Understanding the Cost of Not-for-Profit Hospital Capital

Posted on October 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

A “Must-Know” Economic Concept for Not-for-Profit Hospital Executives

Hospital[By Calvin W. Wiese; MBA, CPA]

It is critical to understand and to measure the total cost of capital for any hospital or healthcare organization. Lack of understanding and appreciation of the total cost of capital is widespread, particularly among not-for-profit hospital executives.

The capital structure includes long-term debt and equity; total capital is the sum of these two. Each of these components has cost associated with it. For the long-term debt portion, this cost is explicit: it is the interest rate plus associated costs of placement and servicing.

Equity Cost

For the equity portion, the cost is not explicit and is widely misunderstood. In many cases, hospital capital structures include significant amounts of equity that has accumulated over many years of favorable operations. Too many physician executives wrongly attribute zero cost to the equity portion of their capital structure. Although it is correct that generally accepted accounting principles continue to assign a zero cost to equity, there is opportunity cost associated with equity that needs to be considered. This cost is the opportunity available to utilize that capital in alternative ways.

Equity Greater than Cost of Debt

In general, the cost attributed to equity is the return expected by the equity markets on hospital equity. This can be observed by evaluating the equity prices of hospital companies whose equity is traded on public stock exchanges. Usually the equity prices will imply cost of equity in the range of 10% to 14%; or lower recently. Almost always, the cost of equity implied by hospital equity prices traded on public stock exchanges will substantially exceed the cost of long-term debt.

Thus, while many hospital executives will view the cost of equity to be substantially less than the cost of debt (i.e., to be zero), in nearly all cases, the appropriate cost of equity will be substantially greater than the cost of debt.

The Weighted Average Cost of Capital

Hospitals need to measure their weighted average cost of capital (WACC). WACC is the cost of long-term debt multiplied by the ratio of long-term debt to total capital plus the cost of equity multiplied by the ratio of equity to total capital (where total capital is the sum of long-term debt and equity).

Assessment

WACC is then used as the basis for capital charges associated with all capital investments. Capital investments should be expected to generate positive returns after applying this capital charge based on the WACC. Capital investments that don’t generate returns exceeding the WACC consume enterprise value; those that generate returns exceeding WACC increase enterprise value. Hospital executives need to be rewarded for increasing enterprise value.

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.

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

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:

DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
BLOG: www.MedicalExecutivePost.com
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors

Product DetailsProduct Details

Filed under: Career Development, CMP Program, Health Economics, Healthcare Finance, Investing | Tagged: , , , , , , , , , | 4 Comments »

WHY: We Bought UBER as the Stock Fell?

Posted on October 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Vitaliy N. Katsenelson CFA

***

***

Uber is the second most controversial stock we’ve ever owned (first place goes to Softbank). Most people have used Uber’s service, and thus everyone has an opinion and the media loves writing articles about Uber. The company has a history of not making any money. I’ve written a long research piece on why Uber, despite (or maybe because of) being a controversial company, has the makings of being a terrific long-term investment.
 
The pandemic had a mixed impact on Uber. Its core ride sharing business, which was supposed to turn profitable right before the pandemic, was significantly affected by the virus. The impact was immediate – people stopped traveling and started socially distancing.
 
But even after the economy reopened and people were willing to take Ubers again, the company did not just snap to profitability; it had to rebuild its driver network. Uber had to pay extra bonuses to drivers, whose pockets had just been stuffed with government stimulus checks, to get them to put their Netflix remote controls down, get off the couch, and start driving again. This was very expensive but necessary – one of Uber’s competitive advantages lies in the depth of its driver network. Without drivers, Uber ride share has no product. Consumers expect to push the button on their Uber app and get a car in 15 minutes or less. I remember worrying in spring 2021 that Uber would take a conservative stance in bringing their drivers back, in order to preserve cash. Uber did anything but – it showered its drivers with cash, burning billions of dollars in the process. It was the right thing to do. Lyft has been slower to respond and today is still struggling with a driver shortage, where Uber doesn’t have this problem. We are glad that we bet on the right company and the right management.
 
At this point in time, Uber’s international ride share business has recovered to the pre-pandemic level, but the US business is lagging behind at 70% of its pre-pandemic highs.
 
The pandemic was a tremendous help to Uber Eats, which at the time was still a nascent food delivery business. Today Eats generates similar revenues to the rideshare business. During the pandemic Uber Eats was fighting with US competitor Doordash for market share and losing a lot of money in the process, but its profitability turned positive in the latest quarter.
 
Today, Uber Eats is barely profitable, but management believes this business has the potential to be very profitable, and it is profitable outside of the US. We’ll believe it when we see it. But we think Uber can build a very profitable advertising business on top of this. The Uber Eats app is a giant marketplace for restaurants, where they are competing for consumers’ dollars throughout the day. Just as Amazon is making billions on advertising on its platform, so can Uber. These advertising dollars come with an 80-90% margin, and it takes little effort (cost) to generate them. The bulk of these revenues will fall straight to Uber’s bottom line.
 
Recent Progress
 
Uber reported a terrific quarter in May. Its revenues and bookings were up 39%. It was the third positive EBITDA quarter in a row. The market yawned at these results and sent the stock down with the rest of the NASDAQ.
 
A week later, in a memo to Uber employees, CEO Dara Khosrowshahi admitted that the environment has changed – the market doesn’t want EBITDA profitability, it wants cash flows. EBITDA is an acronym; it stands for “earnings before a lot of important stuff,” like interest expense, taxes, depreciation, and amortization.
 
Dara pointed out in his memo that the company needs to pay attention to costs, to slow down driver incentives, to be more cautious in hiring (he wrote, “working at Uber is a privilege”); and the company needs to learn how to do more with less. In other words, EBITDA and the unlimited funding party are over; investors want the company to show them the money – free cash flows.
 
(Uber’s EBITDA is about $1 billion greater than the company’s free cash flows. Uber is guiding to be free cash flow positive by the end of 2022. It looks like an achievable goal.)
 
I feel somewhat conflicted about this memo. I really don’t like it when a company takes cues from the market on what to do. On one side, the company is owned by shareholders, so the management is hired by shareholders, so it should listen to them.
 
But!

Uber has roughly 2 billion shares outstanding. 35 million Uber shares change hands daily. A simple calculation would show that the Uber shareholder base turns over every 57 trading days. The reality is that maybe 20-40% of shares are owned by long-term shareholders (like us) and the rest of the volume comes from short-term renters who have never opened the company’s annual report and treat the stock as a four-letter trading vehicle.
 
Uber’s management works for this silent minority that does not vote every day on the stock market with their buys and sells. Those who trade Uber’s shares three times a day, the ones who sent Uber’s stock down, don’t know how to spell EBITDA or care about Uber’s free cash flows.
 
In Dara’s defense, I think he was reacting not just to the lower stock price but also to the meeting with shareholders he’d had the previous week (with the silent minority). Also, he was right with his message, which applies not only to Uber but to a lot of tech companies. The environment has changed.
 
Companies are complex organizations that are run not by computer-like superhumans but by regular people who are given as many hours in the day as everyone else. People who, in addition to managing thousands of employees, have families, drive kids to school, fight with their spouses, worry about their careers and retirement, etc. Yes, they may project the confidence of Greek gods; they may be more eloquent speakers, live in bigger houses, drive more luxurious cars than you and I and their poodles may get fancier haircuts; but their world is actually not all that different from ours. They are humans.
 
These people can only focus on so many things at a time. In a high-growth phase, when capital is abundant for everyone, their focus shifts to growth at any cost. There is a lot of competition for limited talent, and their hiring practices get loose. A lot of exciting ideas land on their desks, which results in too many balls in the air, too many projects with questionable profitability being funded. But more revenue rolls in every day. Capital markets are throwing money at you and everyone is fighting for market share, ignoring the cost.
 
I run a much smaller company, but I observed this in my own behavior a few years ago. As our growth accelerated, I found that I started paying less attention to our cost structure; I started working ungodly hours; I made questionable hiring decisions (which I have since resolved). I can only do so many things well. I have learned since to put many projects in the future pile, realizing that my team and I can only have so many balls in the air before we start dropping them.
 
Similar dynamics happen to executives of larger companies, just on a grander scale with more external pressure and more constituents to deal with.
 
Low interest rates are very stimulative to investors’ imagination. Low interest rates love the promised land, far far away. Nothing brings this imagination back to mother earth like rising interest rates. Uber and the rest of Silicon Valley have entered into “show me the (free cash flow) money” land. I would not be surprised if we started seeing minor layoffs coming from Uber as it rationalizes some of its pie in the sky projects and focuses on doing more with less.
 
This is great news for shareholders, not so good news for tech workers who got used to the idea of making three hundred thousand dollars a few years after college, and not so good for the Silicon Valley housing market.
 
Let me explain why we are not swayed by the recent decline in Uber’s stock price but actually welcomed it and bought more shares.
 
Uber is a dominant global business with a significant growth runway and an insurmountable competitive advantage. The rideshare and eats businesses still have a tiny share of the potential market and will be growing at a high rate for a long, long time (especially the rideshare business).
 
Uber’s competitive advantage comes from several sources:
 
Network Effect
 
Today a consumer pulls up an Uber app, taps a button, and a car shows up in 15 minutes or less. This two-sided network of consumers and drivers is incredibly difficult to build and disrupt.
 
Scale
 
Uber has the largest global platform. It is in 10,000 cities in 71 countries; thus it can spread its R&D across a large revenue base. Being in different markets allows the company to tinker with different business models and adapt what it learns in one market to others. For instance, in Japan Uber doesn’t have its own drivers but the service is used to hail taxis. In 2022 Uber announced that by 2025 it will do the unthinkable; it will bring taxis onto its app in all of its markets. Taxi drivers love this, because how much they make per ride will not change, but they’ll spend a lot less time driving without passengers. The user experience will not change, except that when you order a car, instead of a Toyota Corolla you’ll get picked by a taxi. Uber’s profit per ride will remain the same, but it will double the supply side of drivers in its network in 3 years.
 
On the last earnings call, Uber also announced that it will start pricing rides based not on miles traveled but on the attractiveness of the trip for the driver. For instance, when a driver drops off passenger at the airport, he can get pick up another passenger in a matter of minutes. Thus, he won’t be driving back empty. This ride is more attractive and will be priced on a lower per-mile basis. However, if the passenger is going to the outskirts of a city, where the driver would have to drive back for half an hour without a passenger, this ride will be more expensive on a per-mile basis, compensating the driver for lower utilization. This is a very difficult math and data problem that requires a tremendous amount of R&D effort. Uber can solve it for the US market and apply the algorithm to the rest of the world. Its competitors may not have the ability to do this.
 
Being in different markets also diversifies Uber’s regulatory and competitive risks. If a competitor in one market starts a price war, Uber can successfully wage this fight with other markets subsidizing the at-war market.
 
Name Recognition
 
Uber is synonymous with rides hare. Uber is not the company that invented the ride share business model – that was created by a company called Sidecar, which borrowed the concept from a nonprofit company called Homobile, which provided ride share services for that LGBTQ community in San Francisco. Both Homobile and Sidecar are lost as footnotes in the history books. Uber is the app most people think of when they… actually, Uber is trying to expand what people think about when they think of Uber. Today in some markets you can order a ride, food, alcohol, and groceries; send a package across town; rent a car from other private owners and rent-a-car companies; and even buy bus tickets.
 
Providing all these services helps to increase drivers’ earnings, as they drive people in the morning and evening and deliver food, packages, and groceries in between. Uber is achieving this by developing a super app – one app for everything. Super apps are very popular in China.
 
This brings us to another important advantage: UberOne, Uber’s version of Amazon Prime – you pay $9.99 a month or $99 a year and you get discounts across all of Uber’s offerings. Per Uber management, UberOne’s users spend 2.7 times more than an average user of Uber. Amazon trained us to default to its website when we need to buy something. We stopped comparison shopping (especially for low-ticket items) and now we just hop on Amazon and buy. Uber’s goal is to create a similar muscle memory with Uber customers, and UberOne may lead us there.
 
Uber competitors are coming out with their versions of loyalty products. This is good for the industry overall, as it will cement market shares and stop price wars.
 
Uber’s Valuation
 
To value a company, it needs to have earnings (free cash flow). This means that the company will stop relying on the kindness of strangers – capital markets. Very good news. But this doesn’t mean that the company is worth much above zero. Uber will be free cash flow breakeven by the end of 2022. Uber’s significant earnings (free cash flow) power doesn’t lie that far in the future.
 
Unlike a traditional digital business, Uber lives in both the analog (real) world and the digital one. The analog business (recruiting and supporting drivers) brings a higher fixed-cost structure, and this is why, till this day, Uber has been losing money.
 
Our analytical model is very simple: Today Uber is at scale, and so 40-60 cents of every incremental revenue dollar fall directly to Uber’s bottom line. Thus, Uber’s profitability will grow not at a linear but at an exponential rate. Wall Street estimates that Uber will generate $7 billion of free cash flows in 2026 (or about $3.50 per share). Our own estimates are not much different, though Dara’s focus on “showing the money” may lead to achieving this number sooner.
 
Uber owns a chunk of China’s Didi and other rideshare businesses, which a few months were worth as much as $7 per share.
 
We find ourselves in the somewhat uncomfortable place of not knowing how much Uber stock is worth. But, we know it is worth a lot more than the current price. Uber has a lot of optionality that lies in the future. For instance, grocery and alcohol delivery are in a nascent state which may turn into real businesses. Uber Freight has the potential to become a larger business than rideshare and food delivery combined. Freight shipping (think of all those semi-trucks you see out on the interstate) is a very fragmented market that is mostly operated with technological efficiencies from the 1970s. Uber has a good shot at transforming and dominating this market. This business broke even last quarter and has about $600 million of revenues.
 
A client asked about the risk of investing in autonomous driving. I spent a lot of time thinking about autonomous when I researched Tesla (we’d be delighted to mail you my Tesla book). It will be a long time before it becomes ubiquitous. The technology is not ready for prime time unless the weather is perfect (God forbid it rains or snows) and the car operates in a very discrete environment (within a few city blocks).
 
We still need to develop a legal framework to answer a simple question: Who is responsible for an accident caused by an autonomous vehicle? But let’s say autonomous cars hit the market tomorrow. There are 150 million cars on the road in the US today. You’ll need to have millions of auto-cars on the road to be a threat to Uber. Remember, the key to a successful rideshare business is the car showing up in less than 15 minutes after you request it. It would take a long time to build an autonomous fleet. The most likely scenario is that autonomous cars will join Uber’s platform as another, likely cheaper, service for brave souls.
 
We look at a portfolio as a portfolio. I know, this is the tritest sentence ever written. But it is important to remember that value comes in different shapes and sizes. Our goal is to build a diversified portfolio of high-quality, undervalued businesses. For a lot of stocks we own, value stares you in the face in the form of the earnings that are right in front of you. In fact, that is the case with almost all the stocks we own. Uber requires us to look a bit further, as its earnings power will be unveiled by revenue growth and time. In the context of the portfolio, Uber makes a lot of sense; and over the years, as the company shows us the money, it will look like a perfect fit in our portfolio; but at that point the stock price will, hopefully, be a lot higher.

***
COMMENTS APPRECIATED

Thank You

***

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

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

****

Filed under: Experts Invited, Investing | Tagged: , , , , | Leave a comment »

More on Medical Practice Business Costs for Entrepreneurial Physicians

Posted on October 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Unknown and Under-Appreciated by Many

By Rick Kahler CFP®

I recently talked with an administrator of a private medical practice about some of the financial challenges she faces in dealing with the medical system, insurers, and patients.

Some of the insights she gave me into the realities that private physicians face in providing medical care were rather disturbing.

***

Here are a few of them.

Let’s start with the insurers who account for the bulk of their revenue. Many payments for procedures from insurance companies (including Medicare) are below the cost of providing the service. This forces physicians to make up the difference on other procedures or find other sources of income to sustain the profitability of the practice.

Conversely, in markets that have just one hospital, the insurance companies have no leverage. If the insurers won’t pay what the hospitals demand, the hospitals can threaten to drop out of the network, leaving the insurers with nowhere to send their insureds in those markets. The insurers end up agreeing to pay the hospitals more.

Charges for services provided in-house at the hospital can end up being substantially higher than those same services done by outside providers.

Example:

She gave me an example of a lab test that cost $1,500 to $2,000 at the hospital lab but $35 to $80 at an independent lab. Patients do have the option to direct the hospital to use an independent lab. But, how many people know that and will have the presence of mind to make the request? While it makes financial sense to price-shop if you have a high deductible HSA plan, there isn’t much incentive if your plan has low deductibles.

Collections

Another challenge is collecting from patients. She says a surprising percentage of Americans maintain checking accounts with no money or keep checks from accounts which have long been closed. While writing bad checks is a crime, those who game the system know they can probably get by with writing a low-dollar check because the cost of pursuing justice is much more than the check is worth.

Most companies would never do business with such a person again. Healthcare professionals tend to have a bias toward giving everyone services, so these same people do return requesting care. She said she and her physician employer have had huge internal arguments about this. Her position is that these people take advantage of the physician in a premeditated fashion and don’t deserve to be extended services. The physician argues that everyone, even deadbeats, deserves healthcare. Since the practice doesn’t provide life-and-death services, she was able to get the physician to agree that if someone has an outstanding bill they need to settle it upfront, in cash, before any new services are provided.

Then there are those who use credit cards and then fraudulently dispute the charges. Some providers let this go because of the difficulty of proving that the charge is legitimate. It requires photographs of customers during the transaction, copies of driver’s licenses, customers’ signatures on the paperwork, and notarized statements from the provider verifying that this was the person who received services and presented the credit card.

***

http://www.CertifiedMedicalPlanner.org

***

SSNs

A final interesting point concerned patients’ Social Security numbers. She said the only time these are ever needed is when an outstanding bill is sent for collection. Otherwise, they are never accessed or used.

Assessment

Finally, she was quick to add that only a small fraction of their patients premeditate stealing from them. She also stressed that not all insurance companies or hospitals behave unethically, and some do wonderful, humane acts of kindness. Nevertheless, the lack of integrity that does occur on both sides is infuriating and adds to the cost of health services.

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

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

Product Details

***

Invite Dr. Marcinko

***

Filed under: Career Development, CMP Program, Managed Care, Practice Management, Practice Worth | Tagged: , , , , , , , , | Leave a comment »

PODCAST: IC-HRA [Individual Coverage – Health Reimbursement Arrangement] Explained

Posted on October 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Health Insurance Job Options

By Eric Bricker MD

***

***

DEFINITION: ICHRA (we pronounce it “ick-rah”) stands for “Individual Coverage Health Reimbursement Arrangement” (not the common misnomer of individual coverage health reimbursement accounts)  and is available for employers to start using as of January 2020. ICHRA is an evolution of another type of HRA, called a QSEHRA, that was created in 2017. Both allow employers to reimburse employees tax-free for individual health insurance, but ICHRA represents a “super-charged” version of QSEHRA with higher limits and greater design flexibility that will appeal.

More: https://www.takecommandhealth.com/ichra-guide

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

***

***

COMMENTS APPRECIATED

Thank You

***

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

***

HOSPITALS: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

***

Filed under: Experts Invited, Glossary Terms, Health Economics, Health Insurance, Videos | Tagged: , , , , , , | Leave a comment »

The Foreign Exchange Market Explained

Posted on October 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

FOREX Illustrated for Physicians and all Investors

Join Our Mailing List

The infographic explains the basics of Forex and presents an excellent starting point for doctor-investors or anyone who is curious about how to trade Forex.

It’s also great for experienced Forex traders who want to explain what they do to colleagues, friends and family.

Source: CMSFOREX

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.

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

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:

DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
BLOG: www.MedicalExecutivePost.com
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors

Product Details  Product Details

Filed under: Investing | Tagged: , | 2 Comments »

CATHIE WOOD: Speaks on ARK Innovation

Posted on October 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

Cathie Wood, whose tech-heavy ARK Innovation ETF fell more than 60% this year after soaring during the pandemic, fired off an open letter to the Fed saying rapid rate rises are a mistake.

***

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

COMMENTS APPRECIATED

Thank You

***

Filed under: "Ask-an-Advisor", Breaking News, Experts Invited, Investing | Tagged: , , , | Leave a comment »

Top FOREX Indicators

Posted on October 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

A chart-driven trading market?

[By J. Honi]

Foreign currency exchange, or Forex, is a chart-driven trading market that uses an electronic network to quickly process currency trades. The action is fast-paced and traders often use technical indicators on their charts to help predict price movement. Hundreds of indicators are available in Forex trading, and most charting packages offer an extensive list from which to choose.

But, some Forex indicators are particularly popular and should be learned first.

Top FOREX Indicators

Moving Average

A moving average is a quick visual representation of the overall bias in Forex price action. The moving average line is created by averaging the closing prices of the last many days or minutes and plotting this calculation on each bar of a chart. As these plotted points are connected, a line is drawn. A moving average sloped positively suggests an upward trend, while a declining moving average suggests a bearish trend. According to Forex Realm, the moving average indicator is used more often than any other indicator. Its interpretations are vast and each trader may develop his own strategy. Some moving averages act as obstacles for price action. In an up trend, a 20-period moving average may lead to price bounces every time a decline brings a Forex price down to this average.

Moving Average Convergence/Divergence

The Moving Average Convergence/Divergence (MACD) is the most popular indicator used in Forex trading, according to Forex Realm. This indicator uses two moving averages. As prices increase in momentum, either up or down, the distances between two moving averages will also increase. The MACD measures this difference and plots it as a separate line in a graph below the price chart. Momentum can thus be quantified and visualized quickly. The length of the two moving averages may vary, and the interpretation of this calculation has many implications. As a tool to recognize divergence, this indicator is unmatched. When prices rise but momentum simultaneously falls, this divergence often leads to swift price reversals.

Stochastic

The Forex Indicators Guide lists the “stochastic” indicator as one of the top two Forex indicators. This indicator plots a graph under the price chart just like the MACD, and many traders interpret the two in similar ways. However, the stochastic derives its calculations using a much more complex formula. The formula analyzes the closing position of prices in relation to previous prices, and in this way offers its own definition of price momentum. Unlike the MACD, the stochastic has upper and lower limits of 100 and 0. Near these areas, the Forex market analyzed is said to be “overbought” or “oversold.” Traders often use these moments to predict price reversals. As a note of caution, however, a market can remain overbought or oversold for much longer than a trader expects.

More:

The Foreign Exchange Market Explained

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.

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

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:

DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
BLOG: www.MedicalExecutivePost.com
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors

Product Details  Product Details

Filed under: Investing | Tagged: , | 3 Comments »

NTFs MARKETPLACE: Put Down by CNN

Posted on October 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

R.I.P.

By Staff Reporters

***

***

CNN was just accused of a “rug pull” after it suddenly shut down its Web3 project Vault by CNN, leaving collectors blindsided. The news network sparked outrage among collectors who paid thousands for non-fungible tokens sold by Vault, CNN’s own NFT marketplace, which was set up in 2021 to “offer collectors the opportunity to own a piece of history.” Investors could pay for digital ownership of CNN news reports or artistic interpretations. 

Members were told that the company had decided to end what it said was originally a “6-week experiment” and that they would be compensated “pro rata based on the total purchase price of each wallet’s NFTs according to a snapshot taken on October 6, 2022.” A separate message from CNN staffer “Jason” confirmed that this would amount to “roughly 20% of the original mint price for each Vault NFT owned.”

Developers also added that the NFTs would remain under the ownership of those who bought them, and that the website would remain open to be used as a marketplace so that collections could still be viewed. Additionally, unsold NFTs are to be burned, making the remainder “rarer.” 

READ: https://gizmodo.com/cnn-nfts-vault-1849642160

***

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

COMMENTS APPRECIATED

Thank You

****

Filed under: Alternative Investments, Breaking News | Tagged: , , , | Leave a comment »

What is the FOREX MARKET?

Posted on October 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

CMP logo

By Dr. David E. Marcinko MBA CMP®

SPONSOR: http://www.CertifiedMedicalPlanner.org

The foreign exchange market is a global decentralized or over-the-counter market for the trading of currencies. This market determines foreign exchange rates for every currency. It includes all aspects of buying, selling and exchanging currencies at current or determined prices.

In terms of trading volume, it is by far the largest market in the world, followed by the credit market.

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

The forex market is not dominated by a single market exchange, but a global network of computers and brokers from around the world. Forex brokers act as market makers as well and may post bid and ask prices for a currency pair that differs from the most competitive bid in the market.

The forex market is made up of two levels—the interbank market and the over-the-counter (OTC) market. The interbank market is where large banks trade currencies for purposes such as hedging, balance sheet adjustments, and on behalf of clients. The OTC market, on the other hand, is where individuals trade through online platforms and brokers.

INDICATORS: https://medicalexecutivepost.com/2014/02/08/top-forex-indicators/

NOTE: FOREX.com is a registered FCM and RFED with the CFTC and member of the National Futures Association (NFA # 0339826). Forex trading involves significant risk of loss and is not suitable for all physicians or investors.

***

YOUR COMMENTS ARE APPRECIATED.

Thank You

FINANCE: https://www.amazon.com/Comprehensive-Financial-Planning-Strategies-Advisors/dp/1482240289/ref=sr_1_1?ie=UTF8&qid=1418580820&sr=8-1&keywords=david+marcinko

***

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors : Best Practices from Leading Consultants and Certified Medical Planners™ book cover

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

***

Filed under: CMP Program, Glossary Terms, Investing | Tagged: , , , , , | Leave a comment »

Dr. Dave Marcinko at YOUR Service in 2022

Posted on October 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

Book Marcinko for your Next Financial Planning Seminar, Meeting or Medical Business Event 

By Ann Miller RN MHA

Professor and physician executive David Edward Marcinko MBBS DPM MBA MEd BSc CMP® is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; Oglethorpe University, and Atlanta Hospital & Medical Center in GA; and the Aachen City University Hospital, Koln-Germany. He is one of the most innovative global thought leaders in health care business and entrepreneurship today.

Dr. Marcinko is a multi-degreed educator, board certified physician, surgical fellow, hospital medical staff President, Chief Education Officer and philanthropist with more than 400 published papers; 5,150 op-ed pieces and over 125+ international presentations to his credit; including the top 10 biggest pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

Dr. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner®, who was named “Health Economist of the Year” in 2001. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, management and trade publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News].

As a licensed insurance agent, RIA and SEC registered endowment fund manager, Dr. Marcinko is Founding Dean of the fiduciary focused CERTIFIED MEDICAL PLANNER® chartered designation education program; as well as Chief Editor of the HEALTH DICTIONARY SERIES® Wiki Project. His professional memberships include: ASHE, AHIMA, ACHE, ACME, ACPE, MGMA, FMMA and HIMSS.

Dr. Marcinko is a MSFT Beta tester, Google Scholar, “H” Index favorite and one of LinkedIn’s “Top Cited Voices”.

Book Marcinko

David Edward Marcinko (2)

Join Our Mailing List

Filed under: "Doctors Only", Career Development, Financial Planning, Health Economics, Health Insurance, Managed Care, Marketing & Advertising, Op-Editorials, Retirement and Benefits, Risk Management, Touring with Marcinko | Tagged: | Leave a comment »

PODCAST: The “Value Hole” in Health Insurance Plan Design

Posted on October 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

***

***

COMMENTS APPRECIATED

Thank You

***

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

***

Filed under: Accounting, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Videos | Tagged: , , , , | Leave a comment »

SPEAKER: Jamie Dimon at the JPM Techstars Conference

Posted on October 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

PMorgan CEO Jamie Dimon just warned that the U.S. is headed for a recession in the next six to nine months as volatile markets coincide with disorderly financial conditions. Speaking to CNBC’s Julianna Tatebaum at the JPM Techstars conference in London, Dimon said U.S. consumers would be in better shape this time around than the 2008 global financial crisis but the current factors contributing to a recession were still a cause for concern. 

“But you can’t talk about the economy without talking about stuff in the future – and this is serious stuff,” Dimon said, citing inflation, quantitative easing, and Russia’s war with Ukraine. 

“These are very, very serious things which I think are likely to push the U.S. and the world – I mean, Europe is already in recession, and they’re likely to put the U.S. in some kind of recession six to nine months from now,” he said. 

NOTE: Dimon’s comments came after the September jobs report, released last Friday, showed that businesses kept hiring at a brisk pace, unemployment fell back to a half-century low and average pay rose.

***

COMMENTS APPRECIATED

Thank You

***

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

***

Filed under: "Ask-an-Advisor", Experts Invited, Funding Basics, Investing | Tagged: , , , | Leave a comment »

PODCAST: The MEDICARE COST REPORT Explained

Posted on October 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Not For Doctors – Not Managerial Cost Accounting

By Eric Bricker MD

****

***

YOUR COMMENTS ARE APPRECIATED.

Thank You

HOSPITALS: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

MORE: https://www.amazon.com/Hospitals-Healthcare-Organizations-Management-Operational/dp/1439879907/ref=sr_1_4?s=books&ie=UTF8&qid=1334193619&sr=1-4

***

Filed under: "Doctors Only", Accounting, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance | Tagged: , , , , , | 3 Comments »

NOBEL PRIZE ECONOMICS: Former FOMC Chair Ben Bernanke

Posted on October 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

STOCKHOLM (AP) — Former U.S. Federal Reserve Chair Ben Bernanke, who put his academic expertise on the Great Depression to work reviving the American economy after the 2007-2008 financial crisis, won the Nobel Prize in economic sciences along with two other U.S.-based economists for their research into bank failures.

***

COMMENTS APPRECIATED

Thank You

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

***

Filed under: Breaking News, Financial Planning, Investing | Tagged: , , | Leave a comment »

What is a Non-Fungible Token [NFT]?

Posted on October 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

About NFTs

[By staff reporters]

CMP logo

Sponsored: http://www.CertifiedMedicalPlanner.org

According to Wikipedia, a non-fungible token (NFT) (previously referred to as Bitcoin 2.0) is a unit of data stored on a digital ledger, called a blockchain, that certifies a digital asset to be unique and therefore not interchangeable. NFTs can be used to represent items such as photos, videos, audio, and other types of digital files. Access to any copy of the original file, however, is not restricted to the buyer of the NFT. While copies of these digital items are available for anyone to obtain, NFTs are tracked on blockchains to provide the owner with a proof of ownership that is separate from copyright.

In 2021, there has been increased interest in using NFTs. Blockchains like Ethereum, Flow, and Tezos have their own standards when it comes to supporting NFTs, but each works to ensure that the digital item represented is authentically one-of-a-kind. NFTs are now being used to commodify digital assets in art, music, sports, and other popular entertainment. Most NFTs are part of the Ethereum blockchain; however, other blockchains can implement their own versions of NFTs.

Crypto Currency Basics: https://medicalexecutivepost.com/2014/01/23/understanding-currencies-bitcoins/

https://medicalexecutivepost.com/2017/06/28/the-crypto-future-through-bitcoin-ethereum-ripple-xrp-and-iota/

Carbon Footprint!

See the source image

CARBON

The NFT market value tripled in 2020, reaching more than $250 million. The rise of NFT transactions has also led to increased environmental criticism. The computation-heavy processes associated with proof-of-work blockchains, the type primarily used for NFTs, require high energy inputs that are contributing to global warming. The carbon emissions produced by the energy needed to maintain these blockchains has forced some in the NFT market to rethink their carbon footprint.

Your thoughts are appreciated.

BITCOIN: https://medicalexecutivepost.com/2014/01/23/understanding-currencies-bitcoins/

Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

ORDER Textbook: https://www.amazon.com/Comprehensive-Financial-Planning-Strategies-Advisors/dp/1482240289/ref=sr_1_1?ie=UTF8&qid=1418580820&sr=8-1&keywords=david+marcinko

Comments Appreciated

THANK YOU

***

Filed under: Financial Planning, iMBA, Inc., Investing | Tagged: , , , , , | 6 Comments »

VALUATION: Clinic and Medical Practice Worth

Posted on October 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Plastic Surgery Proto-Type

***

See the source image

Download our Complimentary “Free” Resources

[Medical Practice Worth, Valuation, Sales and Succession Planning]

Part (1) – Part (2) – Part (3)

By Dr. David Edward Marcinko MBA DPM MBBS CMP™

By Professor Hope Rachel Hetico RN MHA CPHQ CMP™

By Robert James Cimasi MHA AVA CBA ASA FCBI MCMA CMP™

YOUR THOUGHTS ARE APPRECIATED.

SECOND OPINIONS: https://medicalexecutivepost.com/schedule-a-consultation/

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

Thank You

***

Filed under: "Doctors Only", Career Development, Experts Invited, Practice Worth | Tagged: , , , , , , | Leave a comment »

SPEAKS: Mohamed El-Erian

Posted on October 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

Mohamed El-Erian, Allianz’s chief economic advisor just opined that the U.S. is heading toward a recession that was “totally avoidable” amid ongoing concerns about inflation and economic stability. 

“I fear that we risk a very high probability of a damaging recession that was totally avoidable,” El-Erian told CBS’ “Face the Nation,” arguing that the Federal Reserve has made mistakes that will “go down in the history books.” 

“One is mis-characterizing inflation as transitory. By that, they meant it is temporary, it’s reversible, don’t worry about it. That was mistake number one. And then mistake number two, when they finally recognized that inflation was persistent and high. They didn’t act. They didn’t act in a meaningful way,” El-Erian said.  

***

COMMENTS APPRECIATED

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

Thank You

***

Filed under: "Advisors Only", Breaking News, Experts Invited, Financial Planning, Investing | Tagged: , , | Leave a comment »

Inflation, Earnings Season the WB & IMF

Posted on October 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

Inflation data incoming. Thursday’s consumer price index release will show how much we got clobbered by inflation in September. Last month, inflation came in hotter than expected, leading to a market rout. Economists hope to see some cooling in “core CPI,” which strips out food and gas prices, this time around.

CITE: https://medicalexecutivepost.com/2022/09/14/inflation-cpi-and-the-ppi/

Earnings season is back. A stock market that’s already on edge could get another jolt of volatility this week as corporations begin to report their Q3 earnings, starting with PepsiCo on Wednesday. These reports will reveal how companies are coping with the Fed’s interest rate hikes.

The World Bank and the International Monetary Fund will hold their annual meetings in Washington, DC, this week amid great macroeconomic uncertainty.

***

COMMENTS APPRECIATED

Thank You

***

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

***

Filed under: "Ask-an-Advisor", Breaking News, Financial Planning, Investing | Tagged: , , , | Leave a comment »

Columbus Day Media and Book Reviews, PR, Blog and Press Mentions

Posted on October 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

iMBA Inc … A Pervasive Industry-Wide Presence
[By Staff Writers]

Regardless of venue, our contributors have been cited in the evolving ecosystem of health economics and finance, with media mentions from these sources and many others:

JOURNALS: Managed Care Executives, Healthcare Informatics, Medical Interface, Plastic Surgery Products, Teaching and Learning in Medicine, Orthodontics Today, Chiropractic Products, Journal of the American Medical Association,  Podiatry Management, Podiatry Today, Rheumatology and Arthritis, Physicians Practice, Investment Advisor Magazine, Registered Representative, Financial Advisor Magazine, CFP© Biz (Journal of Financial Planning), The Business Journal for Physicians, The Elder Law Portfolio Series, and Physician’s Money Digest and OB/GYN-PMD, etc.

ACADEMIC INSTITUTIONS: UCLA School of Medicine, Northern University College of Business, Creighton University, Medical College of Wisconsin, Physician Executive MBA Program of the University of Tennessee College of Business Administration, University of North Texas Health Science Center, Washington University School of Medicine, University of Pittsburgh, Cleveland Chiropractic College, Emory University School of Medicine, and the Goizueta School of Business at Emory University, University of Cincinnati, Ohio College of Podiatric Medicine,  University of Pennsylvania Medical-Dental Libraries, Joseph’s College of Maine, and the University of Medicine Dentistry of New Jersey, etc.

ORGANIZATIONS: Medical Group Management Association (MGMA), American College of Medical Practice Executives (ACMPE), American College of Physician Executives (ACPE), JAMA.ama-assn.org, American College of Emergency Physicians (ACEP), ACS Healthcare Solutions (NYSE-ACS), Health Care Management Associates (HMA), MomMD, PhysiciansPractice.com, Medical World Communications (MWC); Superior Consultant Company (NASD-SUPC) and Microsoft  Corporation (NASD-MSFT), etc.

TESTIMONIALS: Congratulations on the new print guide [HO:FMS]. Now, I am looking forward to this blog participation opportunity “between and about” the issues, too. Best of Luck!

Thomas A. Muldowney; MSFS, CFP®
Certified Medical Planner™ [CMP]; Rockville, Ill.
http://www.SavantCapital.com

SYNDICATIONS: Wall Street Journal.com; CNN.com; Forbes.com and BusinessWeek.com

BOOK REVIEWS:

“The book [Insurance and Risk Planning for Physicians and Advisors] is an excellent primer for physicians of all levels and interests providing important personal and professional advice. It is “must reading” for all medical students who need a fundamental understanding of the current healthcare environment and is e-qually important to the established physician executive looking for a reference on topics like capitation or the Health Insurance Portability and Accountability Act (HIPAA).”

David C. Stockwell; MD and Anthony D. Slonim; MD, MPH
American College of Physician Executives 

“All physicians, and their advisors, are well served by reading this book with its step-by-step process for financial success in a complicated business full of pitfalls and misinformation. Simply put, my recommendation is to read Financial Planning for Physicians and Advisors and ‘reap’.”

Frank A. Cappiello
President, McCullough, Andrews & Cappiello, Inc.
Distinguished Visiting Professor of Finance
Loyola University Maryland – Wall $treet Week with Louis Rukeyser

“This book, Financial Planning for Physicians and Advisors, would make an excellent reference for teaching medical students and residents the basics of monetary management. I highly recommend this book and commend Dr. Marcinko and the Institute of Medical Business Advisors, Inc. on a job well done.“

Manuel J. Colón; MD – American College of Physician Executives

“The book [Advanced Business of Medical Practice] has ambitious scope: business plan, practice valuation, ROI, coding, billing, econometrics, cash flow analysis, compliance, technology, and various legal aspects. But Dr. Marcinko and an exceptional array of contributing experts do a remarkable job of exploring each topic with sufficient detail and meaningful examples. In summary, a doctor building a profitable medical practice must read this book and return to it often for reference.”

Dr. Yuval Lirov, New Jersey 

“I could have used a book like this in the past [Advanced Business of Medical Practice, I will certainly refer to it frequently now.”

Carol EH Scott-Conner; MD, PhD, MBA 

“Health economist Dr. David Edward Marcinko, MBA, and his colleagues at the Institute of Medical Business Advisors, Inc., should be complimented for conceiving and completing this laudable project. The Dictionary of Health Insurance and Managed Care lifts the fog of confusion surrounding the most contentious topic in the health care industrial complex today.”

Michael J. Stahl, PhD
Director, Physician Executive MBA Program
William B. Stokely Distinguished Professor of Business
College of Business Administration
University of Tennessee 

“I would highly recommend the Dictionary of Health Insurance and Managed Care to everyone who has chosen a career in any health care discipline.”

Christy S. Lodwick, MHA – PhD Candidate
Health Care Administration & Policy
President/Business Development
IMPACT Health Care Solutions
Columbus, Ohio

“My suggestion is to use the Dictionary of Health Information Technology and Security frequently. You will refer to it daily.”

Richard J. Mata; MD, MS, MS-CIS
Certified Medical Planner™ (Hon)
Chief Medical Information Officer [CMIO]
Assistant Professor Texas State University

“Dr. David Edward Marcinko, Academic Provost for the Institute of Medical Business Advisors, Inc, and a Certified Medical Planner™ should be complimented for conceiving and completing this ambitious project. The Dictionary of Healthcare Economics and Finance spells out the terms of reference and the principle players in the contemporaneous healthcare industrial complex. Having such a compendium readily at hand and sharing it with others, is a way for patients, accountants, financial planners and insurance agents, medical practitioners, nurse managers and healthcare executives to improve economic efficiency and clinical quality. Of course, it may even help restore fiscal enterprise-wide sanity, as well. Simply put, my suggestion is to refer to the Dictionary of Healthcare Economics and Finance frequently, and “reap”.

Thomas E. Getzen, Ph.D.
Executive Director, International Health Economics Association
Professor of Risk, Insurance and Healthcare Management
The Fox School of Business – Temple University
Philadelphia, Pennsylvania, USA

“The Editor-in-Chief [Dr. David E. Marcinko] and his colleagues at the Institute of Medical Advisors, Inc should be complimented for conceiving and completing this vitally important project. There is no question that Healthcare Organizations: Financial Management Strategies will indeed enable us to leverage our cognitive assets and prepare a future generation of leaders capable of tackling the many challenges present in our healthcare economy.”

 David B. Nash; MD, MBA, FACP
Thomas Jefferson Medical College and University

“Medical management is a complex business, with advances in science, technology and consumer awareness often eclipsed by regulation, rights, and financial restrictions. Navigating a course where sound practice management is intertwined with sound financial strategies requires a blueprint designed by subject matter experts. Healthcare Organizations: [Financial Management Strategies] will be that blueprint.”

Richard D. Helppie
Founder Superior Consultant Company [NASD-SUPC]

“I’ve been a longtime admirer of what David Edward Marcinko does with his writing and knowledge of medicine and medical practice. His books provide guidance for physicians, helping them to survive organizationally, administratively, and financially so that they can continue to serve their patients.”

Ahmad Hashem; MD PhD
Former Global Healthcare Manager
Microsoft Corporation, Redmond, WA 

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

Interview, lecture, consulting and keynote speaking requests for Executive Post Founder and former RIA, stock-broker, insurance agent and PPMC executive, and Certified Financial Planner™ Dr. David E. Marcinko; FACFAS, MBA, CPHQ, CMP™ should go to the same address.

Thank you.

Medical Executive-Post Editors, Writers and Administrative Staff

Product DetailsProduct DetailsProduct Details

Product Details  Product Details

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

Product DetailsProduct Details

Product Details

Filed under: Media Mentions and PR | 1 Comment »

NVIDIA: Capitalization Down!

Posted on October 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

Nvidia, which was once in the Top 10 of the most valuable companies in the world was ejected from this club. The chipmaker ranks now 21st, as its market capitalization has shrunk by $431 billion.

Indeed, at the start of 2022, the Nvidia’s market value was approximately $732 billion. It is now only $301 billion. It’s a disaster for the shareholders of the group.

***

COMMENTS APPRECIATED

Thank You

***

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

***

Filed under: Investing | Tagged: , | Leave a comment »

PODCAST: Hospital Finance 101 [Full Service Healthcare]

Posted on October 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Steve Febus

***

***

Hospital Finance 101: Understanding the Cost of Full-Service Healthcare in Pullman, WA Program by: Steve Febus, Pullman Regional Hospital Chief Financial Officer.

***

PODCAST: https://www.youtube.com/watch?v=N-SumPdb2PI

RELATED: https://www.youtube.com/watch?v=3vNThT8RJiQ

BUSINESS MEDICINE: 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

***

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

HOSPITAL FINANCE: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

***

COMMENTS APPRECIATED

Thank You

***

Filed under: "Doctors Only", Accounting, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Managed Care, Videos | Tagged: , , | Leave a comment »

FOMC: Will Raise Interest Rates in November?

Posted on October 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

The Fed is poised to raise interest rates just one more time in November before stopping, according to Ed Yardeni. That’s because there is a growing risk that financial markets are on the verge of instability due to a soaring US dollar.

“The soaring dollar has been associated in the past with creating financial crisis on a global basis,” Yardeni just told told Bloomberg.

CITE: https://www.yardeni.com/

***
COMMENTS APPRECIATED

Thank You

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

****

Filed under: Breaking News, Experts Invited, Investing | Tagged: , , , , , , | Leave a comment »

What is a DIVIDEND ARISTOCRAT Stock?

Posted on October 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA CMP®

SPONSOR: http://www.CertifiedMedicalPlanner.org

CMP logo

A Dividend Aristocrat is a stock that has exhibited a remarkable level of consistency, measured by the fact that only those S&P 500 companies that have increased their annual dividend for 25 straight years — or more — can be called one. The name was coined by cable TV personality and investor Jim Cramer

These companies have raised their dividends through good times and bad, including recessions, crashes, and pandemics. Being able to continue doing so is a tribute to their stability and strength. Now, the past 18 months have been a particularly difficult economic environment to operate in, and some companies were forced to slash or hold the line on their dividends as a result.

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

But others are just fine, like investment manager T. Rowe Price (NASDAQ: TROW), which increased its dividend for the 35th straight year in 2022. It is located in Baltimore Maryland not far from where I grew up. In fact, I used to play stick ball, as a kid, in the parking lot.

UPDATE: https://www.msn.com/en-us/money/markets/down-between-15-and-53-3-top-dividend-aristocrats-that-are-too-cheap-to-ignore/ar-AA10oFN9?cvid=962479fd28494731a0cd106028a00940

YOUR COMMENTS ARE APPRECIATED.

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

FOREWORD: https://medicalexecutivepost.com/wp-content/uploads/2007/10/dr-getzen.pdf

FINANCE: https://www.amazon.com/Comprehensive-Financial-Planning-Strategies-Advisors/dp/1482240289/ref=sr_1_1?ie=UTF8&qid=1418580820&sr=8-1&keywords=david+marcinko

****

Filed under: Book Reviews, CMP Program, Glossary Terms, Investing, Touring with Marcinko | Tagged: , , , , | 1 Comment »

What Is a “Reverse” Stock Split?

Posted on October 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

Hippo Holdings Inc. (NYSE: HIPO) intends to file a proxy statement with the Securities and Exchange Commission in connection with a special meeting of stockholders to be held on August 31, 2022. The proxy statement will include a proposal for a reverse stock split at a ratio in the range of 1-for-20 to 1-for-30 and the reduction of the number of authorized shares of capital stock of the company by a corresponding proportion.

The reverse stock split to be proposed to Hippo stockholders in the proxy statement is intended to resolve the issue raised in a non-compliance notice Hippo received from the New York Stock Exchange (the “NYSE”) on July 19, 2022 regarding Section 802.01C of the NYSE Listed Company Manual due to the average closing price of the company’s common stock being less than $1.00 over a consecutive 30 trading-day period. The notification has no immediate effect on the listing or trading of Hippo’s common stock on the NYSE.

Hippo can regain compliance at any time within the six-month period following receipt of the NYSE notice if on the last trading day of any calendar month during the cure period the company has a closing price of at least $1.00 per share and an average closing price of at least $1.00 per share over the 30-trading day period ending on the last trading day of that month.

***

***

SO – WHAT EXACTLY IS A REVERSE STOCK SPLIT?

A reverse stock split is a type of corporate action that consolidates the number of existing shares of stock into fewer (higher-priced) shares.

A reverse stock split divides the existing total quantity of shares by a number such as five or ten, which would then be called a 1-for-5 or 1-for-10 reverse split, respectively.

A reverse stock split is also known as a stock consolidation, stock merge, or share rollback and is the opposite of a stock split, where a share is divided (split) into multiple parts.

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

What are pros and cons of a reverse stock split?

  • Companies prices come down
  • Outstanding shares goes up, with this their financial ratios like EPS, RoE goes down.
  • Market cap remains same.
  • No Fresh equity are issued hence there is no dilution of equity.

***

***

COMMENTS APPRECIATED

Thank You

MORE: https://www.amazon.com/Comprehensive-Financial-Planning-Strategies-Advisors/dp/1482240289/ref=sr_1_1?ie=UTF8&qid=1418580820&sr=8-1&keywords=david+marcinko

***

Filed under: Glossary Terms, Health Economics, Investing | Tagged: , , , , | 2 Comments »

Support the “Medical Executive-Post”

Posted on October 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

Like what you see at Healthcare Financials [Medical Executive-Post?] 

dem23

Want to tell your colleagues, chief, department head, physician friends or other healthcare executives and CXOs who you think might be interested in this unique website? We need you to spread the word about the Medical Executive-Post.

Here are some ways to do just that! 

Make Use of These Great Features: 

  1. Subscribe to the site
  2. Tell a friend about us
  3. Visit the Blogroll list
  4. Use our classified ads or advertise with us
  5. Purchase a text, dictionary or book from our reading list
  6. Use our career and educational resources
  7. “Ask a Consultant” for free advice
  8. Visit us often to review, read, rant and rave.

Medical Executive-Post Culture: 

The Medical Executive-Post has developed a corporate culture believed to be vastly different from other e-publishing sites. Responsive, service oriented, hands-on and non-bureaucratic, this culture has allowed new ideas to flourish and is one of the key factors in our ability to compete successfully with other larger companies in the publishing and information industry.  

We are a multi-faceted educational and information services forum. The principal consumers of our didactic products are physicians, nurse managers and health care executives; financial advisors, lawyers and accountants; legal, medical and professional societies; and libraries, technical healthcare corporations and healthcare financial services research organizations throughout the United States. We accommodate our selected markets through continuity format books, prestigious society print guides, periodicals, newsletters, speaking engagements, and various multimedia platforms.

Support Us:

 We are committed to providing content, services, resources and membership to healthcare executives, administrators and all business stakeholders in medicine for free. Many other websites now charge for the kind of premium content that the Medical Executive-Post provides for free:  

  • Have you found information, content, tools, insights or support that you cannot find elsewhere?
  • Has the Medical Executive-Post made a difference in your professional career or personal life?
  • Is our content invaluable for all healthcare executives, economists, administrators, financial advisors, MD/DOs and medical consultants?
  • Do you enjoy our protean difference and state-of-the-art perspectives on healthcare modernity?
  • Would you like to see us continually adding more content, templates, tools, features and resources?

site

There are many ways to support the site. But, the simplest way is to join us. Also, visit the site regularly, participate in discussion groups, blog, post, opine and comment. All for free! 

Our volunteers, journalists and experts are committed to providing the best content and information for all healthcare CXOs, physicians, medical professionals and related advisors and administrators involved in the business of medicine, health economics and finance.

Printable Donation Form: Printable Donation Form

Multi-Year Pledge Form: Multi-Year Pledge

So, join our business network, today! 

Thank you. 

Editors and Staff

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™ Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

Product DetailsProduct DetailsProduct Details

Product DetailsProduct Details

Product Details  Product Details

   Product Details

← Back

Thank you for your response. ✨

Filed under: Media Mentions and PR | 8 Comments »

DICTIONARY: Health Economics and Finance

Posted on October 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

BY DR. DAVID E. MARCINKO MBA

Designated a Doody’s Core Title!

“”Medical economics and finance is an integral component of the health care industrial complex. Its language is a diverse and broad-based concept covering many other industries: accounting, insurance, mathematics and statistics, public health, provider recruitment and retention, Medicare, health policy, forecasting, aging and long-term care, are all commingled arenas.

The Dictionary of Health Economics and Finance will be an essential tool for doctors, nurses and clinicians, benefits managers, executives and health care administrators, as well as graduate students and patients? With more than 5,000 definitions, 3,000 abbreviations and acronyms, and a 2,000 item oeuvre of resources, readings, and nomenclature derivatives? it covers the financial and economics language of every health care industry sector.””
– From the Preface by David Edward Marcinko “

RELATED TEXTS: https://medicalexecutivepost.com/2021/04/29/why-are-certified-medical-planner-textbooks-so-darn-popular/

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

THANK YOU!

Product Details

ORDER HERE: https://www.r2library.com/Resource/Title/0826102549

***

Filed under: Book Reviews, Glossary Terms, Health Economics, Healthcare Finance | Tagged: , , , , | Leave a comment »

Drugs and County Mental Health Programs

Posted on October 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

On Medication and Pharmaceutical Direction

[By Carol S. Miller BSN, MBA, PMP]

Two issues related to medication have an impact on county mental health programs. The first is the new emphasis on drug therapy and the second is targeted marketing by pharmaceutical companies of newer, more costly drugs.

First

In the past, psychiatrists focused on identifying the “cause of the problem” and developing associated treatment plans to treat the cause. With the increasing number of mental health patients, especially those with chronic mental illness conditions, psychiatrists do not have the time to focus solely on the treatment plan and the underlying cause of the mental illness. Instead, their focus has had to become intake evaluations, case coordination, and medication checks. Use of medication has replaced the treatment plan, and continues to play a much larger and more primary role in the treatment of most, if not all, patients.

Second

The second major issue is advertising. The Food and Drug Administration (FDA) lifted restrictions against direct pharmaceutical advertising several years ago, enabling the representatives of these firms to market and advertise their drugs. Advertisers target both medical and mental-related problems, including everything from depression, anxiety, attention deficit disorder, acid reflux disease, high cholesterol, erectile dysfunction, arthritis, allergies, over-active bladder, to asthma. With the advent of marketing, many drugs are now being over-prescribed and are becoming a component of spiraling healthcare costs.

Assessment

In summary, both of these pharmaceutical issues are having an impact on county mental health centers — first, as a cost issue, second because of the change-in-direction treatment modality, and third from the perspective of potential ethical issues involved in provider/pharmaceutical company ties and relationships.

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.

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

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:

DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
BLOG: www.MedicalExecutivePost.com
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors

Product DetailsProduct Details

Product Details

Filed under: Drugs and Pharma | Tagged: , , , | 6 Comments »

PODCAST: High Medical Debt Yet Hospitals Still Thrive!

Posted on October 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

***

***

COMMENTS APPRECIATED

Thank You

***

HOSPITALS: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

***

Filed under: "Doctors Only", Ethics, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, LifeStyle, Videos | Tagged: , , , , , | Leave a comment »

“Best” Physician Focused Financial Planning and Medical Practice Management Books for 2022

Posted on October 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

[Doctor-Advisor]

CAREER DEVELOPMENT

Buy from Amazon

Learn How to Profit and Thrive in the PP-ACA Era

BOOK FOREWORD / TESTIMONIAL

Best Sellers

Product Details

Product DetailsProduct Details

Product DetailsProduct DetailsProduct Details

###

Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners(TM)

Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants

***

site

***

Filed under: Book Reviews, Career Development, Estate Planning, Financial Planning, Health Economics, Health Insurance, Health Law & Policy, iMBA, Inc., Practice Management, Recommended Books, Retirement and Benefits, Risk Management | Tagged: , , | 6 Comments »

PODCAST: Hospital Executives Confess Fee-For-Service Care Drives Costs

Posted on October 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

1) Fee-for-Services Motivates Hospitals to Increase Costs.
2) Medicare and Commercial Insurance Companies Have Not Changed That Motivation with ‘Value-Based’ Payments.
3) Hospital Prices Have NO Connection to the Underlying Cost of a Test or Procedure.
4) Most Don’t Even Know What the Underlying Test or Procedure Cost Is in the First Place.

***

***

COMMENTS APPRECIATED

Thank You

***

HOSPITALS: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

***

Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Videos | Tagged: , , , , | Leave a comment »

PODCAST: Healthcare Selling Strategies

Posted on October 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

***

***

COMMENTS APPRECIATED

Thank You

***

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

***

Filed under: "Doctors Only", Ethics, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Videos | Tagged: , , , | Leave a comment »

Understanding the Mental Healthcare Regulatory Environment

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

Appreciating the Rules

[By Carol Miller; RN, MBA]

Carol S. MillerLocal counties and municipalities are the primary providers of state mental healthcare for patients who lack private insurance coverage for such care.

Both children and adults may be eligible to receive assistance.

These counties provide a wide range of psychiatric and counseling services to the residents in their community as well as other types of assistance such as:

  • treatment services related to substance abuse;
  • housing;
  • employment services;
  • information and education service;
  • referrals;
  • consultative services to schools, courts and other agencies;
  • after-care services; and other related activities.

mental

Rules and Regulations

Accordingly, regulations from federal, state, and county governments have an impact on the day-to-day operations, procedures and processes of a county mental health center. Traditionally, there are three main types of regulations.

Federal Regulations — The United States healthcare system is guided by programs such as those established under the Centers for Medicare and Medicaid (in the case of county mental health programs, Medicaid is especially important), Americans with Disabilities Act (ADA), Occupational Safety and Health Administration (OSHA), Health Insurance Portability and Accountability Act (HIPAA), and others.

State Regulations — These include general legislative guidelines, state management of benefits and reimbursement of the Medicaid program, and state allocations of budgets, which impact the centers’ operations.

County Regulations — Each county defines its own County Mental Health Program and decides which services will be provided or excluded.

Assessment

County facilities generally include outpatient clinics, county mental health programs, short-term psychiatric facilities, day-care centers, de-toxification centers, residential rehabilitation centers for substance abuse, long-term care psychiatric facilities, and Veterans Affairs (VA) psychiatric centers. The county centers may be co-located with other county services such as social services, occupational rehabilitation services, information technology services, human resources, maintenance services, and others or may be independently located.

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:

Product DetailsProduct Details

Filed under: CMP Program, Health Insurance, Health Law & Policy, Practice Management | Tagged: , , , , , , , , , , , , , , , | 2 Comments »

Ray Dalio SPEAKS

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

  • Ray Dalio no longer believes “cash is trash” in light of tighter monetary policy.
  • He’s warmed to the greenback due to higher interest rates and the Fed shrinking its balance sheet.
  • However, Dalio is still only neutral on the dollar, likely because of stubborn inflation.

Ray Dalio, after repeatedly proclaiming “cash is trash” in recent years, has warmed to the US dollar and now views it as a passable investment.

“The facts have changed and I’ve changed my mind about cash as an asset: I no longer think cash is trash,” Dalio just tweeted.

***

COMMENTS APPRECIATED

Thank You

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

***

Filed under: Breaking News, Experts Invited, Interviews, Investing | Tagged: , , | Leave a comment »

A Review of Mental Healthcare Provider Types

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

Implications for Staffing Modern Mental Health Facilities

[By Carol Miller RN MBA]

Carol S. MillerCommunity Mental Health Centers are also referred to as County Mental Health Centers and treat patients usually with no or limited insurance in a domiciliary setting versus an inpatient state or community facility.

And, both children and adults are eligible to receive such assistance.

These programs provide a wide range of psychiatric and counseling services to the residents in their community as well
as other types of assistance. But, what type of mental healthcare staff, and providers, are involved with these facilities?

Staffing

Staffing levels at community mental health facilities depend on the size and funding of each clinic, and vary in number, qualifications, and mix. Many personnel hold or are working on Master’s degrees and various professional certifications.

Typical staffing would include:

  • Administrative or Mental Health Director ¾ This individual, working under general policy directives, is responsible for planning, organizing, coordinating, and directing delivery of a community’s comprehensive mental health programs and services. This would include the development and implementation of goals, objectives, policies, procedures, budget, standard compliance, and work standards for mental health services. The Director is responsible not only for the services offered under the program, but also for extensive coordination with other county departments, public and private organizations, citizen groups, and the Board of Supervisors.
  • Case management staff ¾ These personnel are responsible for compiling all the services related to the treatment program.
  • Psychiatrists ¾ These individuals may work for a mental health center full or part time, and be Board-eligible or Board-certified in Psychiatry.
  • Psychologists ¾ These individuals will hold Ph.D., Psy.D. or Ed.D. qualifications and be licensed as clinical psychologists in the state.
  • Licensed Independent Social Worker (LISW) ¾ These individuals will have expertise in such services as family counseling, child psychology, geriatric dementia, psychological testing, and so on.
  • Licensed Marriage and Family Therapist (LMFT) — These individuals are specialized in various fields and provide an array of counseling services to patients, dependent on the nature of their problem.
  • Clinical Nurse Specialists ¾ These personnel are certified in psychiatric nursing by a national nursing organization such as the American Nurses Association to practice within the scope of these services and are licensed in the state.
  • Support staff ¾ These staff members would include an administrative assistant to the Director, medical billers, transcriptionist, and possibly a receptionist.
  • Substance Abuse Counselor or Licensed Professional Clinical Mental Health Counselor (LPC or LPCC) — An individual who takes a holistic approach where they exam a person’s external environmental and societal influences while also monitoring inner emotion, physical and behavioral health.

###

ME-P Careers

###

Counselor Qualifications

A licensed mental health counselor has met or exceeded the following professional qualifications:

  • earned a Master’s degree in counseling or a closely related mental health discipline;
  • completed a minimum of two years post-Master’s clinical work under the supervision of a licensed or certified mental health professional; and
  • passed a state-developed or national licensure or certification examination.

Assessment

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:

Product Details

Filed under: Career Development, Ethics, Experts Invited, mental health, Professional Liability, Quality Initiatives | Tagged: , , , , , , , , , , , | 7 Comments »

UPDATE: Domestic Markets Soar as United Kingdom Scraps Taxation

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

***

The Dow surged 825 points, or 2.8%. The Dow has soared more than 1,500 points in the past two days. It is now back above the key 30,000 milestone and is about 18% off its most recent record high, meaning that is no longer in a bear market.

The S&P 500 and Nasdaq gained 3.1% and 3.3%, respectively. But both of those indexes remain in bear territory, at more than 20% off their all-time highs.

***

The UK is scrapping its plan to remove the 45% top rate of income tax, calling it a huge distraction from other priorities. The plan, which the government defended just recently, caused a mini-financial meltdown before the Bank of England stepped in with emergency measures.

***

COMMENTS APPRECIATED

Thank You

***

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

***

Filed under: Alternative Investments, Breaking News, Investing, Taxation | Tagged: , , , , , , , , | Leave a comment »

Three Fundamental Criteria All Physicians Should Consider before Investing

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Join Our Mailing List

Re-Appreciating the Basic Three Rs …

By Guy P. Jones CFP® www.guypjones.com

Guy P. Jones

Physician-investors are often confronted with a myriad of decisions concerning any potential investment not the least of which is:

“When or how should I change my investment strategy?”

Given the choice of investment options, there are three criteria by which any investment you make should be evaluated: Risk, Reward and Liquidity.

  • Risk, in a financial context, is defined as: The probability that the actual return on an investment will be lower than the expected return.  For our purposes and for most people, it equates to whether there is the potential to lose money on an investment and how much of a risk you are willing to take in order to achieve an acceptable return.

One measurement of the risk or volatility of market-based investments can be quantified by the beta of an investment.  Beta is a measurement of volatility of an investment and is measured against how volatile an investment is relative to the market.  The beta of the market is always 1.00, so any investment that has a beta of less than 1.00 is less volatile and conversely, one with a beta greater than 1.00 is more volatile.   The desired result is low beta (low volatility) investments that have higher returns vs. the market.  Each of our institutional-class money managers utilize investments that collectively have a beta that is lower than the market while generating results that avoided the steep losses of the stock market in 2000-02 and 2008.*

  • Reward, in a financial context, is the positive return on your investment.  The rule of thumb is that the reward – or return on investment – is directly proportional to the amount of risk that one is willing to assume- i.e. – the higher the risk, the higherreturn on investment.

In addition, traditional thinking says in order to reap stock market-like returns, you have to invest in the stock market.  In our managed portfolios, that is not necessarily the case.  Two of our investment managers, who do not invest in the stock market, have generated average returns over the past 7 and 10 years that are equal to or better than returns of the stock market over similar timeframes with 76-84% less risk as measured by the beta of each manager*

  • Liquidity, in a financial context, means how quickly you can get your hands on your cash or is the ability to get your money whenever you need it.  One of the first things I advise anyone to have is a liquid emergency fund of readily available cash.  By having available cash, you don’t have to convert another asset to cash and create a transaction that could result in potentially adverse tax consequences or worse, trigger losses.  I often see clients sacrifice higher returns that they could be earning on idle cash because of their perceived need for absolute liquidity of their money.  But what if there was a way to have both?  Wouldn’t you want higher returns in low risk, low-volatility assets as well as the ability to get at those assets quickly?

With our multi-manager investment platform, investors have the ability to have a portion of their assets held in a safe, liquid money market account while also having their remaining assets diversified in a variety of low risk, low-volatility investments.

financial risk

More:

Assessment

*Past performance is not a guarantee or indicator of future performance

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:

Product DetailsProduct DetailsProduct Details

Product Details  Product Details

Filed under: Investing, Risk Management | Tagged: , | 2 Comments »

COVID-19’s Impact on Mental Health and Workplace Well-being

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Pandemic Mental Health

By NIHCM

***

***

READ: https://nihcm.org/publications/covid-19s-impact-on-mental-health-and-workplace-well-being?utm_source=NIHCM+Foundation&utm_campaign=a03fb2164b-EMAIL_CAMPAIGN_2020_12_03_03_17&utm_medium=email&utm_term=0_6f88de9846-a03fb2164b-167744768

***

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

COMMENTS APPRECIATED

Thank You

***

Filed under: Glossary Terms | Tagged: | 1 Comment »

PODCAST: Doctors Split from Hospital

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

***

The Story of Tryon Medical Partners shows us that if doctors don’t like the way a hospital is running their practice, they can leave and be successful.

Specifically, the 88 mostly primary care doctors of Tryon Medical Partners sued Atrium Health, the hospital system that owned them, in order to leave and become independent in 2018.

Some of their grievances against the hospital system were:
1. The hospital replaced the nurses in their clinics with medical assistants.
2. The hospital increased the number of patients they needed to see per day and decreased their visit times.

Atrium agreed to let the doctors separate in exchange for dropping the lawsuit.

Just one year later Tryon Medical Partners began to offer Direct Primary Care to local employers and have signed up 30 companies.

The program has been a huge success because an independent primary care practice can work to provide better care at lower costs. Conversely, physicians associated with a hospital system are incentivized to increase healthcare costs.

***

***

COMMENTS APPRECIATED

Thank You

***

HOSPITALS: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

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

****

Filed under: "Doctors Only", Career Development, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Videos | Leave a comment »

Medicare Customers Say Mental Health Benefits Are Very Important

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

AN eHEALTH SURVEY

***

***
A eHealth survey of 3,800 Medicare customers aged 65 and older asked “When choosing health coverage, how important are mental health benefits?” The survey found: 
•  38% say mental health benefits are “very important” to them when choosing health insurance.
 •  34% say it’s “somewhat important” to them.
 •  22% say mental health benefits are “not so important” to them.
 •  Only 5% say it’s “not at all important.”
Source: eHealth, “Seniors Speak Out On Mental Health,” March 2022

***

COMMENTS APPRECIATED

Thank You

Subscribe to the Medical Executive-Post

***

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

***

Filed under: Ethics, mental health | Tagged: , , , , | Leave a comment »

Text or Call 988: SAMHSA – Substance Abuse and Mental Health Services Administration

Posted on October 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

***

988, a New National Suicide Hotline, Launched on July 16th, 2022

**

***

A new national suicide hotline, 988, becomes operational nationwide on July 16th. People experiencing a mental health emergency, such as suicidal thoughts, a substance-use crisis, or any other emotionally distressing event, will be able to call during times of crisis, but operators will also be available via text and online chat (at https://suicidepreventionlifeline.org/chat), according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

The 988 hotline will essentially replace the National Suicide Prevention Lifeline (1-800-273-TALK); however, the previous hotline will not be discontinued when 988 is rolled out, and callers will be directed to the same services offered via 988. Mental health experts say the new hotline will provide necessary updates to the services currently provided by the 1-800 number, chief among them a focus on sending trained experts to respond to mental health emergencies rather than law enforcement who are unfamiliar with protocols when approaching suicidal individuals.

***

READ: https://www.samhsa.gov/find-help/988

MORE: https://www.kevinmd.com/2022/07/new-988-hotline-has-potential-to-transform-mental-health-care-but-challenges-loom.html

***

COMMENTS APPRECIATED

Thank You

***

Filed under: Drugs and Pharma, Ethics, mental health | Tagged: , , | Leave a comment »

PODCAST: Inflation Reduction Act [IRA] and Healthcare

Posted on October 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

THE AGENDA 2022 AND BEYOND!

By Eric Bricker MD

***

***

COMMENTS APPRECIATED

Thank You

***

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

***

Filed under: Breaking News, Drugs and Pharma, Experts Invited, Glossary Terms, Health Insurance, Managed Care, Videos | Tagged: , , | Leave a comment »

FIGHTING Inflation!

Posted on October 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

Fed Official Says Inflation Fight Will Take Time, Despite Signs of Progress

Bringing inflation down from 40-year highs is likely to take time and will require a slowdown in economic growth and reduced demand for workers by employers, a Federal Reserve official said yesterday.

Those efforts are showing tentative signs of progress, said Fed governor Philip Jefferson, in his first public remarks since taking office in May. But Mr. Jefferson also said he remains concerned that higher prices could change consumer expectations around inflation in a way that makes further price increases self-fulfilling.

***

***

READ: Fed Official Says Inflation Fight Will Take Time, Despite Signs of Progress (msn.com)

COMMENTS APPRECIATED

Thank You

***

Filed under: "Ask-an-Advisor", Breaking News, Experts Invited, Investing | Tagged: , | Leave a comment »

« Previous Page — Next Page »