are largely influenced by the price of crude oil, which is a globally traded commodity. That commodity has been dealt a shock this year by Russia’s invasion of Ukraine, technical snags with refineries in the US, and OPEC+’s production cuts.
Still, President Biden’s team is fully aware of the importance of gas prices, which explains his incessant attacks on oil companies’ windfall profits, his releasing of crude from the Strategic Petroleum Reserve, and his visit to Saudi Arabia, a major oil producer.
Price check?
The current national average for a gallon of unleaded gas is $3.80, per AAA. That’s roughly the same as a month ago, down significantly from the record of more than $5, but about 38 cents more than a year ago.
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Filed under: Alerts Sign-Up, Alternative Investments, LifeStyle | Tagged: election day, gas, gas prices, gasoline, gasoline prices | 1 Comment »
By Staff Reporters
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U.S. stocks ended the day higher as the markets await some key data later this week and amid some likely caution ahead of tomorrow’s mid-term election. In the final hour of trading, the economic calendar released data on consumer credit for September, which showed that consumers borrowed less than expected. The economic docket will heat up later this week, headlined by the first read on consumer price inflation in the form of the Consumer Price Index, which will be accompanied by some commentary by Fed officials. Treasury yields rose, and the U.S. dollar saw pressure.
Crude oil prices declined, while gold nudged higher.
In equity news, Dow member Apple said iPhone shipments will be hampered by the impact of the COVID lock-downs in China, Meta Platforms is reportedly set to announce large-scale layoffs, and Dow component Walgreens Boots Alliance announced that a company it controls has agreed to acquire Summit Health-CityMD.
Asian stocks rallied, led by Hong Kong markets, while European stocks were mixed to begin the week, as the international markets continued to digest recent global monetary policy decisions.
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BUSINESS MEDICINE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283
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