JOHNS HOPKINS UNIVERSITY: COVID Health Tracker Down

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

By Staff Reporters

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HEALTH TRACKER UN-AVAILABLE

After three years of keeping us all updated on Covid case counts, Johns Hopkins University will stop updating its Covid-19 tracking dashboard next month. The tracker was viewed 2.5+ billion times and cost $13 million to run.

Our ME-P Home Page link will be removed as well.

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Filed under: Breaking News, iMBA, Inc., Information Technology, LifeStyle | Tagged: covid, Health Tracker, JHU, JHU Health Tracker, Johns Hopkins University | Leave a comment »

DAILY UPDATE: Meta Down, Bing Inundated and a Market Wrap-Up

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

By Staff Reporters

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Meta gave about 10% of its staff performance reviews indicating they were under performing, WSJ reported.The performance reviews signal that Meta could be gearing up for another round of layoffs.Meta let go of about 11,000 workers late last year and dubbed 2023 the “Year of Efficiency.”

MSFT BING: The software giant now limits the number of queries per day a user can make on its artificial-intelligence-powered Bing search engine – Get Free Report. The company has been inundated with requests from users who want to test the Bing Chabot. You have to register in a wait-list to have access to the new Bing. The influx of users has been a very encouraging sign from Microsoft, whose CEO Satya Nadella sees Bing Chatbot as the start of a “paradigm shift,” and a huge growth opportunity.

“These paradigm shifts or platform shifts are a great opportunity for us to innovate,” Nadella said on Feb. 7. “It’s more a priority for us to say what, how can we rethink what search was meant to be in the first place. In fact, Google success in the initial base was by reimagining what can be done in search.”

Wrap-Up on Markets: Stocks offered up a mixed bag last week, as investors continued to fret that the FOMCs rate hike path will just keep on raging. However, John Deere stock had its best day in two years after the tractor company raised its profit forecast for 2023.

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HOSPITAL PARTNERSHIPS: CBOs and SDOH

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

COMMUNITY BASED ORGANIZATIONS

SOCIAL DETERMINANTS OF HEALTH

NIHCM GRANTS

By Yunyu Xiao Weil of Cornell Medicine

By Timothy Brown of UC Berkley Medicine

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This study will determine the causal effects of hospital-CBO partnerships on hospital re-admissions and mortality for the leading mental health and injury-related causes of death (suicidal ideation or suicide) and the leading physical cause of death (heart attack).

CITE: https://www.r2library.com/Resource/Title/0826102549

Findings may inform how, where, and for whom targeted hospital partnerships with CBOs can reduce hospital readmission and mortality.

Do Hospital Partnerships with Community-Based Organizations (CBOs) that Address Social Determinants of Health Reduce Hospital Readmission and Mortality?

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The “NO LANDING ECONOMY” – Defined?

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

By Staff Reporters

FINANCIAL JARGON

The notion of a “no landing” scenario for the U.S. economy — as opposed to a hard or soft landing — is the latest topic to dominate discussions among economists and strategists.

DEFINITION?

According to Michael B. Kelley Editorial Director of Yahoo Finance, says that a “no landing” scenario involves the economy continuing to grow despite the Federal Reserve’s best efforts to tamp down inflation with interest rate hikes. And, what does that does it mean? “It’s all about inflation,” Bianco Research President Jim Bianco told Yahoo Finance Live.

“What they want or what they’re hoping for, both at the Fed and on the Street, is that the inflation rate is going to hit 2%,” he explained. “Well, the only way that it’s going to do that — at least the belief is — the economy has to slow. And if it doesn’t slow, then the inflation rate stays up. And if the inflation rate stays up, the Fed keeps hiking.”

CITE: https://www.r2library.com/Resource/Title/0826102549

Breaking down the 'no landing' buzz: What it means for investors

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LINK: https://flo.uri.sh/visualisation/6180194/embed?auto=1

Given the implication the Fed will continue raising rates until inflation subsides — and, in turn, the economy cools off — some observers argue that there’s no such thing as a “no landing” scenario.

“Because we’re in this highly volatile environment, and because there is so much uncertainty, we’ve now seen a number of different ways to interpret or call what we’re seeing in the economy,” EY Parthenon Chief Economist Gregory Daco told Yahoo Finance this week.

“No landing does not make any sense, because it essentially means the economy continues to expand, and it’s part of an ongoing business cycle and it’s not an event — it’s just ongoing growth,” Daco added. “Doesn’t that entail that the Fed will have to raise rates more, and doesn’t that increase the risk of a hard landing?”

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DAILY UPDATE: U.S. Equities Mixed while Oil, Gold and Asian Stocks Dip -BUT- Cathie Wood Buys for ARK

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

By Staff Reporters

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U.S. equities ended the day and week mixed ahead of the long holiday weekend. The markets continued to grapple with the possibility of further aggressive FOMC measures to try to tamp down inflation pressures after this week’s reports showed continued elevated consumer and wholesale prices.

Today, the economic calendar showed headline import price inflation declined more than expected in January, though excluding petroleum it unexpectedly rose. Meanwhile, recession uncertainty was preserved by a tenth-straight monthly decline in the Leading Economic Index. Earnings results were positive today, as Deere & Company topped estimates and raised its guidance, while Applied Materials also exceeded expectations and issued a favorable outlook.

Treasury yields were lower, and the U.S. dollar was mostly unchanged, while crude oil prices fell, and gold dipped.

And, Asian stocks finished broadly lower to close out the week, and markets in Europe diverged, as the global markets wrestled with uncertainty.

CITE: https://www.r2library.com/Resource/Title/0826102549

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Finally, CEO of ARK Investment Management and investment mega personality Cathie Wood purchased a hefty chunk of shares for Shopify Inc (SHOP) – Get Free Report. ARK scooped up 776,835 shares that are worth an estimated $34.8 million.

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What is a Federally Qualified Health Center?

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

ABOUT F.Q.H.C.s

By Dr. David E. Marcinko MBA CMP®

SPONSOR: http://www.CertifiedMedicalPlanner.org

I worked at several FQHCs as a medical student and intern, back in the day, both in urban and suburban settings. But, I never was sure what this entity was, exactly. Probably because I was from an under served area, myself.

DEFINITION:

A Federally Qualified Health Center (FQHC) is a reimbursement designation from the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services. This designation is significant for several health programs funded under the Health Center Consolidation Act (Section 330 of the Public Health Service Act).

It is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.

Thus, they are a critical component of the health care safety net. FQHCs are called Community/Migrant Health Centers (C/MHC), Community Health Centers (CHC), and 330 Funded Clinics. FQHCs are automatically designated as health professional shortage facilities.

CMS: https://www.cms.gov/Center/Provider-Type/Federally-Qualified-Health-Centers-FQHC-Center

FQHC.org: https://www.fqhc.org/what-is-an-fqhc/

Your thoughts are appreciated.

Click to access mike-stahl-phd-mba.pdf

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INVITE DR. MARCINKO: https://medicalexecutivepost.com/dr-david-marcinkos-bookings/

THANK YOU

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PRIVATE EQUITY: In Cancer Oncology Care

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

NIHCM GRANTS

By Ola Abdelhadi

By Richard Scheffler

University California at Berkley

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Despite increases in private equity acquisition of oncology practices, little is known about the effect on market competition, prices, and quality.

CITE: https://www.r2library.com/Resource/Title/0826102549

This research team will examine the changes in health care quality and prices following private equity acquisition of oncology practices and explore whether these acquisitions exacerbate health disparities among racial groups. This work may be relevant to policymakers and antitrust regulators assessing private equity deals.

Increasing Private Equity Investment in Cancer Care: What is the Effect on Prices and Quality of Care?

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YouTube: CEO Susan Wojcicki Logs Off

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

By Staff Reporters

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Susan Wojcicki, the CEO of YouTube for the last nine years, is stepping down. The video site has exploded under her watch, and its $29.2 billion in ad revenue last year accounted for about 10% of Google parent company Alphabet’s total sales.

But Wojcicki’s time at the company far predates YouTube—in fact, she was Google’s 16th employee. She was also its first landlord: In 1998, Wojcicki rented out her garage in Menlo Park, CA, to Google’s co-founders for $1,700 a month.

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DAILY UPDATE: Gas Prices Up – Stock Markets Down

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

By Staff Reporters

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Gasoline prices have unexpectedly risen in January, at a time when Americans normally stay put and demand remains relatively flat. Last week, the national average price for regular gas crept up to $3.51 a gallon, according to the American Automobile Association (AAA), jumping up by 12 cents compared to a week before and 41 cents in December. As of today, regular gas was on average $3.49 a gallon. It was a dark surprise for American consumers wary of the skyrocketing prices experienced last summer when gas reached a record height of $5.02 a gallon on average nationwide

CITE: https://www.r2library.com/Resource/Title/0826102549

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Stocks Closed Lower Amid Wholesale Price Inflation Report

U.S. equities declined sharply following another hotter-than-expected read on inflation, as well as hawkish commentary from Fed officials, which seemed to complicate the outlook for further monetary policy tightening. January’s Producer Price Index (PPI) came in above estimates, causing more Fed uncertainty that had already ramped up following this week’s elevated consumer inflation report, and yesterday’s much stronger-than-anticipated retail sales data. A busy day of economic data also included a lower-than-projected level of jobless claims, softer-than-forecasted housing construction activity, and an unexpected tumble in manufacturing activity out of Philadelphia.

Treasury yields were higher following the inflation report, and the U.S. dollar increased, while crude oil prices nudged lower, and gold was little changed. Q4 earnings season continued to roll on, with Dow member Cisco Systems topping forecasts, though Shopify offered disappointing revenue guidance, and Paramount missed expectations.

Asian and European stocks finished higher for the most part, as investors grappled with the U.S. inflation data and monetary policy uncertainty.

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What is the “Direct Listing” Process on Wall Street?

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

On The “Direct Listing” Process

[By staff reporters]

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Direct Listings Once Looked Like a Threat to Traditional IPOs. Now They're an Option for the Few. | Barron's

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We’ve talked about Wall Street, IPOs, the OTC market and secondary public offerings before. So, now may be a good time to discuss the direct public listing.

The Direct Public Listing

Companies that want to do a public listing may not have the resources to pay underwriters, may not want to dilute existing shares by creating new ones or may want to avoid lockup agreements. Companies with these concerns often choose to proceed by using the “direct listing” process, rather than an IPO.

Direct Listing Process (DLP) is also known as Direct Placement or Direct Public Offering (DPO)

In DLP, the business sells shares directly to the public without the help of any intermediaries. It does not involve any underwriters or other intermediaries, there are no new shares issued and there is no lockup period.

The existing investors, promoters and even employees holding shares of the company can directly sell their shares to the public.

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However, the zero- to low-cost advantage also comes with certain risks for the company, which also trickle down to investors.

For example there is no support or guarantee for the share sale, no promotions, no safe long-term investors, no possibility of options like greenshoe and no defense by large shareholders against any volatility in the share price during and after the share listing.

Assessment:

The greenshoe option is a provision in an underwriting agreement that grants the underwriter the right to sell investors more shares than originally planned by the issuer if the demand proves particularly strong.

MORE: https://money.usnews.com/investing/stock-market-news/articles/direct-listing-vs-ipo

Conclusion: Your thoughts are appreciated.

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Filed under: Investing | Tagged: direct listing, Direct Public Listing, greenshoe option, IPO, OTC, Wall Street, What is a "Direct Listing" Process on Wall Street? | 1 Comment »

USA HEALTHCARE QUALITY: Confidence Down

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

Confidence in the caliber of the American health system has never been lower

A GALLUP POLL

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ANNUAL GALLUP HEALTHCARE QUALITY REPORT

More than one in five adults (21%) living in the US now rate the country’s healthcare as “poor” quality—a record high, according to Gallup’s annual health and healthcare poll.

Less than half of all respondents (48%) surveyed in 2022 said they’d rank the quality of healthcare in the US as “excellent/good”—a new low since Gallup began tracking the issue in 2001. (That’s down from 50% in 2021 and a record high of 62% in 2010 and 2012.) About a third (31%), meanwhile, said they’d rate the quality of US healthcare as “only fair,” a slight drop from 35% in 2021.

Gallup partially attributed the drop in perceived quality to politics, noting that “Republicans’ positive ratings have been subdued since President Donald Trump left office.” Other likely factors, the organization offered, could be “changes to healthcare that have taken place amid the Covid-19 pandemic or curtailed access to abortion since the Supreme Court’s Dobbs decision.”

Survey Reports:

Respondents reported a rosier take on the care they personally receive. Over 70% rated it as “excellent/good” compared to 6% who rated it as “poor.” But that high “excellent/good” mark is still down from 76% in 2021 and 82% in 2020.
Costs remained a point of contention in 2022. Less than a quarter (24%) of respondents said they were “satisfied” with the total cost of healthcare in the US, and this proportion is on par with rates from the past two decades. But only 56% of those surveyed reported being satisfied with the total cost they pay for care—the lowest level since 2016.
One in five respondents think the US healthcare system is in a “state of crisis” (20%) or has “major problems” (48%).

EDITOR’S NOTE: As a former CPHQ [Certified Physician in Healthcare Quality], I find this report alarming and confusing – David EdwardMarcinko MBA CMP

CMP Program: http://www.CertifiedMedicalPlanner.org

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What is an ADR / SPDR Receipt?

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

AMERICAN DEPOSITORY RECEIPTS AND S&P RECEIPTS

By Dr. David E. Marcinko MBA CMP®

SPONSOR: http://www.CertifiedMedicalPlanner.org

AMERICAN DEPOSITORY RECEIPT (ADR) = A receipt evidencing shares of a foreign corporation held on deposit or under the control of a U. S. banking institution; it is used to facilitate transactions and expedite transfer of beneficial ownership for a foreign security in the U.S. Everything is done in dollars and the ADR holder doesn’t have voting rights; essentially the same as an American Depository Share (ADS).

CITE: https://www.r2library.com/Resource/Title/0826102549

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A Standard & Poor’s Depositary Receipt, or SPDR, is a type of exchange traded fund that began trading on the American Stock Exchange (AMEX) in 1993 when State Street Global Advisors’ investment management group first issued shares of the SPDR 500 Trust (SPY).

CITE: https://www.r2library.com/Resource/Title/0826102549

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MORE: https://medicalexecutivepost.com/2008/02/15/about-american-depository-receipts/

S&P: https://medicalexecutivepost.com/2011/01/12/on-standard-poors-depository-receipts/

S&P Index: https://medicalexecutivepost.com/2011/01/15/spdrs-vs-index-mutual-funds/

S&P TAX: https://medicalexecutivepost.com/2011/01/30/do-spdrs-yield-tax-advantages/

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What Is Health 2.0?

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

New-Wave Operative Definitions

By Jennifer Tomasik MS

Health 2.0 is participatory health care.

Enabled by information, software, and community that we collect or create, we the patients can be effective partners in our own health care, and we the people can participate in reshaping the health system itself.

— Dr. Ted Eytan, Director, Permanente Federation, LLC

Potential

Health 2.0’s potential lies in enabling, catalyzing, and sustaining changes in the practice of healthcare.

Dr. Ted Eytan, a nationally recognized proponent of digitally-enhanced patient care with a particular interest in preventive care, has blogged the above “declaration of health care independence,” which we will use as our own working definition of Health 2.0.

CITE: https://www.r2library.com/Resource/Title/0826102549

A Human Space Defined by Engagement

We see Health 2.0 as a human space defined by engagement, aided by technology, in which information and accountability can flow between individuals and their care teams and between individuals and their social networks.

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

Assessment

The “practice” of healthcare can be understood as a set of “behaviors” that becomes embedded in daily life, plus the “supports” that provide the appropriate resources to achieve the desired outcomes.

Thus, changing a current practice (in pursuit of a different outcome) requires enabling the behavior you want to encourage by providing the necessary supports to make it happen. Health 2.0 has made new supports available for people to embed health-seeking behaviors and sustain practices that increase their involvement in their own health.

NOTES:

[i] Eytan T. “The Health2.0 Definition: Not just the Latest, The Greatest!,” Ted Eytan, MD (Blog).Online 13 Jun 2008. Accessed 1 Nov 2012. <http://www.tedeytan.com/2008/06/13/1089>

[ii] Hawn C. “Take Two Aspirin and Tweet Me in the Morning: How Twitter, Facebook, and Other Social Media Are Reshaping Health Care.” Health Affairs 2009;28(2):361-8.

[iii] Moussa M, Tomasik JL. “Doctor-Patient Relationships in the Modern Era: Can We Talk—A Collaborative Shift in Bedside Manner.” Ch. 15 in Marcinko D.E. and Hope R. Hetico. The Business of Medical Practice: Transformational Health 2.0 Skills for Doctors. New York: Springer Pub. Co., 2011.

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Become a Board CERTIFIED MEDICAL PLANNER™ and Thrive

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

Think Different – Be Different – Thrive

[By Ann Miller RN MHA]

Dear Physician Focused Financial Advisors;

Did you know that desperate doctors of all ages are turning to knowledgeable financial advisors and medical management consultants for help? Symbiotically too, generalist advisors are finding that the mutual need for knowledge and extreme niche synergy is obvious.

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But, there was no established curriculum or educational program; no corpus of knowledge or codifying terms-of-art; no academic gravitas or fiduciary accountability; and certainly no identifying professional designation that demonstrated integrated subject matter expertise for the increasingly unique healthcare focused financial advisory niche … Until Now!

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http://www.CertifiedMedicalPlanner.org

Enter the CMPs

“The informed voice of a new generation of fiduciary advisors for healthcare”

**[Think Different – Be Different – Thrive]**

InfoGraphic

http://e.infogr.am/enter_the_certified_medical_planner?src=embed

http://www.CertifiedMedicalPlanner.org

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So, if you are looking to supplement your knowledge, income and designations; and find other qualified professionals you may want to consider the CMP® program.

Enter the Certified Medical Planner™ charter professional designation. And, CMPs™ are FIDUCIARIES, 24/7.

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Conclusion

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ADVISORS: www.CertifiedMedicalPlanner.org
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
Dictionary of Health Economics and Finance
Dictionary of Health Information Technology and Security
Dictionary of Health Insurance and Managed Care

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RISK: Default U.S.A.

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

By Staff Reporters

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The U.S. risks defaulting on its debts as early as July unless the borrowing limit is raised, the nonpartisan Congressional Budget Office said in a report just released.

CITE: https://www.r2library.com/Resource/Title/0826102549

The federal government on January 19th reached its approximately $31.4 trillion debt ceiling — which legally caps how much the U.S. can borrow to pay for what tax and other revenue doesn’t cover — and the Treasury Department has since been using “extraordinary measures” along with its current cash flow to keep the government’s obligations paid.

“CBO estimates that under its baseline budget projections, the Treasury would exhaust those measures and run out of cash sometime between July and September of this year,” according to the report.

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DAILY UPDATE: U.S. Stocks Edge Up a Bit

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

By Staff Reporters

***

***

Stocks Rise as Investors Digest Economic Data

THE DATA: U.S. retail sales jumped 3% in January as consumers broadly boosted spending on vehicles, furniture, clothing and dining out, adding to signs that economic growth picked up at the start of the year. Last month’s seasonally adjusted spending increase was the biggest since March 2021 and followed two months of declines at the end of last year, the Commerce Department said yesterday. Job growth surged and high inflation cooled slightly in January after rising prices, increased borrowing costs and uncertainty about the economy caused households to pull back on spending late last year.

The unexpectedly strong employment report last month and still solid wage gains bode well for consumer spending, and some economists think economic growth could be picking up. The Federal Reserve has raised interest rates aggressively since last March in an attempt to slow the economy and bring down inflation. The consumer-price index climbed 6.4% in January from a year earlier, down slightly from 6.5% in December but still well above the Federal Reserve’s 2% inflation target.

***

THE MARKETS: U.S. stocks were higher to end the day, as investors continued to wrestle with the implications of persisting inflation and a tight labor market on Fed monetary policy actions. The economic calendar came in heavy, as retail sales rose much more than anticipated in January, which may be further complicating Fed perception, home-builder sentiment improved by the most since the summer of 2013, and business inventories continued to rise.

However, industrial production came in below forecasts, mortgage applications dropped, and New York manufacturing remained in contraction territory. Q4 earnings season continued to roll on, with AirBnB topping estimates and offering upbeat guidance, and Kraft Heinz also exceeding earnings estimates, while Devon Energy missed profit projections.

Treasury yields were mostly higher, and the U.S. dollar rallied, while crude oil and gold prices were lower.

Asian stocks finished mostly lower, and markets in Europe traded higher as investors digested further inflation data in the region.

CITE: https://www.r2library.com/Resource/Title/0826102549

***

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INFLATION: Slowing … Slowly!

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

By Staff Reporters

***

***

Consumer price data showed it may be a long and winding road back to normal inflation levels. While inflation continued to cool last month, it did so at a slow pace (prices grew 6.4% annually, compared to 6.5% the month before).

And prices for a variety of goods and services, such as groceries and rent, continued to climb considerably. For example, egg prices in January were up 70% from the prior year.

CITE: https://www.r2library.com/Resource/Title/0826102549

***

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About iMBA Inc., Educational Events

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

Bridging the Medical School – Financial Services Industry & Business Education Gap

[By Ann Miller RN MHA]

***

iMBA Inc., routinely presents to residents and fellows across the country on a variety of medical, financial, accounting and practice management related topics.

Whether on-site or via webinar, our educational sessions are tailored to fill the finance, economic, practice management, business and practice management educational gap and to provide physicians and allied healthcare professionals with practical advice and strategies to help make sound financial and business decisions.

***

Our firm works exclusively with physicians and their advisors, and we understand the stresses and financial pitfalls that are unique to the medical profession. We are doctors who are passionate about equipping, training, and advising physicians so they can work toward achieving their professional and financial goals.

We can tailor our presentations to the needs of the program or group. Above all, we aim to empower residents and fellows with the knowledge they’ll need to succeed financially as they begin their career in private practice or in academics.

***

****

In addition to speaking with individual programs, we speak with House Officers Associations, Fellowship & Residency Associations, Spouse Support Groups, etc. We are regularly invited to present at Grand Rounds, weekly practice management gatherings, and after-hours dinners.

Educational sessions can be done either on-site or via webinar.

Assessment

To see a list of presentations and topics, click here:

Channel Surfing the ME-P

Conclusion

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
ADVISORS: www.CertifiedMedicalPlanner.org
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
Dictionary of Health Economics and Finance
Dictionary of Health Information Technology and Security
Dictionary of Health Insurance and Managed Care

TELL US MORE ABOUT YOUR EVENT NEEDS

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DAILY UPDATE: The Metaverse, Nvidia, Tesla and Mixed US Equities

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

By Staff Reporters

***

***

Microsoft (MSFT) ended a project that aimed to encourage the use of the Metaverse in industrial environments just four months after it was formed, according to a new report by The Information. The 100 members of the team have been laid off as the company wants to prioritize shorter-term projects over those needing longer to generate meaningful revenue.

Tech, led by Nvidia and Tesla, had it better than other sectors.

CITE: https://www.r2library.com/Resource/Title/0826102549

U.S. equities finished mixed, as investors digested the highly anticipated Consumer Price Index report, and its potential impact on the Fed’s future monetary policy decisions. The headline rate and core rate—excludes food and energy—both rose in line with estimates, but on a year-over-year basis inflation came in slightly hotter than expected. In other economic news, small business optimism rose slightly less than anticipated, and remained below its 48-year average for the thirteenth month in a row.

Earnings results were mixed, as Marriot International and Dow component Coca-Cola both bested EPS estimates and provided upbeat outlooks, while Restaurant Brands International missed earnings expectations, but increased its quarterly dividend.

Treasury yields were higher following the inflation data, and the U.S. dollar nudged lower, while crude oil prices fell, and gold was modestly higher in choppy trading. Asian stocks were mostly higher as markets in the region awaited the CPI report, while European stocks mostly added to its strong year-to-date gains amid the inflation data.

***

***

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Musings on a Famous Portfolio Asset Allocation Study

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

Some Critics Claim Brinson, Hood, and Beebower Conclusions Wrong

[By Dr. David Edward Marcinko MBA CMP™]

http://www.CertifiedMedicalPlanner.org

[Publisher-in-Chief]

Frequently, we hear the axiom that asset allocation is the most important investment decision, explaining 93.6% of portfolio returns. The presumption has been that once the risk tolerance and time horizon have been established, investing is simply a matter of implementing a fixed mix of stocks, bonds, and cash using mutual funds selected for this purpose. This axiom is based on a famous study by Brinson, Hood, and Beebower (BHB) published in the Financial Analysts Journal in July/August 1986. It is the stuff of most modern business school and graduate students in economics and finance.

Enter the Critics

One critic claims that BHB’s conclusions and the interpretation of their conclusions are wrong, stating that because of several methodological problems, BHB needed to make certain assumptions for their analysis to go forward. They assumed that the average asset-class weights for the 10-year period studied are the same as the actual normal policy weights; that investments in foreign stocks, real estate, private placements, and venture capital can be proxied by a mix of stocks, bonds, and cash; and that the benchmarks for stocks, bonds, and cash against which fund performance was measured are appropriate. The author believes that each of these assumptions can lead to a faulty measurement of success or failure at market timing and stock selection.

The Jahnke Study

William Jahnke claims that BHB erred in their focus on explaining the variation of quarterly portfolio returns rather than portfolio returns over the 10-year period studied. According to the study, asset allocation policy explains only a small fraction of the range of 10-year portfolio returns earned by the pension funds reported in the study. The author concluded that this discrepancy is caused by the effect of compounding returns. He adds that BHB were wrong to use variance of quarterly returns rather than the standard deviation. Use of standard deviation would reduce the often cited 93.6% to about 79%. Moreover, BHB did not consider the cost of investing, such as operating expenses, management fees, brokerage commissions, and other trading costs, which are more significant for individual investors than for the pension plans studied. Jahnke claims that excessive costs can reduce wealth accumulation by 50%.

Note: (“The Asset Allocation Hoax,” William W. Jahnke, Journal of Financial Planning, February 1997, Institute of Certified Financial Planners [303] 759-4900).

Assessment

Finally, the author takes issue with establishing long-term fixed asset class weights. Asset allocation should be a dynamic process. Higher equity return expectations should in turn produce larger equity allocations, other things being equal.

Conclusion

Are doctors different than the average investor noted in this essay?

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

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Filed under: CMP Program, Experts Invited, Investing, Op-Editorials, Portfolio Management, Touring with Marcinko | Tagged: asset allocation, Brinson, CMP, david marcinko, Hood Beebower, The Asset Allocation Hoax, William Jahnke, www.certifiedmedicalplanner.com | 1 Comment »

VANGUARD: To Liquidate Alternative Strategies Fund (VASFX)

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

By Staff Reporters

***

The $98 million Vanguard Alternative Strategies Fund (ticker VASFX) will be liquidated in the second quarter of 2023, according to a press release. The fund, which launched in 2015, “has not gained broad acceptance among investors,” Vanguard said.

The liquidation marks the first time that Malvern, Pennsylvania-based Vanguard has shuttered a mutual fund since winding up the NJ Municipal Money Market Fund and PA Municipal Money Market Fund in 2020, a spokesperson confirmed over email. The move follows a brutal year for asset managers as the Federal Reserve’s historically aggressive tightening campaign pummeled both stocks and bonds, driving investors to yank billions of dollars from mutual funds.

CITE: https://www.r2library.com/Resource/Title/0826102549

***

Editor’s Note: I visited the Vanguard campus in Malvern PA, while still a medical student in Philadelphia, back in the day. Beautiful and impressive! I learned a great deal on the professional tours and first learned of Gary P. Brinson, L. Randolph Hood. Dr. David Edward Marcinko MBA CMP

MORE: https://medicalexecutivepost.com/2023/02/14/musings-on-a-famous-portfolio-asset-allocation-study-2/

CMP Program: http://www.CertifiedMedicalPlanner.org

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What Do Women Really Want on St. Valentine’s Day?

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

Even Female Doctors, Financial Services Professionals and Medical Management Consultants?

***

Source: pronto.com

Conclusion

And so, your thoughts and comments on this ME-P are appreciated. Please review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

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DAILY UPDATE: US Stocks UP!

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

By Staff Reporters

***

***

U.S. stocks rose ahead of some key January inflation data this week, which will begin with the Consumer Price Index (CPI) report. The economic calendar was dormant today, while Q4 earnings season continued down the back stretch, as Check Point Software Technologies topped estimates and announced an increase to its share buyback plan, while Fidelity National Information Services offered disappointing guidance.

Treasury yields were mixed, and the U.S. dollar was lower, while crude oil prices gained ground, and gold traded to the downside.

Asian stocks finished mostly lower ahead of the U.S. inflation data and as tensions between the U.S. and China remained, though markets in Europe rebounded from last week’s decline.

***

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New CDC Guidelines on COVID

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

AN UPDATE

By Centers for Disease Control and Prevention

***

***

The CDC is the nation’s leading science-based, data-driven, service organization that protects the public’s health. For more than 70 years, it put science into action to help children stay healthy so they can grow and learn; to help families, businesses, and communities fight disease and stay strong; and to protect the public’s health.

***

And now, Emory University in Atlanta Georgia says goodbye to COVID vaccine requirements and updates guidance. For those who would like to read a copy of the most recent CDC guidelines on COVID: click here.

***

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ORDER: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

***

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DAILY UPDATE: Crypto Staking, the IRS and Inflation

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

By Staff Reporters

***

***

In a first-of-its-kind settlement with the SEC, the crypto exchange Kraken will stop offering crypto staking services in the US. The regulatory crackdown sent a chill across the crypto industry, since staking (crypto’s version of a high-yield savings account, as CoinDesk explains it) is a growing source of revenue for crypto platforms. Shares of Coinbase, the largest crypto exchange in the US, dropped the most since July on the news.

***

The IRS is asking millions of taxpayers in 22 states including California and Colorado who received tax rebates last year to hold off on filing their taxes. Why? The agency said it is seeking to clarify whether those tax rebates and special refunds are considered taxable income. “We expect to provide additional clarity for as many states and taxpayers as possible next week,” the IRS said on February 3.

***

Inflation going back up? The big economic data release of the week is Tuesday’s consumer price index report. It probably won’t be cause for celebration, because inflation is expected to have ticked back up in January. If so, it’ll fan more fears that the economy is heating up when the Fed wants it to keep cooling down.

***

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PODCAST: Medical Utilization Management and Review Explained

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

By Eric Bricker MD

***

ORDER: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

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DAILY UPDATE: Disney, MSFT and Lyft Down but US Markets Mixed

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

By Staff Reporters

***

***

Nelson Peltz, the activist investor and head of Trian Fund Management, called a cease-fire after a month long proxy fight with Disney. Peltz said he was happy with the restructuring plan CEO Bob Iger announced and will no longer try to grab a seat on the board of directors. Along with his restructuring plan, Disney said that Toy Story, Frozen, and Zootopia will all get more sequels in an effort to boost the company’s streaming numbers.

***

Microsoft Corp., implementing the layoff of 10,000 workers announced cut jobs in units including Surface devices, HoloLens mixed reality hardware and Xbox, according to Bloomberg and people familiar with the matter.

***

Shares of ride-hailing firm Lyft plunged following a downbeat profit forecast. In fact, Lyft had its worst day ever after it shared a dismal outlook during its earnings call this week. Wedbush analyst Dan Ives called it “a Top 3 worst call” out of the thousands he’s listened in 22 years. The company’s shares fell about 36% after forecasting it’ll make between $5 million and $15 million this quarter—rather than the $85 million that analysts expected. Meanwhile, Uber is coming off its “strongest quarter ever,” according to CEO Dara Khosrowshahi.

Yields on the benchmark 10-year Treasury note rose to their highest in more than a month following an auction on Thursday of 30-year bonds that saw weak demand. [US].

CITE: https://www.r2library.com/Resource/Title/0826102549

Finally the S&P 500 gained 8.99 points, or 0.22%, to end at 4,090.49 points, while the NASDAQ Composite lost 71.12 points, or 0.60%, to 11,718.46. The Dow Jones Industrial Average rose 169.88 points, or 0.50%, to 33,869.76. The NASDAQ posted its first weekly fall this year, while the S&P 500 ended the week lower in a week dominated by hawkish commentary from U.S. Federal Reserve officials and earnings reports from more than half of the S&P 500 constituents.

***

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SECOND OPINIONS: Physician Financial Planning, Investing, Medical Practice Management and Business Valuations; etc!

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

BY DR. DAVID EDWARD MARCINKO MBA CMP

***

Financial Planning for Medical Professionals

HERE: https://medicalexecutivepost.com/schedule-a-consultation/

CONTACT: Ann Miller RN MHA

770-448-0769

***

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FTC: Proposes Banning [Healthcare] Non-Compete Employment Contract Clauses

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

By Health Capital Consultants, LLC

***

***

FTC Proposes Banning Non-Compete Clauses

On January 5, 2023, the Federal Trade Commission (FTC) published a proposed rule that would ban employers from imposing non-competes on their employees. The FTC asserted that this practice is widespread and often exploitative, and such actions can suppress wages, hamper innovation, and block entrepreneurs from starting their own businesses. Notably, while the proposed rule will affect all industries, not just healthcare, this proposal comes at a time when healthcare employers across the U.S. are struggling with staffing shortages.

CITE: https://www.r2library.com/Resource/Title/0826102549

This Health Capital Topics article will discuss the proposed rule, reactions from healthcare industry stakeholders, and potential implications. (Read more…)

***

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RISING: Elon Musk’s Wealth and Tesla’s Stock Price

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

By Staff Reporters

***

***

The recent rally in Tesla stock is helping CEO Elon Musk pile on wealth and come close to reclaiming the title of world’s richest man.
Musk’s net worth was at $179 billion by Friday’s market close, according to the Bloomberg Billionaires Index.
That’s just $6 billion below Bernard Arnault, who is currently the world’s richest man.

***

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FINANCIAL HEALTH INSURANCE CO-PAY CARDS & DRUG COUPONS?

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

The “Real Deal”

A co-payment is a fixed amount ($20, for example) you pay for a covered health care service after you’ve paid your deductible.

Let’s say your health insurance plan’s allowable cost for a doctor’s office visit is $100. Your copayment for a doctor visit is $20.

If you’ve paid your deductible: You pay $20, usually at the time of the visit.
If you haven’t met your deductible: You pay $100, the full allowable amount for the visit.
Partial deductible payments incur hybrid fees.

Copayments (sometimes called “copays”) can vary for different services within the same plan, like drugs, lab tests, and visits to specialists. Generally plans with lower monthly premiums have higher copayments. Plans with higher monthly premiums usually have lower copayments.

CITE: https://www.r2library.com/Resource/Title/0826102549

***

Invite Dr. Marcinko | The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants

BY DR. DAVID E. MARCINKO MBA CMP®

SPONSOR: http://www.CertifiedMedicalPlanner.org

Co-Pay Cards May Be Creating More Controversy Instead of Solutions

Instead of reducing the actual price of their excessively priced medications, many companies have opted to provide co-pay cards / coupons as an affordable solution. However, co-pay cards may only lower the cost for some consumers and patients.

Novartis: https://www.copay.novartispharma.com/nvscopay/#

Pfizer: https://www.pfizerpro.com/co-pay-cards-patient-savings-offers

***

***

But – The insurer is still left to pay the high price, which will eventually be passed back on to the patient / consumers in the form of higher health insurance deductibles. So – It doesn’t really seem like much of a solution when we all end up paying for these co-pay cards / coupons; does it?

Find out more here. (Source: Rebecca Mayer Knutsen, MM&M, 8/26/16)

***

MEDICAL OFFICE CREDIT CARDS:

We stopped taking credit cards altogether. The only credit cards we take are for call-in payments of balances. We have placed ATM machines in our lobbies and we educate patients in advance of their visits that we only take cash or check. Our cash income has increased, our credit card fees have decreased, and we make $1.50 from each transaction through our ATM. Our patients have taken to the idea so much that they use the ATM for personal cash for other transactions because our fee is the lowest of any ATM. It has been a win-win-win.

–Dr. Farshid Nejad, Beverly Hills, CA [PM Magazine]

***

For anyone contemplating taking credit cards for payments or copayments in your office, please be aware that some of the credit card companies require you to sign a contract. Don’t do that! If you do and you either have a problem with the company or find out that they are overcharging you, they will hold you responsible for the contract and may take you to court. There are enough credit card companies out that that do not require contracts and are highly competitive.

-Dr. Elliot Udell, DPM, Hicksville, NY [PM Magazine]

***

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Filed under: CMP Program, Drugs and Pharma, Ethics, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, iMBA, Inc., Touring with Marcinko | Tagged: Certified Medical Planner™, CMP, co-pay cards, co-pay coupons, drug cards, drug copays, drug coupons | 1 Comment »

About iMBA Inc., Educational Events

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

Bridging the Medical School – Financial Services Industry & Business Education Gap

[By Ann Miller RN MHA]

***

iMBA Inc., routinely presents to residents and fellows across the country on a variety of medical, financial, accounting and practice management related topics.

***

****

Educational sessions can be done either on-site or via webinar.

Assessment

To see a list of presentations and topics, click here:

Channel Surfing the ME-P

Conclusion

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
ADVISORS: www.CertifiedMedicalPlanner.org
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
Dictionary of Health Economics and Finance
Dictionary of Health Information Technology and Security
Dictionary of Health Insurance and Managed Care

TELL US MORE ABOUT YOUR EVENT NEEDS

← Back

Thank you for your response. ✨

DAILY UPDATE: U.S. Stock Markets Post Weekly Decline!

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

By Staff Reporters

***

***

U.S. equities ended the day mixed in a quiet trading session, while the major indexes posted solid losses for the week. Investors sifted through more mixed earnings results, as Expedia Group and Lyft fell well short of the Street’s expectations, with the latter also disappointing with its Q1 guidance, and PayPal Holdings bested forecasts and offered an upbeat outlook.

CITE: https://www.r2library.com/Resource/Title/0826102549

US Markets: After a mixed performance yesterday, all three major indexes ended up down for the week, with both the NASDAQ and the S&P 500 suffering their worst week of the year. News Corp’s stock fell after the company said it plans to cut 1,250 jobs, or about 5% of its workforce, this year.

Economic news remained light, as the lone report showed a better-than-expected increase in consumer sentiment for February.

Treasury yields were mixed, and the U.S. dollar traded to the upside, while crude oil prices rose and gold declined.

Asian and European stocks finished lower as the international markets digested regional data and continued to grapple with the implications of monetary policy tightening.

***

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PODCAST: Nuance DAX: Conversational Healthcare A.I.

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

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In the patient-physician relationship, time is precious. Nuance DAX helps physicians to focus on patient care during appointments—instead of paperwork and documentation. Nuance DAX uses sophisticated conversational AI and ambient technology to capture and contextualize the patient encounter, reducing documentation time by 50%.

Learn more.

***

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***

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DAILY UPDATE: GitHub, GitLab the Rebounding Dollar and Down US Stock Markets

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

By Staff Reporters

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GitHub, owned by Microsoft (NASDAQ:MSFT) is reportedly letting go 10% of its employee base and will become fully remote when its lease ends. The layoffs and cost cutting were laid out in a memo from CEO Thomas Dohmke to his staff, The Information reported, citing a person with knowledge of the situation. Last month, Microsoft (MSFT) said it would let go 10,000 employees in its fiscal second-quarter and take a $1.2B charge related to the layoffs. In conjunction with the layoffs, Microsoft (MSFT) added it would initiate “lease consolidation as we create higher density across our work spaces.”

GitHub competitor GitLab (GTLB) said Thursday morning that the company would lay off 7% of its employees due to a “tough” macroeconomic environment.

***

The rally in US stocks could be stunted by a rebounding dollar, according to a Bloomberg market technician.
“We don’t think there’s a ton of downside for the dollar, and if there’s not a lot of downside for the dollar, it’s tough to see a lot of upside for equities,” Jonathan Krinksky said.
US stocks and the dollar have an inverse relationship, so a stronger dollar tends to push stocks down.

CITE: https://www.r2library.com/Resource/Title/0826102549

***

US Markets: After another down day for stocks, the major indexes are on track to close out the week in the red. Alphabet has been slumping hard since its AI chatbot underwhelmed in its public debut. In the past two trading sessions, the tech giant has lost a total of $173 billion in market cap.

***

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PODCAST: JP Morgan Healthcare Conference 2023

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

EXPLAINED

By Eric Bricker MD

***

It is a healthcare investor conference where investors meet with digital health companies, not-for-profit hospital systems, insurance carriers, biotech and med device companies.

The J.P. Morgan Healthcare Conference is invite-only. There is no large exhibition hall. The agenda is not published.

Most of the ‘action’ happens outside the conference with private meetings across the city.

Most people who attend are not invited and they just go for the private meeting opportunities.

Hear a summary of the 2023 J.P. Morgan Healthcare Conference from This Week Health‘s Bill Russell and his guest Rob, DeMichiei–the former CFO of UPMC.

Hospital systems actually have a plan to cut costs for the first time in AGES.

Insurance carriers are going to become healthcare providers themselves.

Will insurance carriers eat hospitals’ lunch? etc.

DEFINITION: https://www.r2library.com/Resource/Title/0826102549

***

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DAILY UPDATE: Falling SoftBank, Zoom and US Equities

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

By Staff Reporters

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According to Bloomberg, SoftBank Group Corp.’s first earnings report without founder Masayoshi Son went a lot like those he presided over the past few years: The Japanese conglomerate lost billions of dollars on failed startup bets.

***

ZOOM-The videoconferencing company that became a household name during Covid is cutting 15% of its workforce, or about 1,300 people. CEO Eric Yuan said the “uncertainty of the global economy” was partly to blame, but he also admitted the company “made mistakes.” To own up to those mistakes, Yuan said he’s reducing his upcoming fiscal year salary by 98% and ditching his 2023 corporate bonus. Zoom shares are down about 85% from their 2020 highs’ according to Bloomberg.

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

***

U.S. equities finished near their lows of the day as the markets continued to digest mixed earnings data and last night’s State of the Union Address from President Joe Biden. Meanwhile, yesterday’s commentary from Fed Chairman Jerome Powell remained in focus after he acknowledged that inflation pressures are coming down but more needs to be done to finish to job.

Earnings season continued in earnest, as Chipotle Mexican Grill missed estimates, but Uber Technologies topped quarterly expectations and issued a positive outlook, and Yum! Brands also bested the Street’s projections. Outside earnings, Activision Blizzard fell as U.K. regulators are challenging Dow member Microsoft Corporation’s near $69 billion takeover agreement of the gaming company.

The economic calendar was relatively light, but mortgage applications rebounded last week, and wholesale inventories were unrevised at its previously reported modest increase.

Treasury yields were lower, and the U.S. dollar was little changed, while crude oil prices were higher to add to a weekly advance, and gold saw a modest gain.

Asia finished mixed and Europe was mostly higher with the markets continuing to grapple with monetary policy uncertainty across the globe.

***

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PODCAST: Financial Planning and Medical Business Management Mistakes of Independent Doctors

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

By Entrepreneurial MD

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In this episode, host Christopher Hughey talks to Steven Huskey about the financial, management and planning mistakes many independent doctors make when setting up their own medical practice.

PODCAST: https://www.theentrepreneurmd.com/search?query=mistakes

***

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***:

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***

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***

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ARTIFICIAL INTELLIGENCE: Google V. Microsoft

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

The AI Gloves are Coming Off?

By Staff Reporters

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Google (GOOG, GOOGL) just announced several new AI-powered features for its Search, Maps, and Lens apps. The announcement comes just a day after rival Microsoft (MSFT) rolled out a new version of its Bing search engine complete with generative AI capabilities, bringing a rare threat to Google’s search supremacy.

But, shares of Google parent company Alphabet were down more than 7% today as investors expressed skepticism about these new features.

***

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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PODIATRY PREP: Pass All Your Board Certification Examinations

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

Celebrating 30 Years of Your Success!

***

Pass ALL the Certification Boards!

By: http://www.PodiatryPrep.org

The Foot and Ankle Research Consortium, Inc. (FARC) is the leading publisher of Podiatric educational software. Since 1992, we have been producing the most effective and innovative method of preparing for ALL the Podiatry Board Examinations.

CURIOUS STUDY: Hallux Valgus Met I

SCARF: scarf osteotomy

This includes: The American Board of Podiatric Surgery, The American Board Of Podiatric Orthopedics and Primary Podiatric Medicine, the American Podiatric Medical Specialties Board, ABLES and the PMLexis. (Now includes the latest information for all Board Re-Certifications).

CONTENTS: https://podiatryprep.org/compatibility-test/

Customization and private tutoring services also available.

FAN CLUB: https://podiatryprep.org/podiatryprep-fan-club/

PURCHASE – PREPARE – PASS^®

ORDER HERE: https://podiatryprep.org/order-form/

GOOD LUCK!

Thank You

BUSINESS: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

***

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“Armageddon” of Financial Markets?

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

Is the U.S. equity market eventually going to collapse?

By Klaus Grobys

University Vaasa

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The US stock market could face collapse by 2050, according to new research by a Finnish economist.
That’s because US stock growth is unsustainable, and a crash is bound to happen in the coming decades.
The findings of the study mirror recent commentary from Wall Street legends, who are warning of an epic wipeout.

The next few decades could bring on an epic stock market collapse, according to a Finnish economics professor and researcher from the University of Vaasa who’s sounding the alarm over an “armageddon” financial crisis.

READ: https://www.researchgate.net/publication/367340195_Armageddon_of_Financial_Markets_Is_the_US_equity_market_eventually_going_to_collapse

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***

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DAILY UPDATE: Stock Equities, Treasury Yields and ERNIE-bot Are Up

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

By Staff Reporters

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U.S. equities finished higher after whipsawing in the wake of comments from Federal Reserve Chair Powell. The Chairman spoke at the Economic Club in Washington D.C. today, saying that disinflation has begun, but interest rate increases would likely continue. The moves came as the markets were looking for more insight regarding monetary policy, but all-in-all Powell’s remarks appeared to offer little in the way of new information on the Fed’s path forward.

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

And, the economic calendar was fairly light as data on the trade balance showed that the deficit widened at a slower pace than expected, while consumer credit expanded by a smaller-than-expected amount in December. Earnings data continued to heat up, as Take-Two Interactive missed forecasts and warned that net bookings will be lower in the near term. Dupont, on the other hand, bested earnings estimates, but provided some disappointing guidance, while Hertz beat EPS forecasts and posted revenues that were in line with estimates.

Treasury yields were also higher, and the U.S. dollar ticked lower, while crude oil and gold prices traded to the upside.

Asian stocks were mixed and markets in Europe diverged following a rate hike from the Reserve Bank of Australia, and as global sentiment remained choppy amid heightened tensions between the U.S. and China.

***

A frenzy over investing opportunities in artificial intelligence continues to benefit Baidu BIDU +12.18% with shares in the Chinese tech giant rallying Tuesday after the company revealed concrete plans to launch a chatbot to rival the likes of popular ChatGPT. It is known as ERNIE-bot.

American depository receipts of Baidu (ticker: BIDU) jumped 15% in pre-market trading on Tuesday, bringing the 2023 gain for the shares above 20%. The stock’s latest jump higher comes as Baidu detailed plans to launch an artificial intelligence chatbot in the coming months, confirming media reports that had telegraphed the move.

***

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2022 Healthcare M&As in Review

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

INDICATIONS FOR 2023

By Health Capital Consultants LLC

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2022 M&A in Review: Indications for 2023

After a record year in 2021 transactional activity, where healthcare mergers and acquisitions (M&A) were up by 56%, the market continued to thrive in 2022. Preliminary results revealed that 2022 M&A deals hit a record high of 2,409 deals, 150 transactions over what was observed in 2021. Despite economic challenges (e.g., rising interest rates and borrowing costs, inflation, and labor costs), the healthcare transactional market has remained active.

CITE: https://www.r2library.com/Resource/Title/0826102549

This Health Capital Topics article will review the U.S. healthcare industry’s M&A activity in 2022, and discuss what these trends may mean for 2023. (Read more…)

***

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DAILY UPDATE: Stocks Close Lower

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

By Staff Reporters

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Stocks Lower to Kick off the Week

U.S. stocks declined, continuing losses that came in the wake of a much stronger-than-expected key labor report, which caused FOMC uncertainty to flare back up. The uncertainty came as the employment data followed a decelerated rate hike, and some seemingly less hawkish commentary from the Fed.

CITE: https://www.r2library.com/Resource/Title/0826102549

The economic calendar will deliver some reports today that may garner attention, including data on the trade deficit and consumer credit. Additionally, the FOMC will be headlined by today’s speech from Fed Chair Jerome Powell. Q4 earnings season remained in high gear this week, as Tyson Foods kicked things off in lackluster fashion by missing expectations.

In other equity news, Dell Technologies announced that it plans to reduce its workforce by about 5.0%, or 6,500 jobs, while Public Storage made a hostile takeover bid for Life Storage.

Treasury yields rose, and the U.S. dollar increased, along with crude oil and gold prices. Asia finished mixed, as geopolitical tensions remain elevated after the U.S. shot down what was believed to be a Chinese spy balloon floating over U.S. soil.

Additionally, markets in Europe were mostly lower, trimming some of its strong start to the year.

***

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ADVISORY OPINION: Allows Nurse Practitioner Support in Hospitals

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

NURSE PRACTITIONERS [NPs]

By Health Capital Consultants, LLC

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Advisory Opinion Allows Nurse Practitioner Support in Hospitals

On December 19, 2022, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) published Advisory Opinion (AO) No. 22-20, analyzing the utilization of nurse practitioners (NPs) in lieu of attending physicians within medical units. The OIG concluded that the arrangement utilizing NPs in certain medical units, subject to several safeguards, presented a low risk for fraud or abuse.

CITE: https://www.r2library.com/Resource/Title/0826102549

As noted by legal experts, this AO deviates from OIG’s typical approach to limiting arrangements involving potential remuneration from a hospital to its referring physicians. (Read more…)

***

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Two Books VITAL to ALL Doctor’s Financial Succes!

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

http://www.CertifiedMedicalPlanner.org

PHYSICIAN FOCUSED FINANCIAL PLANNING AND RISK MANAGEMENT COMPANION TEXTBOOK SET

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[Dr. Cappiello PhD MBA] *** [Foreword Dr. Krieger MD MBA]

Front Matter with Foreword by Jason Dyken MD MBA

Enter the CMPs

***

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DAILY UPDATE: Wood Speaks on Technology Stocks with Yearly Markets Update

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

By Staff Reporters

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Ark Investment Management’s chief executive Cathie Wood is upbeat about her strategy of investing in young technology companies. After her exchange-traded funds dropped 60% to 80% last year from highs in 2021, Woods talked about the current stock market environment in a year-end commentary Dec. 29, 2022.

“We’re getting a lot of deflationary signals, but the Fed isn’t buying in yet,” Wood said, referring to the Federal Reserve’s continuing interest-rate increases. “But the bond market will start to convince the Fed,” Wood said. “The bond market is telegraphing much lower-than-expected inflation and/or recession.”

That prediction seemed to be validated February 1st. when the Federal Open Market Committee (FOMC) raised interest rates by only 25 basis points. That was smaller than the 50 basis points it had raised them by in December and the 75 basis points it had increased the rates by in each of its previous four meetings. The Fed seemed to have been recognizing the deflationary signs.

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Markets: In the five weeks of trading so far in 2023, the NASDAQ gained in all five and the S&P 500 in four. The still-booming labor market and falling inflation appear to be outweighing poor corporate earnings in investors’ minds.
CITE: https://www.r2library.com/Resource/Title/082610254

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ENTER Guatam Adani – EXIT Adani?

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

A Reprint by Staff Reporters

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In the week since the Indian mogul was targeted by a short seller, his businesses have lost a combined $108 billion in value and his own net worth has plummeted by $52 billion. Adani was once the second-richest person in the world. But, as Bloomberg notes, his downfall “defies just about every historical comparison.”

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

Given Adani’s sprawling business empire and his cozy relationship with India’s leadership class, this crisis has echoed across both markets and politics. Here’s a rundown of what you need to know about the most important story in global business this week.

According to Morning Brew, Adani grew up middle-class, dropped out of college to trade diamonds and eventually formed his own business hawking other physical products. During the ’90s his ambitions expanded along with the Indian economy, and he now runs a conglomerate that encompasses energy, transportation infrastructure such as ports and airports, defense manufacturing, and media.

On January 24th, a US short seller named Hindenburg Research claimed Adani’s empire pulled “the largest con in corporate history,” accusing it of stock manipulation and accounting fraud in a 100-page report. Adani has denied the allegations, but his push-back hasn’t comforted spooked investors…especially after he scrapped a $2.5 billion share sale a few days ago.

Adani responded that Hindenburg’s report wasn’t just an attack on him, it amounted to a “calculated attack on India…and the growth story and ambition of India.” Adani’s business ventures have aligned closely with the priorities of Indian Prime Minister Narendra Modi, and Modi’s political opponents are seizing on the fiasco to highlight the relationship between India’s leader and Adani.

Adani emphasized that his company’s fundamentals remain “very strong” and its balance sheet “healthy.” Still, some experts say the accusations could leave a lasting reputational stain on India’s largest corporations and hamstring their ability to grow

***

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DAILY UPDATE: Weekending Stock Markets and Motorsport Games Week

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

By Staff Reporters

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Stocks ended the week subdued when a red-hot jobs report once again got investors biting their nails over what the Fed will do next—though the S&P and NASDAQ both eked out positive weeks. The tech stock rally started losing steam after several big companies reported disappointing quarterly results, with Amazon being the one investors cooled on most.

CITE: https://www.r2library.com/Resource/Title/0826102549

***

More specifically, racing game publisher Motorsport Games (NASDAQ:MSGM) is seeing more volatility, tumbling 24.2% Friday after announcing a $4M at-the-market offering. The company entered a definitive agreement to issue and sell 232,188 shares of its class A common stock at $17.39 per share. The stock has slid $5.46 to trade at $17.50. The closing of this new offering is set for on or around February 7th with H.C. Wainwright & Co. acting as exclusive placement agent. Gross proceeds will be about $4.03M, which Motorsport Games will put toward development of multiple games, working capital and general purposes.

Still, it was the most eventful week for the stock in many months. On Monday it launched a debt-for-equity exchange to shore up its balance sheet, sending the stock lower by 8.7%. After regaining full compliance with Nasdaq listing rules, the stock jumped 714% Tuesday, moving from $2.63 a share to $21.40. After moving up another 73% Wednesday, the company then moved to convert all remaining debt in a new debt-for-equity exchange, and the stock fell 38% Thursday. Before Friday’s decline, the stock moved up an aggregate 482% in five days.

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RECESSION: Healthcare Industry Layoffs

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

Not even the healthcare industry is recession-proof

By Staff Reporters

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According to Kristine White of Healthcare Brew, New York City-based Memorial Sloan Kettering Cancer Center (MSK), one of the country’s top cancer treatment facilities, laid off 337 employees on Jan. 17 in response to ongoing financial challenges, according to a New York State Department of Labor filing.

The 337 employees, who worked across 14 sites and in multiple departments, represent about 1.5% of MSK’s 22,500 employees. This is a slight decrease from the expected 3% of layoffs announced in November 2022.

“This reduction was necessary to ensure that MSK can continue to invest in the future of cancer care, research, and education for the benefit of generations to come, and every effort has been made to ensure that patient care is not impacted,” spokesperson John Connolly said in a statement shared with Healthcare Brew.

The institution’s operating losses totaled $116.1 million for Q3 of 2022, compared to a loss of $8.7 million during the same period in 2021, according to a quarterly financial report released in November last year.

Factors such as increased patient activity, wages, and supply costs from inflation pushed the system’s operating expenses up by 7.5% from Q3 of 2021 to Q3 of 2022. The cancer center hired more staff in 2022 with the expectation that patient volume would increase, according to the financial report.

CITE: https://www.r2library.com/Resource/Title/0826102549

Health systems like MSK often reevaluate their biggest expense (workers) when business is down, Lori Kalic, a healthcare senior analyst at consulting firm RSM, told Healthcare Brew.

Just this year, multiple hospitals and health systems have also announced layoffs, including Tufts Medicine in Boston and Integris Health in Oklahoma, according to White.

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