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    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. David E. 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 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

    Later, Dr. Marcinko was a vital and recruited BOD  member of several innovative companies like Physicians Nexus, First Global Financial Advisors and the Physician Services Group Inc; as well as mentor and coach for Deloitte-Touche and other start-up firms in Silicon Valley, CA.

    As a state licensed life, P&C and health insurance agent; and dual SEC registered investment advisor and representative, Marcinko was Founding Dean of the fiduciary and niche focused CERTIFIED MEDICAL PLANNER® chartered professional designation education program; as well as Chief Editor of the three print format HEALTH DICTIONARY SERIES® and online Wiki Project.

    Dr. David E. Marcinko’s professional memberships included: ASHE, AHIMA, ACHE, ACME, ACPE, MGMA, FMMA, FPA and HIMSS. He was a MSFT Beta tester, Google Scholar, “H” Index favorite and one of LinkedIn’s “Top Cited Voices”.

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Nobel Prize in Chemistry 2020

Nobel Laureate Jennifer Doudna

By Staff Reporters

Even as a child growing up in Hawaii, Nobel Laureate Jennifer Doudna had a strong urge to know things. One day, her father placed the book ‘The Double Helix’ on her bed. This detective-style story about how the structure of the DNA molecule was solved was like nothing she had read in her school textbooks. She was captivated by the scientific process and realised that science is more than just facts.

However, when she started to solve scientific mysteries, her attention was not on DNA, but on its molecular sibling: RNA. This would eventually lead her to the discovery of CRISPR/Cas9 a tool that can be used to change the DNA of organisms with extremely high precision and, in 2020, to the Nobel Prize in Chemistry.

Wishing her a happy birthday today!

Read her story: https://bit.ly/33ID9RQ

MANY THANKS

***

Primary Care Provider – Eliminating the Term

Eliminating the Term Primary Care “Provider”

Consequences of Language for the Future of Primary Care

By Allan H. Goroll, MD

LINK:

https://jamanetwork.com/journals/jama/article-abstract/2506307

***

Stop Payer Bullying on Healthcare Providers

By Nate Kaufman

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The Real Cost of Health Care “Cost Sharing”

NBER WORKING PAPER SERIES

THE HEALTH COSTS OF COST-SHARING

  • Amitabh Chandra
  • Evan Flack
  • Ziad Obermeyer

Working Paper: 28439

http://www.nber.org/papers/w28439

DHEF

DHEF: https://lnkd.in/dqdbWM9

NATIONAL BUREAU OF ECONOMIC RESEARCH

1050 Massachusetts Avenue

Cambridge, MA 02138

February 2021

An Op-Ed by a Healthcare Industry Thought Leader & Giant

New Years Resolutions 2021 [Repost]

By Nathan Kaufman • 1st Managing Director at Kaufman Strategic Advisors 

***

1. I will continue to verify any statements I make about the healthcare system by talking to physicians and operators with REAL-WORLD EXPERIENCE and not rely solely on statistical comparisons.

2. I will promote that there is a correlation between cost, quality, and access in today’s healthcare system. Those who believe health systems should approach anything close to Medicare breakeven advocate for low quality and significant service reductions.3. I will continue to promote the fact that whoever affiliates with the best doctors will win in the long run.

4. I will encourage my clients to avoid the attempt by payers and many industry desk jockeys (e.g., Rand Corp.) to commoditize healthcare delivery. The best doctors, services, and ultimately the best outcomes are not commodities; they come at a price.

5. I will not stand by and watch the payers, government, and the aforementioned academic knuckleheads destroy the hospital industry using the ‘value con’– they already destroyed the rural hospital sector.

6. I will only consider a health system to be under quality leadership if market share grows and profits meet or exceed the industry benchmark. I won’t accept ‘mission’ as an excuse.

Happy New Year – Just Sayin’ n8

What is BIDEN CARE?

Bidencare: The President-Elect’s Healthcare Plan

***
By Health Capital Consultants, LLC
***
The Biden Administration has put forth their healthcare plan, which seeks to expand access to affordable healthcare with the following:
***
***
(1) upholding and expanding the Patient Protection and Affordable Care Act (ACA), to reduce the amount that consumers pay for health insurance on the individual marketplace; (2) offering a new, public insurance option similar to Medicare; (3) prohibiting the practice of “surprise billing”; (4) leveraging the Department of Justice’s (DOJ’s) and Federal Trade Commission’s (FTC’s) antitrust authority to target market concentration within the healthcare system; and, (5) driving down prescription drug prices by increasing competition for, and regulation, of pharmaceutical companies.
***

How Stock Markets Operate?

Markets 101: How to Read Stock Indexes and Securities

By Alex Hickey of Morning Brew

Everything you need to know about the 3 top U.S. equities indexes plus gold, oil, and Treasury notes

***

LINK:

https://www.morningbrew.com/daily/stories/2020/10/19/markets-101-read-stock-indexes-securities?utm_source=morning_brew

**

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

 

Addressing Social Isolation During the Pandemic

Addressing Loneliness & Social Isolation During the Pandemic

By NIHCM.org

***

https://nihcm.org/publications/addressing-loneliness-social-isolation-during-the-pandemic?utm_source=NIHCM+Foundation&utm_campaign=a03fb2164b-EMAIL_CAMPAIGN_2020_12_03_03_17&utm_medium=email&utm_term=0_6f88de9846-a03fb2164b-167744768

***

The Science of Happiness?

HAPPINESS?

By NIHCM Foundation

***

***

https://nihcm.org/publications/the-science-of-happiness-health-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

***

INVITATION:

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

CMS Final Rule Brings Transparency to Healthcare Industry

Healthcare Transparency

By Health Capital Consultants, LLC

On October 29, 2020, the Centers for Medicare & Medicaid Services (CMS) released the Transparency in Coverage final rule. This long-anticipated final rule stems from President Donald Trump’s June 2019 executive order on “Improving Price and Quality Transparency” and builds upon the hospital Outpatient Prospective Payment System (OPPS) price transparency requirements released in November 2019.

 

These requirements came under fire in a lawsuit filed by the American Hospital Association (AHA), Association of American Medical Colleges (AAMC), Children’s Hospital Association (CHA), and Federation of American Hospitals (FAH), against the Department of Health and Human Services (HHS); the requirements were upheld by the courts in June 2020 and the lawsuit is being appealed by the plaintiffs. (Read more…) 

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Tele-Medicine Valuation and Reimbursement

***
By Health Capital Consultants, LLC
***
The second installment in this five-part Health Capital Topics series on the valuation of telemedicine will focus on the reimbursement environment for telemedicine.
***
Telemedicine is reimbursed based on the services provided through this medium and includes many restrictions on where, how, and by whom services can be conducted. The first installment in this series introduced telemedicine and its increasing importance to, and popularity among, providers and patients. It also discussed the current and future challenges related to telemedicine, many of which hinge upon reimbursement restrictions and regulations. (Read more…)
***

***

The Nation’s Healthcare System

It is SICK!

By Nate Kaufman

***

 

 

2019 MSSP Performance Results

***
By Health Capital Consultants, LLC
***
On September 14, 2020 the Centers for Medicare & Medicaid Services (CMS) released the financial and quality performance results for the Medicare Shared Savings Program (MSSP) Performance Year (PY) 2019. The results revealed record net savings of $1.19 billion for Medicare, marking the third consecutive year of net savings.
***
Most significantly, included in these results are the first six months of performance for accountable care organizations (ACOs) that enrolled in the MSSP under one of the Pathways to Success models that commenced in July 2019. These results provided the first look at ACO performance under the new, controversial model. (Read more…)
***

HOW STOCKS WORK – In Brief?

IN SHORT

By FMG, LLC

***

***

Financial Planning MDs 2015

New Study Examines PE’s Impact on Hospital Performance

 

Click to access PE.pdf

Healthcare Fraud and Abuse Costs and Cases Rose in 2019

Click to access FRAUD.pdf

 

Valuation of Tele-Medicine Services

Click to access TELEMEDICINE.pdf

Education, Degrees, Start-Ups and IPOs?

FOR TOP MANAGERS AND BODs

By Dr. Jeffery Funk

Did you know that far more MBAs and bachelor-degree holders were among top managers and board of directors among startups filing for IPOs between 1990 and 2018 than were other degree holders?

About 55% of them had an MBA for their highest degree vs. 20% for bachelors, 7% for PhD, 3% for MD, 12% for MS, and 3% for JD. The high percentage of MBAs and bachelor-degree holders reflects the move away from #science-based #technologies such as semiconductors, and electronic, communications, and medical equipment that once dominated Silicon Valley (hence the name), and towards Internet commerce, content, and services over last 25 years.

In fact, most PhDs among top managers and board of directors at IPO time studied life sciences and were employed in #biotech #startups, a sector that continues to thrive. Creating successful science-based startups in other sectors continues to be a big challenge, one that may be partially overcome by #AI in near future.

As for which #universities train these people, Harvard, Stanford, Berkeley and MIT had the most graduates in many categories, representing almost 20% of PhDs for instance.

***

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Income for Financial Advisors

By Years of experience

Via Michael Kitces

***

***

How Did We Screw Up the Pandemic So Badly?

By Bertalan Mesk MD PhD

***

https://www.linkedin.com/pulse/how-did-we-screw-pandemic-up-so-bad-bertalan-mesk%C3%B3-md-phd/?trk=eml-email_series_follow_newsletter_01-hero-257-title_link&midToken=AQGGg4QStFgVOA&fromEmail=fromEmail&ut=0zs6pcrWG-_9o1

***

***

20 Cognitive Biases That Affect Decision Making

Screwed-Up Decision Making

[By Staff reporters]

***

***

Professor V. Entrepreneur

Teaching / Educating

Bill Hennessey, M.D.

CEO at Pratter, Inc.

As a teacher educating is your job. It’s what you enjoy. There’s a fairly lax time schedule and resources are already built in the equation. Little accountability because the ultimate burden and measure of success is placed on the student to pass a test. If they don’t do well, it’s the student not directly the teacher who pays the price.

Now, I work with first year students who don’t know what a red blood cell looks like (biconcave disc, you thought I forgot, didn’t you) all the way to a chief resident who can probably do some surgeries better than me. It’s my job to take that first year student and turn them into a chief resident.

As an entrepreneur with limited resources, time, and energy, you don’t have the luxury to continuously teach, develop, and convince. You need people who simply get it especially in strategic positions. You don’t have the luxury of time or resources. You also are directly accountable if they don’t understand because you have a burn rate that probably just got worse. So how much “oxygen” do you allocate when trying to build your team?

Different story for Apple, Boeing and others that can create academies and educational tracks to teach and develop internally.

ASSESSMENT: Your thoughts are appreciated

Product Details

Some Perverse Incentives in the Healthcare System

Perverse Incentives in the Healthcare System

By Paul Thomas MD

There are perverse incentives in the healthcare system. As a part of my mission to provide affordable and accessible health care in Detroit and beyond, it needs to be said that the middlemen in healthcare inflate the cost of the care that you receive.Anthem Revenue $104 Billion (2019)

Cigna Revenue $154 Billion (2019)
United Revenue $242 Billion (2019)
Aetna Revenues $69.6 Billion (2019)

Cigna CEO salary $18.9 million (2018)
United CEO salary $21.5 million (2018)
Aetna CEO salary $18.7 million (2017)

The total annual healthcare spending in the US is over $3.6 trillion annually.

  • Healthcare spending on administration: 34%
  • Healthcare spending on physician salary: 8.6%

When your doctor can’t get you the tests/imaging/procedures/surgery/medication you NEED, remind yourself that the middle management, the CEOs, the lobbyists for health insurance company did NOT swear an oath to put your health above money.

Your doctor did.

************

Doctors are missing sleep, skipping vacation, answering calls on weekend and holidays, missing important family events, and otherwise working tirelessly to keep you healthy.

All of that’s to say that I firmly believe in the power of the doctor-patient relationship and removing the middlemen from this equation.

THANK YOU

F.A. HAYEK versus J.M. KEYNES

 Keynes VERSUS Hayek 

By staff reporters

***

***

“Medical Management and Health Economics Education for Financial Advisors”

CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq

Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Submit a Financial Advisor Prospecting Video to the ME-P [Experts Invited]

Welcome Financial Advisors: An Invitation to Prospect & Promote Your Self

Join Our Mailing List

Healthcare Prospecting with FAs in Mind

  • Would you like to present your self or firm, your strategic competitive advantage, and your value proposition to the medical community?
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  • Would you like to introduce yourself and prospect to the HNW medical community, for free?

If so …

Join your ME-P peers and colleagues. Get free access to on-demand videos and other presentations from leading financial advisors [FAs] and brought to you by www.MedicalExecutivePost.com.

The ME-P is your source for the best online-exclusive content in the financial advisory marketing, and financial planning e-prospecting space, for all healthcare professionals [physicians, podiatrists, osteopaths, dentists, chiropractors, nurses, medical CXOs, etc].

How to Submit a Video

To submit a personal or product presentation video [pod-cast], sponsor a video [pod-cast], or inquire about specific advertising on the ME-P, please contact Ann Miller RN MHA at: 770.448.0769 or MarcinkoAdvisors@msn.com

Video Formats

Acceptable 5-12 minute video formats include: Flash (in either SWF or FLA), MPEG, MP4, QuickTime or AVI. Submission of a podcast/video does not guarantee publishing on the ME-P website. FA submitted videos are subject to review by the Executive Editor. Company submitted videos are subject to review by the Publisher and Executive Editor.

SAMPLE PODCAST

In this encore podcast, Somnath Basu PhD MBA examines how the recent economic turmoil has changed financial planning clients’ attitudes and expectations.

White Paper: AgeBander

Dr. Basu is a popular ME-P contributor, commentator and “thought-leader”.

Basu Video Link: http://www.youtube.com/watch?v=jzAkB8h5v3Q

Copyright

Copyright © 2011 by the Institute of Medical Business Advisors, Inc www.MedicalBusinessAdvisors.com All rights reserved, USA. Opinions expressed by authors are their own and not necessarily those of iMBA Inc, the editorial staff, or any member of the editorial advisory board.

Privacy

ME-P and iMBA Inc pledges always to respect the privacy and anonymity of its users and participants. The information (the names, email addresses or any other contact information, personal or financial data) provided to us by our visitors in their registrations and communications with us is securely stored and not shared with any third party. We are committed to working with the Internet community in cultivating and maintaining trust between all its members.

PROSPECTING MADE EASY

PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICE: www.BusinessofMedicalPractice.com
ADVISORS: http://www.CertifiedMedicalPlanner.org

**

Inventory Management

By staff reporters

***

***

Affiliates’ Research in Medical and Other Journals

Affiliates’ Research in Medical and Other Journals

By staff reporters

Many NBER-affiliated researchers publish some of their findings in medical and other journals that preclude pre-publication distribution. This makes it impossible to include these papers in the NBER Working Paper Series. This is a partial listing of recent papers in this category by NBER affiliates.

Health-Related Papers

1. Incorporating Prescription Drug Utilization Information into the Marketplace Risk Adjustment Model Improves Payment Accuracy and Reduces Adverse Selection Incentives
Xu J, Trish E, Joyce GMedical Care Research and Review, August 2019.
2. Hospital Response to CMS Public Reports of Hospital Charge Information
Carey K, Dor AMedical Care 58(1), October 2019, pp. 70–73.
3. Estimating Causal Effects of Particulate Matter Regulation on Mortality
Sanders NJBarreca AINeidell MJEpidemiology 31(2), March 2020, pp. 160–167.
4. Specialty Substance Use Disorder Treatment Admissions Steadily Increased in the Four Years after Medicaid Expansion
Saloner B, Maclean JCHealth Affairs 39(3), March 2020, pp. 453–461.
5. The ACA’s Impact on Racial and Ethnic Disparities in Health Insurance Coverage and Access to Care
Buchmueller TCLevy HGHealth Affairs 39(3), March 2020, pp. 395–402.
6. Association of Regional Practice Environment Intensity and the Ability of Internists to Practice High-Value Care after Residency
Weng W, Van Parys J, Lipner RS, Skinner JS, Sirovich BE. JAMA Network Open 3(4), April 2020, e202494.
7. School and Community Involvement of Adolescents with Chronic Health Conditions
Noonan K, Reichman NE, Corman H, Jiménez ME. Journal of Adolescent Health, April 2020.
8. Health Insurance Surcharges for Tobacco Use Declined among Small Employers in 2018
Bains J, Pesko MF, Maclean JC, Lê Cook B. Health Affairs 39(5), May 2020, pp. 871–875.
9. Effects of a Natural Disaster on Mortality Risks over the Longer Term
Frankenberg E, Sumantri C, Thomas DNature Sustainability, May 2020.
10.   Estimating the Infection Fatality Rate among Symptomatic COVID-19 Cases in the United States
Basu AHealth Affairs 39(5), May 2020.

DEM One

 

11.  Genomic Analysis of Diet Composition Finds Novel Loci and Associations with Health and Lifestyle
Meddens SFW, de Vlaming R, Bowers P, Burik CAP, Linnér RK, Lee C, Okbay A, Turley P, Rietveld CA, Fontana MA, Ghanbari M, Imamura F, McMahon G, van der Most PJ, Voortman T, Wade KH, Anderson EL, Braun KVE, Emmett PM, Esko T, Gonzalez JR, Kiefte-de Jong JC, Langenberg C, Luan J, Muka T, Ring S, Rivadeneira F, Snieder H, van Rooij RJA, Wolffenbuttel BHR, 23andMe Research Team, Epic InterAct Consortium, Lifelines Cohort Study, Smith GD, Franco OH, Forouhi NG, Ikram MA, Uitterlinden AG, van Vliet-Ostaptchouk JV, Wareham NJ, Cesarini D, Harden KP, Lee JJ, Benjamin DJ, Chow CC, Koellinger PD. Molecular Psychiatry 39(5), May 2020.
12.  Effects of a Workplace Wellness Program on Employee Health, Health Beliefs, and Medical Use: A Randomized Clinical Trial
Reif JChan DJones D, Payne L, Molitor DJAMA Internal Medicine, May 2020.
13.  The Effect of Medicaid Expansion on Prescriptions for Breast Cancer Hormonal Therapy Medications
Maclean JC, Halpern MT, Hill SC, Pesko MF. Health Services Research 55(3), June 2020, pp. 399–410.
14. Evidence Generation, Decision Making, and Consequent Growth in Health Disparities
Basu A, Gujral K. Proceedings of the National Academy of Sciences 117(25), June 2020, pp. 14042–14051.
Other Papers
1. Differential Fertility Makes Society More Conservative on Family Values
Vogl TS, Freese J. Proceedings of the National Academy of Sciences 117(14), April 2020, pp. 7696–7701.
2. Religious Institutions and Economic Well-Being
Hungerman DHow Cultural Factors Shape Children’s Economic Outcomes, Kearney MS, Haskins R, editors. The Future of Children 30(1), June 2020, pp. 9–28.
3. Role Models, Mentors, and Media Influences
Kearney MSLevine PBHow Cultural Factors Shape Children’s Economic Outcomes, Kearney MS, Haskins R, editors. The Future of Children 30(1), June 2020, pp. 83–106.
4. Peer and Family Effects in Work and Program Participation
Dahl GBHow Cultural Factors Shape Children’s Economic Outcomes, Kearney MS, Haskins R, editors. The Future of Children 30(1), June 2020, pp. 107–126.
5. Social Capital, Networks, and Economic Well-Being
Hellerstein JKNeumark DHow Cultural Factors Shape Children’s Economic Outcomes, Kearney MS, Haskins R, editors. The Future of Children 30(1), June 2020, pp. 127–152.
6. How Discrimination and Bias Shape Outcomes
Lang K, Kahn-Lang Spitzer A. How Cultural Factors Shape Children’s Economic Outcomes, Kearney MS, Haskins R, editors. The Future of Children 30(1), June 2020, pp. 165–186.
 

giphy

“Medical Management and Health Economics Education for Financial Advisors”

CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq

Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Alternative Medical Payment Models

“The Path to Successful Utilization of Alternative Payment Models”

By Health Capital Consultants, LLC

An article authored by Todd ZigrangJessica Bailey-Wheaton, and Khaled Klele was featured in the most recent issue of The Health Lawyer published by the American Bar Association. Read the article entitled, “The Path to Successful Utilization of Alternative Payment Models,” here: https://lnkd.in/e78kXmE

***

***

ESSAY: The Path to Successful Utilization of Alternative Payment Models

ASSESSMENT: Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

MID-YEAR FINANCIAL ROUND-UP: 2020

MID-YEAR ROUND-UP

DR. DAVID EDWARD MARCINKO MBA MEd CMP® 

STOCKS: A global stock market crash on March 12 set the worst single-day decline for stocks since 1987. But in Q2, major indexes clawed their way back on the promise of economic reopenings. Filled to the brim with tech companies, the Nasdaq has distanced itself from the Dow and the S&P.

FED: The Fed slashed interest rates in March to stem the economic bleeding, and in early June said it would hold rates near zero through 2022.

OIL: In late April, oil prices crashed below -$37 a barrel as plummeting demand from lockdowns left traders with nowhere to put their oil. Following an agreement by OPEC+ to reduce supply by 9.7 million barrels a day, prices are slowly rebounding back to March’s highs.

MORE: https://www.msn.com/en-us/money/markets/wall-street-is-wrapping-up-its-best-quarter-in-decades/ar-BB166FUU?li=BBnbfcN

“Medical Management and Health Economics Education for Financial Advisors”

CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq

Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

CMS Value Based Purchasing for Drugs

CMS Proposed Rule Supports Value-Based Purchasing for Drugs

Courtesy: www.CertifiedMedicalPlanner.org

On June 19, 2020 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule regarding Medicaid Drug Rebate Program (MDRP) regulations, with the aim of lowering drug prices, increasing patient access, and encouraging innovation in the insurance and pharmaceutical industries.

This proposal is consistent with the Trump Administration’s Blueprint to Lower Drug Prices (Blueprint) released in May 2018, in which the administration highlighted its goal to “avoid excessive pricing by relying more on value-based pricing by expanding outcome-based payments in Medicare and Medicaid” and to “speed access to and lower the cost of new drugs by clarifying policies for sharing information between insurers and drug makers.”

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The proposed rule seeks to accomplish the Blueprint’s goals by reducing regulatory barriers that have previously prevented commercial plans and states from entering into value-based purchasing (VBP) arrangements with drug manufacturers.

Colleagues from Health Capital Consultants, LLC; explain.

ESSAY: DRUGS

Assessment: Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

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2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Post-Coronavirus Physician Practice Acquisitions

Proceed with Caution

By Health Capital Consultants, LLC

As the coronavirus (COVID-19) global pandemic has wreaked havoc on the U.S. economy generally, and the healthcare industry specifically, the previously-active healthcare transactional environment has been largely stunted.

Despite (or perhaps because of) this economic turbulence, stakeholders expect that merger and acquisition (M&A) activity will soon resume with a vengeance. This potential opportunity, however, is not without pitfalls, due in part to the concern from stakeholders and regulators that well-capitalized entities may use this economic and public health crisis to prey on debilitated physician practices. (Read more…)

 

ASSESSMENT: Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

COVID-19 Forces Value-Based Reimbursement Model Revision

COVID-19 Forces Value-Based Reimbursement Model Revision

By Health Capital Consultants, LLC

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On June 3, 2020, Seema Verma, the Administrator of the Centers for Medicare & Medicaid Services (CMS), announced in a Health Affairs article that CMS is providing significantly more flexibility for healthcare entities participating in CMS-sponsored value-based reimbursement (VBR) models for the duration of the COVID-19 pandemic.
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CMS has made a number of changes related to these models to provide added flexibilities to participating entities and to respond to participant concerns that VBR models will incur losses this year due to both the general disruption in operations and the greater expense associated with treating COVID-19 patients. (Read more…) 
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ASSESSMENT: Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

On Finding Physician-Focused Financial Advice

OVER HEARD IN THE DOCTOR’S LOUNGE

Courtesy: www.CertifiedMedicalPlanner.org

CMP logo

[On Finding Physician-Focused Financial Advice]

The financial planner is a like juggler, trying to keep a variety of balls simultaneously in the air.  Each aspect of practice becomes critical, just as action is needed. 

Some of the activities of operating a successful financial planning practice generally attract more attention than others, such as marketing and advertising, closing engagements, and office administration.  Because product review, selection and implementation are often related to advisor compensation, they attract a great deal of the financial juggler’s concentration. 

But, the heart of financial planning, niche advice, often receives little attention.  Not because it is unimportant, it just doesn’t seem immediately and predictably urgent.  Here, that ball does not seem to be dropping so rapidly. 

However, retaining clients and receiving referrals from other professionals is very dependent on the quality of the advice delivered.  And, the first line of protection from practitioner liability exposure is to not deliver incorrect or incomplete advice. 

But, where does the financial advisor turn for ideas and organized research in the healthcare sector?” 

Edwin P. Morrow; CFPTM, CLU, ChFC, RFC

[Middletown, Ohio, USA]

Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1https://lnkd.in/ezkQMfR

2 – https://lnkd.in/ebWtzGg

3 – https://lnkd.in/ewJPTJs

THANK YOU

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™

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On Being a Doctor

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More on SURPRISE Medical Billing

On “Balance Billing”

By Ryan Woody Ryan

Shareholder at Matthiesen, Wickert & Lehrer, S.C.

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ASSESSMENT: Your thoughts are appreciated.

Product DetailsProduct DetailsProduct Details

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COVID-19 Financial Relief Available to Hospitals and Physicians

COVID-19 Financial Relief Available to Hospitals and Physicians

By Health Capital Consultants, LLC

The COVID-19 global pandemic has brought a time of grave uncertainty for U.S. healthcare and the greater economy.

While the focus of healthcare providers is, appropriately, on the access and delivery of care to those impacted by the COVID-19 outbreak, there are many providers who will require financial resources to persevere during a time when all sectors of the U.S economy are being significantly impacted.

The federal government has announced a myriad of programs in the form of grants and loans to reimburse hospitals and physicians for some expenses and loss of revenue. (Read more…) 

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Assessment: Your thoughts are appreciated.

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Product DetailsProduct Details

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How Will COVID-19 Change Healthcare Delivery?

How Will COVID-19 Change Healthcare Delivery?

By Health Capital Consultants, LLC

Spurred by how unprepared the American healthcare system was for a pandemic, the current COVID-19 emergency may present the conditions necessary to commence a healthcare delivery model paradigm shift.

In response to the public health emergency, the federal government, which has a record of reducing regulatory “burdens” under the Trump Administration, has taken aggressive actions to create regulatory flexibilities for healthcare providers and suppliers.

At least some of the various actions taken to reduce provider burden as they treat COVID-19 patients are likely to stay intact following the end of this pandemic, potentially revising the fundamental tenets of U.S. healthcare delivery. (Read more…)

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Assessment: Your thoughts are appreciated.

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Product DetailsProduct Details

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Stock Market Insights for May 2020

 

sm

 

 

The Berkshire Hathaway Annual Meeting 2020?

WARD CUNNINGHAM’S LAW OF INTERNET INQUIRIES!

Does the Internet Promote the Same Dynamic as “Road Rage?”
Courtesy: https://lnkd.in/eBf-4vY

The best way to get an answer on the Internet is not to ask a question. It’s to post the wrong answer.

This “law” by Ward Cunningham is known to those with social media accounts. Once you’re arguing with a computer – social norms vanish! People like to fight online more than they like to help.

They’re quicker to point out flaws than to become a friendly resource.

In fact, psychologist Jonathan Haidt wrote that if you constantly express anger in your private conversations, your friends will likely find you tiresome. But, when there’s an audience, the payoffs are different and outrage can boost your status.

A study by William J. Brady at NYU measured half a million tweets and found that each moral or emotional word used in a tweet increased its virality by 20 percent.

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Finally, another 2017 study, by the Pew Research Center, showed that posts exhibiting “indignant disagreement” received nearly twice as much engagement [likes and shares] as other types of content.

MORE: https://lnkd.in/emU7F5c
Assessment: Your thoughts are appreciated

TEXTS FOR PHYSICIAN-EXECUTIVES & MEDICAL CXOs:
1 – https://lnkd.in/eEf-xEH
2 – https://lnkd.in/e2ZmewQ
Thank You

Product DetailsProduct DetailsProduct Details
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Keeping the CORONA VIRUS Out of Dental Offices?

Opinion-Editorial

[By Darrell K. Pruitt DDS]

The ONLY way to protect dentists, staff, patients and their families from the risk of fatal COVID-19 infections is to keep the virus out of dental offices. (See graph from the New York Times).

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Prediction: If quick and reliable testing is not available soon, within weeks after dental offices re-open for routine dental care – creating aerosols with high speed hand pieces, air/water syringes and ultrasonic scalers – dental offices will justifiably become known as reliable sources of COVID-19 infections, before being closed down again by the state.

Assessment: Your thoughts are appreciated.

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Product Details

 

The Health Care “DISRUPTORS”

A NEW I.P.O

BY HEALTH CAPITAL CONSULTANTS, LLC

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On January 30, 2020, 1Life Healthcare, Inc. (One Medical) went public, opening at $14 per share, and closing at $22.07 per share. The innovative San Francisco-based direct primary care organization more closely resembles a technology start-up than a traditional healthcare organization.

The membership model service provides “seamless access” to primary care services at “calming offices,” 24/7 virtual care, and 21st century technology (e.g., a mobile application that allows patients to schedule appointments and message their provider).

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HEALTH CARE DISRUPTIVE INNOVATORS

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A new report from our colleagues over at Health Capital Consultants, LLC:

LINK: https://www.healthcapital.com/hcc/newsletter/02_20/HTML/IPO/convert_ipo_hc_topics.php#_edn4

ASSESSMENT: Your thoughts are appreciated.

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Product DetailsProduct Details

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“Flattening the Curve” of COVID-19 Infections

WHAT IT IS – HOW IT WORKS?

Courtesy: www.CertifiedMedicalPlanner.org

Our message on Corona Virus so far has been “don’t panic.” For the vast majority of individuals, Corona Virus is not an existential threat.

However, the rapid rate of the virus’s spread has the potential to overwhelm our health system and cause a lot of problems.

And so, colleague Aaron E. Carroll MD MS explains the infection curve, right here.

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PODCAST: https://theincidentaleconomist.com/wordpress/flattening-the-curve-of-coronavirus-infections/

Assessment: Your thoughts and comments are appreciated.

covid-19-curvesv3

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

The Role of “Pleasure” in Public Health

FEBRUARY 2020 AJPH

By Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

Dear Dr. David Marcinko,

***

This month, AJPH has a collection of articles on ending the HIV epidemic, population health and telemedicine services.

New! Enjoy the current issue of AJPH on your mobile device. Download the e-Reader or Kindle version today.

Here are a few of the many articles in the February 2020 issue:

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· February 2020 Podcast “Is pornography the key to the sex education of teenagers?”

·  The Public Health of Pleasure: Going beyond Disease Prevention

·  Should Public Health Professionals Consider Pornography a Public Health Crisis?

· Indicators to Guide and Monitor Climate Change Adaptation in the US Pacific Northwest

· Addressing Health Disparities Through Deliberative Citizens’ Panels for Health Equity

·  Trends in E-Cigarette, Cigarette, Cigar, and Smokeless Tobacco Use Among US Adolescent Cohorts

·  State-Level Changes in Firearm Laws and Workplace Homicide Rates: United States

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Also, don’t miss our just released supplement on Documenting and Addressing the Health Impacts of Carceral Systems. It’s full of timely and insightful articles on mass incarceration and related topics.

The mission of AJPH is to advance public health research, policy, practice and education. Toward that goal, the journal also produces monthly podcasts available in English, Spanish and Chinese at ajph.org. The monthly podcasts also are on iTunes and Google Play.

Be on the lookout for more timely research from AJPH, and consider subscribing or becoming an APHA member for full access.

Thank you and Happy New Year 2020

AJPH

 

Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

@AlfredoMorabia

@AMJPublicHealth

 

CHRIS ROSSINE INTERVIEW ON THE COMING FINANCIAL “BUBBLE”?

CHRIS ROSSINE ON THE COMING FINANCIAL INVESTING “BUBBLE”?

By Dr. David E. Marcinko MBA

Courtesy: https://lnkd.in/eBf-4vY

[A Podcast Re-Deux]

Atlanta colleague Pete Quinones – “Free Man Beyond The Wall” – welcomes Chris Rossini to the show. Chris is editor of the Ron Paul Liberty Report. He wrote the book “Set Money Free” and is the co-host of the Ron Paul Liberty Report on Fridays. And so, Pete asked Chris to come on the show, about a year ago, to talk about the economy.

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He specifically asked if stock market record highs are a “bubble” and what should we expect when it bursts. Chris also reviewed some basic economic principles and explained them in easy to understand language.

PODCAST: https://lnkd.in/ePirZyB

MORE: https://lnkd.in/eJNz355

Conclusion: Your thoughts and comments are appreciated.

BUSINESS, FINANCE & INVESTING TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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™

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Market Risk & The All-Terrain Portfolio

Interview by RealVision (In case you missed it)
By Vitaliy Katsenelson CFA
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DEAR ANN AND ME-P READERS: I wanted to share with you a recent interview I did with RealVision TV.
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If you haven’t heard of them, RealVision is an internet-based video platform that features serious, long-form interviews with leading financial thinkers – think of it as “CNBC for grown-ups.” I’ve personally watched a bunch of their interviews, and always find them challenging and enjoyable.
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When I was recently in New York, I sat down with Tony Greer of TG Macro to discuss IMA’s All-Terrain Portfolio, Tesla, Bitcoin, oil, the dollar, value investing, and more – all the usual suspects.
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LINK:
If you’re interested, you can check out the interview above or read a transcript of it here.
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Assessment: Your thoughts are appreciated.
***
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
***
Product DetailsProduct Details

 

2020: Stock Markets Party Like It’s 1999?

2020: Party Like It’s 1999?

By Vitaliy Katsenelson CFA

The stock market marched higher for the year even though US companies as a whole did not become more valuable, just more expensive, as earnings failed to grow from 2018 to 2019. Earnings are estimated to be up about 5% for 2020 (though these estimates are usually revised down as the year progresses).

If you look at the quality of this non-growth, then the rose-tinted glasses of the average stock market investor quickly prove inadequate. Corporate debt is up 5% in 2019, and a good chunk of the increase went into stock buybacks. As stocks become  expensive their benefit from earnings per share growth diminishes.

LINK: https://contrarianedge.com/2020-party-like-its-1999/?utm_source=IMA++-+Main+Articles&utm_campaign=ef3ee0520d-2020_PARTY_1999&utm_medium=email&utm_term=0_f1c90406d1-ef3ee0520d-55139025

Assessment: Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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™

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DOMESTIC BUSINESS CYCLE REPORT 2019

U.S.A BUSINESS CYCLE REPORT 2019

Courtesy: www.CertifiedMedicalPlanner.org

[Pictographic Presentation for December 2019]

Constructed and presented by Nick Reece CFA of MERK Investments LLC., and Research.

GRAPHIC CHART BOOK: MR

Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1https://lnkd.in/ezkQMfR

2 – https://lnkd.in/ebWtzGg

3 – https://lnkd.in/ewJPTJs

THANK YOU

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™

Self-Ownership Doesn’t Exist?

Responding to an ‘Objectivist’s’ Claim That Self-Ownership Doesn’t Exist

By Dr. David E. Marcink MBA

I was fascinated with this podcast.

It was recorded by my neighbor and Austrian economist Peter Raymond over at “The Free Man Beyond the Wall” website.

PODCAST: http://freemanbeyondthewall.libsyn.com/episode-335

Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

***

Product DetailsProduct DetailsProduct Details

THANK YOU

 

Who Owns Your Credit Card Reward Points?

Do your credit card reward points belong to you?

By Rick Kahler CFP®

For frequent travelers, who often choose credit cards based on reward programs, accumulated points can be worth thousands of dollars. Whether points are an asset that can be transferred to an heir is another matter.

I recently received this question: “Our friend whose husband recently passed away lost over a million points with Capital One because her husband was the primary on the account and she was just an authorized user, not a joint owner. Capital One closed the credit card since he passed and all the points were forfeited. Do you have any ideas on how to get the points back?”

Unfortunately, not much can be done after the fact. Most credit cards offering points that can be redeemed for travel expense say that points have no cash value and are not actually the property of the account owner but rather belong to the reward’s program. Most card programs’ terms and conditions say that points outstanding upon the card holder’s death are permanently forfeited.

An appeal to the issuing bank would be worth trying. Surprisingly, some will show compassion and allow the points to transfer to another account or credit their value against any outstanding balances on the card, usually at one cent per point.

Considering this issue ahead of time, however, might allow surviving spouses to avoid losing all of a loved one’s hard-earned points.

First, try to find a rewards card that will allow you to own the account jointly with your spouse rather than being an authorized user. If one spouse passes away, the points will remain in the account and the other joint owner will have full access to them. An authorized user has no risk or obligation to pay any debt, and therefore has no claim on any points that remain in the account after the death of the primary cardholder.

The downside of a joint account is that each cardholder is equally liable for any amounts the other charges to the account. If your marriage is transparent and without any financial infidelity going on, this shouldn’t be a problem. If the card is a business card, joint ownership could be more problematic.

Banks that I found that will allow joint accounts are US Bank and PNC Bank. Specific rewards cards that allow joint ownership are Bank of America Cash Rewards, Wells Fargo Cash Wise Visa, and Discover it Cash Back. Obviously, with only three rewards cards allowing joint ownership, that option isn’t widely available.

The next best choice is to be sure both partners have the login information for the account. This would allow a survivor to log on and redeem or transfer points. Many cards will allow transferring points to an airline or hotel rewards programs for 1.5 to 2.3 cents per point. Of course, both partners need to have access to those accounts as well, which generally isn’t a problem with most programs.


This is also the recommended method of accessing points with a specific airline. According to a September 19, 2019, article by Richard Kerr at thepointsguy.com, giving your next of kin access to all your airline and hotel awards accounts gives them “all the information needed to continue using the points and miles without alerting the airline.”

Including airline reward points in a will may be worthwhile. It might not make a difference with every airline or bank, but some programs will transfer such designated points without a fee.

Assessment:

Travel reward points may be a relatively minor asset. Still, a little planning can make them readily available without adding stress for a surviving spouse during a difficult time.

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

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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™

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