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Filed under: "Doctors Only", Career Development, Drugs and Pharma, Ethics, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Videos | Tagged: EHRs, electonic prescribing, EMRs, Eric Bricker MD, PBM, PBMs, Surescripts, Surescripts [Gatekeeper for Electronic Prescribing Explained] | Leave a comment »
By Staff Reporters
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Stocks dipped at the start of August. The S&P 500 gave up an early gain to end down 11.7 points, or 0.3%, to close at 4,118.6. The Dow Jones Industrial Average dipped 46.7 points to 32,708, or 0.1%, and the tech-heavy NASDAQ fell 0.2%. Smaller company stocks also gave back some of their recent gains, nudging the Russell 2000 0.1% lower. Bond yields mostly fell. The yield on the 10-year Treasury, which influences mortgage rates, fell to 2.60% from 2.65% late Friday.
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Jim Rogers warned a historic stock-market crash is on the horizon, touted energy and agriculture as near-term winners, and cautioned that curbing inflation would require much higher interest rates during a recent Kitco News interview. Rogers is best known as the co-founder of Quantum Fund and Soros Fund Management. The veteran investor predicted a painful recession, ruled out bitcoin succeeding as a currency, and asserted that even a Russia-Ukraine peace deal wouldn’t prevent asset prices from eventually plunging.
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And now, some cautionary advice for workers worried about an economic downturn. “It will be mostly a white-collar recession. And the blue-collar recession will not be in the same places that we saw in the past.” That was William Lee, chief economist at the Milken Institute, a Santa Barbara, Calif.-based think tank, in an interview with MarketWatch, speculating on the nature of America’s next recession. Amid rising expectations among economists of a recession — commonly defined as two consecutive quarters of negative growth — Lee said there’s still a demand for blue-collar workers in service and manufacturing, which will help protect those workers if a recession hits. Even with a low unemployment rate of 3.6%, lower-income workers are always vulnerable in any economic downturn, but adding to comments he made on Bloomberg Radio earlier this week, Lee said there may be exceptions to that rule this time around.
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Finally, there’s an optimistic outlook considering June’s hot inflation reading of 9.1%, the fastest rise in prices in 41 years. It prompted another 75-point rate hike from the central bank last week, bringing the policy rate to 2.25%-2.5%. But there are signs the inflation fight is beginning to show results, Fundstrat said. July’s stock market performance was the strongest since November 2020, and inflation expectations have come down since July’s FOMC meeting.
The economy entered a technical recession following the second straight quarterly decline for US GDP, but the market could be looking at a growth scare instead of a full blown recession and inflation should start falling sharply beginning with July’s reading, Fundstrat said in a note over the weekend.
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Filed under: Alerts Sign-Up, Financial Planning, Glossary Terms, Investing, Op-Editorials | Tagged: and the Economy, DJIA, economy, Fundstrat, Jim Rogers, Jim Rogers Speaks, NASDAQ, recession, S&P 500, stocks, UPDATE: The Markets | 1 Comment »
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READ HERE: https://nihcm.org/publications/hospital-consolidation-trends-impacts-outlook
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By Staff Reporters
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Apple just announced its most recent quarterly results. Compared to the rest of the tech industry, the numbers were pretty good. Apple’s profits were down 11 percent from the same period last year but the company beat estimates and still managed to set a record for third-quarter revenue. Considering the challenges facing the entire economy, those numbers are pretty remarkable. The tech industry has been hit especially hard over the past few months due to things like a shortage of computer processors, inflation, and weakening demand; etc.
Bitcoin and Ether, the world’s two largest digital tokens, are headed toward their best month since 2021 amid a revival of risk appetite in global markets and optimism about an Ethereum network upgrade. Bitcoin is up 28% in July and Ether 70%, though their rallies paused Friday. Both were little changed, with Bitcoin at about $23,950 as of 5 p.m. in New York and Ether hovering around $1,730.
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Filed under: Alerts Sign-Up, Glossary Terms, Information Technology, Investing | Tagged: Apple, Bitcoin, ether, Ethereum | Leave a comment »
Sub-Variants BA.4 and BA.5
By Staff Reporters
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Re-formulated virus booster shots from Pfizer and Moderna should be on pharmacy shelves by September, a Biden administration official told NBC News.
This means a campaign to release second boosters to a broader swath of the population this summer is being scrapped. These re-tooled shots are intended to provide better protection against the Omicron BA.5 and BA.4 sub-variants, which accounted for more than 90% of new cases in the USA last week.
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What is stop-loss insurance AND how does it work?
By Staff Reporters
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A stop-loss health insurance policy covers claims above a health insurance plan’s retained claims. The claims fund of a self-funded employer will pay claims up to the predetermined deductible for each of the company’s covered employees. The role of the stop-loss is to cover all claims above these deductible levels.
CITATION: https://www.r2library.com/Resource/Title/0826102549
According to RoundStone Insurance, aggregate stop-loss insurance is designed to protect an employer who self-funds their employee health plan from higher-than-anticipated payouts for claims. Stop-loss insurance is similar to high-deductible insurance, and the employer remains responsible for claims below the deductible amount.
An individual stop-loss insurance carrier determines the average expected monthly claims per employee / per month PEPM based on the employer’s history. Then, this figure is multiplied by a percentage ranging from 110%-150%. That determined amount is then multiplied by the enrollment on a monthly basis to establish the aggregate deductible.
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By Staff Reporters
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Procter & Gamble (PG) warned hat consumers were beginning to pull back on their spending as inflation concerns mount. P&G posted 7% sales growth during its most recent quarter ending June 30, its strongest growth in years. The company was able to push through higher prices on consumers. But its sales volumes declined 1% last quarter, a sign consumers were dialing back.The company forecast sales growth of between 3% and 5% for its upcoming fiscal year, down from 7% during its latest fiscal year. On a call with analysts Friday, P&G leaders said that while consumers are still buying household necessities, they are beginning to alter their purchasing behavior. For example, consumers are not stocking up their pantries as much as they were early in the pandemic, and they’re buying more private-label brands, particularly in paper goods. As shoppers are “more exposed to inflation broadly in the marketplace with the highest inflation in 40 years, it’d be naive to assume the consumer is not looking at their cash outlay,” P&G finance chief Andre Schulten told analysts. P&G’s stock fell 5% during midday trading.
The S&P 500 was up 1.3% as of 2:18 p.m. Eastern, while the NASDAQ was up 1.6%. Both indexes are on pace to end July with the biggest gains since November 2020. The Dow Jones Industrial Average was up 0.8%. Positive earnings news from Apple and Amazon, as well as oil giants Exxon and Chevron, helped put traders in a buying mood.
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Filed under: Alerts Sign-Up, Glossary Terms, Health Economics, Healthcare Finance, Investing, LifeStyle | Tagged: home mortgage rates, mortgage rates, mortgages, NASDAQ, P&G, Procter & Gamble, S&P 500, stocks | Leave a comment »
By Staff Reporters
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ICYMI: After a celebrated 130-year brand history, last fall GE announced plans to create three new, publicly traded companies, building on its heritage of innovation while marking a new beginning.
CITE: https://www.r2library.com/Resource/Title/082610254
And now, these planned companies have names. So meet the three ways GE plans to evolve from building a world that works to creating a future that does, too:
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A BRIEF REVIEW FOR PHYSICIAN INVESTORS
By Dr. David Edward Marcinko MBA CMP™
SPONSOR: http://www.CertifiedMedicalPlanner.org
QUESTION: We are in near bear market correction territory – especially for tech stocks – so what are the 2 major types of valuation approaches for common stock?
ANSWER: There are basically two different approaches for common stock valuation; top-down and bottom-up. Under either of the two fundamental approaches, a physician investor will have to work with individual company data. In reality, each of these approaches is used by investors and security analysts when doing fundamental analysis.
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With the bottom-up approach, investors focus directly on a company’s prospects. Analysis of such information as the company’s products, its competitive position, and its financial status leads to an estimate of the company’s earnings potential, and, ultimately, its value in the market. Considerable time and effort are required to produce the type of detailed financial analysis needed to understand a firm’s standing. The emphasis in this approach is on finding companies with good long-term growth prospects, and making accurate earnings estimates.
The top-down approach is the opposite of the bottom-up approach. Investors begin with the economy and the overall market, considering such important factors as interest rates and inflation. They next consider likely industry prospects, or sectors of the economy that are likely to do particularly well (or particularly poorly). Finally, having decided that factors are favorable for investing, and having determined which parts of the overall economy are likely to perform well, individual companies are analyzed.
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Filed under: "Ask-an-Advisor", CMP Program, Glossary Terms, Investing, Touring with Marcinko | Tagged: bear market, bottom-up, CMP, CMP Program, Investing, top-down | 1 Comment »
By Staff Reporters
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Markets: Stocks soared yesterday after the Fed said it was hiking interest rates by 75 basis points (its fourth rate hike this year) in order to stamp out inflation. Another rate increase could be on its way this fall, Fed Chair Jerome Powell said, depending on the economic data. Powell also rejected claims that the US was currently in a recession.
The DJIA rallied 400 points as Powell hinted the Fed could slow the pace of rate hikes, and the NASDAQ jumped 4%.
Meta, the company formerly known as Facebook, reported a 1 percent decline in quarterly revenue from the previous year. It was the first time the social media giant’s revenue had fallen since it went public a decade ago, as it confronts increased regulatory scrutiny and a turbulent economy while trying to build a new frontier of digital communication.
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Filed under: Alerts Sign-Up, Glossary Terms, iMBA, Inc., Investing | Tagged: DJIA, Facebook, FB, Meta, NASDAQ, S&P 500 | Leave a comment »
By Staff Reporters
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An important week of the summer” for Wall Street, thanks to a deluge of earnings, economic data, and Fed action. For example:
Fed meeting: After the Fed wraps up its meeting on Wednesday, it’s expected to announce another interest rate hike to tame inflation. Central bank officials have signaled that they’ll boost rates by 75 basis points, the same as last month’s increase. That was the biggest rate hike in almost three decades.
Earnings: More than a third of S&P 500 companies will report this week, including tech behemoths Microsoft, Apple, Meta, Amazon, and Alphabet.
Economic growth: Q2 GDP will be released on Thursday, and it could show that the US economy shrunk for two straight quarters.
Finally, former Treasury Secretary Lawrence Summers said Federal Reserve [FMOC] officials need to stay the course to quell inflation that’s proving persistent at a four-decade high. “We do need strong action from our central bank,” he said on CNN’s “Fareed Zakaria GPS”. While Summers said he’s “encouraged” by the Fed’s commitment to bring down inflation, he cast doubt on the likelihood of a soft landing for the US economy, saying it’s “very unlikely.”
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Filed under: Accounting, Alerts Sign-Up, Glossary Terms, Investing | Tagged: Larry Summers, This Week on Wall Street, Wall Street | Leave a comment »
By Staff Reporters
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The World Health Organization declared the outbreak of monkeypox to be a public health emergency of international concern. “The global monkeypox outbreak represents a public health emergency of international concern,” WHO Director-General Dr. Tedros Adhanom Ghebreyesus said during a briefing in Geneva. At the virtual press conference, Ghebreyesus also said that the outbreak has spread around the world “rapidly” and that officials understand “too little” about the disease.
And, the U.S. Dollar had an incredible run throughout 2022, appreciating against most major currencies as the world’s central banks continue to combat rising inflation. This year alone, the dollar is up 15% against the Japanese yen, 10% against the British pound, and 5% compared to China’s Renminbi. The Wall Street Journal’s Dollar Index, which measures the dollar against 16 other major currencies, has also had its best first half performance since 2010 this year, rising more than 10% year-to-date. And for the lucky Americans who could find cheap airfare to Europe (and made it through with all their luggage), the dollar even reached equal standing with the euro for the first time in two decades earlier this month.
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By Staff Reporters
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The stock markets fell after new data showing U.S. manufacturing activity stalled and the service sector’s pandemic recovery has gone into reverse as a result of high inflation and mounting interest rate hikes, feeding concerns that the Federal Reserve’s efforts to cool decades-high price increases may force the economy into a recession. The Dow Jones Industrial Average fell 138 points, or 0.4%, to close at 31,899, while the S&P 500 fell 0.9% and the tech-heavy NASDAQ 1.9%; for the week, the indexes ended up 2%, 2.5% and 3%, respectively.
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US social-media companies also saw more than $130 billion wiped off their stock-market values after disappointing revenue from Snap Inc. and a lackluster report from Twitter Inc. raised new concerns about the outlook for online advertising. The Snapchat parent plummeted 39%, sinking to its lowest level since March 2020. Meanwhile, Facebook parent Meta Platforms Inc. fell 7.6%, Pinterest Inc dropped more than 13%, and Google owner Alphabet Inc. declined 5.6% in its biggest one-day drop since March 2020. Twitter also reported quarterly results on Friday, though Wall Street remains focused on the company’s legal battle with Tesla CEO Elon Musk, who is attempting to withdraw from a deal to buy the company. The stock rose 0.8% on the day.
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Filed under: Glossary Terms, Investing, LifeStyle | Tagged: DJIA, google, Meta, NASDAQ, Pinterest, S&P, social media, stock markets, Tesla, twitter | Leave a comment »
The Healthcare, IT AND FINANCIAL Sectors
DEFINITION: A private, non-public, company valued at more than a billion dollars.
CITE: https://www.r2library.com/Resource/Title/0826102549
Now, just five months into 2021, there were 199 new companies that reached unicorn status (a private company with a $1+ billion valuation), eclipsing the 163 companies that reached unicorn status in all of 2020, according to Crunchbase data shared with Emerging Tech Brew. And it’s not just a pandemic rebound: That figure is higher than any full-year total over the last nine years.
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After a 2020 full of stagnation and uncertainty, the VC scene is making up for lost time and then some.
“Many of the concerns…that ground deal making to a halt have largely been alleviated in what many investors see as a new normal,” Joshua Chao, venture capital analyst at PitchBook told us. “We’re now seeing VCs invest in companies outside of their immediate networks and it’s just full steam ahead on deal making and fundraising.”
Deena Shakir, partner at Lux Capital, said VCs are branching out of their traditional comfort zones to chase opportunities, leading to stiff competition and unprecedented valuations.
Why so exuberant? Blame the same Big Acceleration society underwent since Covid hit: the shift to digital. Tami Hutchinson, VP at Intel Capital, told us the pandemic-fueled digital transformation has now become “a critical must-have for all enterprises,” creating opportunities for startups to serve that need.
Health Care: Health care, financial services, and privacy and security are the most popular sectors for new $1+ billion companies, per Crunchbase. Shakir echoed that idea, saying Lux is most excited by deals at the intersections of “clinical data and AI, hardware and software, care delivery and clinical insights, [and] physical and digital security.”
More proof…
Looking ahead…VCs say it’s a safe bet to assume that more billion-dollar companies are on the horizon this year.
“For entrepreneurs, this is possibly one of the most founder-friendly periods we’ve seen in several years—all-time highs for valuations across the board coupled with all-time lows for deals,” Chao said.
ASSESSMENT: Your thoughts and comments are appreciated.
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Filed under: Financial Planning, Glossary Terms, Health Economics, Healthcare Finance, Investing | Tagged: Crunchbase, Deena Shakir, Lux capital, Pitchbook, Robinhood, Tami Hutchinson, Unicorns, Webull | 1 Comment »
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By Health Capital Consultants, LLC
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Biden Administration to Overhaul Vertical Merger Guidelines
The U.S. healthcare industry has seen a rise in vertical integration transactions since the passage of the ACA, especially among physician groups integrating with health systems or insurers, as providers seek to fill gaps in their continuum of care. In response to these trends and resulting market imbalances, the Biden Administration is aggressively pursuing antitrust enforcement by updating and revising U.S. antitrust law guidance.
This Health Capital Topics article will discuss the vertical integration movement and the proposed changes to antitrust laws that may affect the future of healthcare. (Read more…)
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A great many physician practices already do not accept Medicare. A recent article in Healthcare News indicates that the trend will only continue.
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By Staff Reporters
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• Cancer makes up nearly 15% of all healthcare spending with employers in the study paying $533 million for nearly 103,000 cancer claims.
• Musculoskeletal conditions (including joint wear, knee injuries, hip pain, etc.) makes up 13% of healthcare spending with employers spending $477 million for 317,000 musculoskeletal claims.
• Cardiovascular conditions (including heart rhythm issues, stroke, heart attack, and heart failure) makes up 9% of healthcare spending with employers paying $357 million towards 169,000 claims.
• Gastrointestinal conditions (including colitis, irritable bowel system, celiac disease, etc.) makes up 7% of healthcare spending with employers paying $284 million for 136,000 claims.
• Neurological conditions (including Parkinson’s disease, migraines, epilepsy, etc.) makes up 6% of total health care spending with employers paying $225 million for 240,000 claims.
Source: HAC and UHC via ACDIS, April 14, 2022
CITE: https://www.r2library.com/Resource/Title/082610254
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
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From Morning Brew
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Information Technology: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5
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KNOW THE THE DIFFERENCE
By Staff Reporters
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As doctors, nurses and medical professionals try to get an idea of what their home is worth, please go into the process with the knowledge that the concept of “value” can carry a different definition depending on who’s assigning it.
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For example:
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MORTGAGES: https://medicalexecutivepost.com/2022/01/23/manual-mortgage-underwriting-what-is-it-really/
RENT v. BUY: https://medicalexecutivepost.com/2017/03/14/the-apartment-rent-vs-home-buy-decision/
MORTGAGE CALCULATOR: https://www.msn.com/en-us/money/personalfinance/use-this-calculator-to-find-out-how-much-house-you-really-can-afford/ar-AATkoSK?li=BBnb7Kz
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Filed under: Alternative Investments, Funding Basics, Glossary Terms, LifeStyle | Tagged: appraised value, assessed value, fair market value, FMV, home mortgages, home value | 1 Comment »
By AMA and MCOL
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A recent JAMA survey asked “Overall, in the next 5 years, do you think AI will make health care in the United States?” The survey results were as follows:
• Much better: 10.9%
• Somewhat better: 44.5%
• Minimal change: 19.3%
• Somewhat worse: 4.3%
• Much worse: 1.9%
• Don’t know: 19%
Source: JAMA Network, May 4, 2022
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By Eric Bricker MD
A Mercer Employer Survey
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BY DR. DAVID E. MARCINKO MBA CMP®
SPONSOR: http://www.CertifiedMedicalPlanner.org
REFERENCES
https://mises.org/library/mayo-clinic-and-free-market
http://www.kevinmd.com/blog/2017/08/problem-free-market-health-care.html
http://www.healthsharetv.com/content/dr-zeke-emanuel-history-healthcare-reform-us
https://www.pointnurse.com/blog/do-you-have-a-healthcare-blockchain-strategy/
Not Really Insurance: The Pre-Existing Condition Debate
Learn More about Concierge Medicine
http://www.kevinmd.com/blog/2017/04/health-care-right-privilege-cant-answer.html
http://www.healthissocial.com/
https://www.pointnurse.com/blog/do-you-have-a-healthcare-blockchain-strategy/
http://www.kevinmd.com/blog/2017/06/golden-era-medicine-never-coming-back.html
http://mdwhistleblower.blogspot.com/2016/02/concierge-medicine-is-it-ethical-or.html
https://studymatescom.wordpress.com/
Is Healthcare a Right? A Privilege? Something Entirely Different?
http://www.kevinmd.com/blog/2017/07/moral-assassination-physicians-must-stop.html
http://www.kevinmd.com/blog/2017/01/emphasize-public-health-medical-education.html
Hobson’s Wrong Answer
Is Health Privacy a Human Right?
http://www.kevinmd.com/blog/2016/12/must-temper-unregulated-free-market-philosophy-health-care.html
http://www.kevinmd.com/blog/2017/06/slow-death-private-practices.html
A Primer For Conservatives: Health Insurance is not Really Insurance
http://www.kevinmd.com/blog/2017/06/doctors-pr-problem.html
http://www.kevinmd.com/blog/2017/06/doctors-cops-can-fight-mistrust-way.html
http://www.sheknows.com/health-and-wellness/articles/1030383/crowdsourcing-health-care
DIY Textbooks: https://medicalexecutivepost.com/2021/04/29/why-are-certified-medical-planner-textbooks-so-darn-popular/
INVITE DR. MARCINKO: https://medicalexecutivepost.com/dr-david-marcinkos-
CONTACT: Ann Miller RN MH
[Executive Director]
MarcinkoAdvisors@msn.com
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By Staff Reporters
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Mark Cuban, the billionaire entrepreneur, has been facing a torrent of criticism for several days linked to a partnership forged with a crypto firm. Indeed, Cuban, an evangelist of the crypto industry in which he has invested, signed an agreement linking his NBA team, the Dallas Mavericks, to the crypto lender Voyager Digital last October. The contract, signed on October 28, is for five years and has a mission to promote cryptocurrencies by making coins more accessible through educational and digital programs.
Beleaguered crypto lender Celsius Network operated as a classic “Ponzi scheme,” the former head of the company’s key investment strategy alleged in a lawsuit, claiming the company used customer deposits to cover huge liabilities caused by reckless mismanagement.
The closely watched criminal trial of three former JPMorgan Chase & Co employees just commenced, with a prosecutor saying they “ripped off” the precious metals futures market with fake orders and defense attorneys saying the orders were genuine. The bank’s former global precious metals desk head Michael Nowak, precious metals trader Gregg Smith and salesperson Jeffrey Ruffo are charged with racketeering and conspiracy in the U.S. Justice Department’s most aggressive case to date targeting the manipulative trading tactic known as spoofing.
Finally, job payrolls grew by 372,000 in June, according to the Labor Department, easing fears over a potential recession while clearing the way for another round of interest rate hikes by the Federal Reserve later this month and beyond.
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Versus Di-Versification
BUSINESS MANAGEMENT: The term “diworsification” was coined by legendary investor Peter Lynch in his book, One up on Wall Street, to describe the over-expansion of a company into new growth projects and businesses they do not fully understand and which do not align with the company’s core competencies.
PORTFOLIO MANAGEMENT: The term diworsification has since grown to also refer to over-diversifying an investment portfolio in such a way that it reduces the overall risk-return characteristics.
ORDER CITATION: https://www.r2library.com/Resource/Title/0826102549
INVESTOPEDIA: https://www.investopedia.com/terms/d/diworsification.asp
MORE: https://medicalexecutivepost.com/2014/11/12/the-negative-short-term-implications-of-diversification/
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Filed under: Book Reviews, Glossary Terms, Investing | Tagged: asset allocation, diversification, Diworsification, Peter Lynch | Leave a comment »
By Staff Reporters
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According to research from the International Monetary Fund, e-commerce went from taking up 10.3% of total global spending in 2019 to 14.9% at the height of the pandemic in 2020 before falling again to 12.2% in 2021.
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Respondents to Schwab’s 2021 Modern Wealth Survey said a net worth of $1.9 million qualifies a person as wealthy. Indeed, the annual Schwab survey found that respondents are lowering the bar for what they consider wealthy. Compared to 2021 standards, respondents to the 2020 survey described the threshold for wealth as being a net worth of $2.6 million.
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Filed under: Glossary Terms, Investing, LifeStyle | Tagged: defining wealthy, e-commerce, IMF, wealth definition | Leave a comment »
By AMA / MCOL
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• More than 80% said patients have better access to care since using telehealth.
• 62% believe patients have higher satisfaction since offering telehealth.
• 60% agreed telehealth enabled them to provide high-quality care.
• 56% are motivated to increase telehealth use in their practices.
• 44% indicated that telehealth decreased the costs of care.
Source: AMA, April 1, 2022
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Filed under: Career Development, Glossary Terms, Health Economics, Health Insurance, Information Technology | Tagged: AMA, MCOL, Tele-Health, tele-medicine | Leave a comment »
By Staff Reporters
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The Euro lost 10% versus the dollar this year and at $1.0238 EUR=EBS is close to the psychologically crucial parity point it last saw in mid-2002. It also hit new seven-year lows versus the Swiss franc and dropped against the sterling and the yen, but few observers are willing to call a bottom yet. Nomura’s analysts cut their euro/dollar target to $0.95 and said parity could be breached as soon as August. Citibank says a move to parity is “inevitable.” However, Nomura said that $0.95 was not that important historically, noting that the euro fell from $1.17 after its creation to $0.82 in October 2002. Extrapolating backwards using its legacy currencies, the euro traded as weak as $0.6444 in February 1985.
On the New York Mercantile Exchange, benchmark U.S. crude oil for August delivery fell $8.93 to $99.50 a barrel, its first dip below $100 since May 11th. Brent crude for September delivery fell $10.73 to $102.70 a barrel.
Finally, the Dow dropped 129.44 points, or 0.4%, to finish at 30,967.82; it had been down more than 700 points at its lows earlier in the session. The S&P 500 gained 6.06 points, or 0.2%, closing at 3,831.39. And, the NASDAQ Composite advanced 194.39 points, or 1.8%, to finish at 11,322.24.
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Filed under: Experts Invited, Glossary Terms, Investing | Tagged: crude oil, DJIA, dollar, Dollar-Euro Parity?, euro, NASDAQ, Nomura, oil, S&P | Leave a comment »
By Julie Appleby KHN
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Filed under: Accounting, Breaking News, Ethics, Experts Invited, Glossary Terms, Health Insurance | Tagged: Health Insurance, How Much Health Insurers Pay for Almost Everything Is About to Go Public, Julie Appleby, KHN | Leave a comment »
By Dr. David Edward Marcinko MBA CMP™
COURTESY: http://www.CertifiedMedicalPlanner.org
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FOREWORD
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ORDER: https://www.r2library.com/Resource/Title/0826102549
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Filed under: Book Reviews, CMP Program, Glossary Terms, Health Economics, Healthcare Finance, iMBA, Inc., Sponsors, Touring with Marcinko | Tagged: Dictionary of Health Economics and Finance, Health Economics, health finance, healthcare economics, Healthcare Finance | Leave a comment »
By Staff Reporters
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EasyJet’s chief operating officer Peter Bellew has resigned after a period where the airline has come under pressure to reduce flight disruption.
Wirecard’s former head of accounting has admitted forging documents, after coming under pressure to provide evidence of transactions during a special audit by KPMG.
Bank of America [BAC] lost 30% in the first half of 2022, which is more than the S&P 500’s decline of 20.3% and other major banks like JPMorgan’s [JPM] 28.9% and Citigroup’s [C] 23.8%.
The rapid climb in mortgage rates finally paused but elevated borrowing costs continue to stifle price-rattled home buyers. Rates for the popular 30-year fixed home loan slid to 5.70% last week, down from 5.81% the week prior, according to Freddie Mac. Still, rates have climbed 72 basis points within a three-week period and are nearly 2.5 percentage points higher than at the start of the year.
Domestic Stocks could have more room to fall, even after the recent sell-off, according to Goldman Sachs. For now, equities are only pricing in a mild recession as valuations drop amid rising rates and a more hawkish Fed. “Profit margins across markets are still elevated and some normalization would result in negative earnings revisions.”
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Filed under: Alerts Sign-Up, Glossary Terms, Investing | Tagged: banks, domestic stocks, EasyJet, home prices, mortgage rates, Wirecard | Leave a comment »
By Phil Taylor
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US digital health company investment financing experienced a dip in Q1 of 2022, dropping to $6 billion from the $6.7 billion invested in Q1 2021. In addition, the average size of each investment deal dropped from $46 million last year to just shy of $33 million. These declines come after a boom in investments in recent years. The Rock Health Digital health securities index also reflected this year’s trend, including special purpose acquisition company (SPAC) listings.
According to Phil Taylor of PharmaPhorum, “SPACs have been a popular route to public listing for digital health as well as many other sectors, but the deals have underperformed, with steep declines in share prices after they closed that has “exerted downwards pressure” on the Rock Health Digital Health Index (RHDHI).”
Read more by clicking here
SPACs: https://medicalexecutivepost.com/2021/11/12/spac-popularity-soaring-in-healthcare/
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Filed under: "Doctors Only", Career Development, Experts Invited, Glossary Terms, Health Economics, Healthcare Finance, Information Technology | Tagged: Digital Health, digital health finance, digital health financing, Digital Health Financing Boom Chills, health information technolgy, HIT, IT, PharmaPhorum, Phil Taylor, Rock Health Digital Health Index | Leave a comment »
By Staff Reporters
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The market is made up of thousands of stocks. And on any given day, investors are actively buying and selling them. This measure looks at the amount, or volume, of shares on the NYSE that are rising compared to the number of shares that are falling.
Link: https://medicalexecutivepost.com/2022/05/01/what-up-vix/
A low (or even negative) number is a bearish sign. The Fear & Greed Index uses decreasing trading volume as a signal for Fear.
CITE: https://www.r2library.com/Resource/Title/0826102549
The formula: Breadth Line Value= (No. of Advance Stocks – No of Decline Stocks) + Breadth Line Value of the Previous day. When the number of advance stocks exceeds the number of the decline stocks then the breadth line will rise and vice versa.
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Filed under: Accounting, Glossary Terms, Health Economics, Investing | Tagged: breadth line value, fear greed index, fear index, market breadth, stock market breadth, stock price breadth | Leave a comment »
By Eric Bricker MD
By Laurence Baker MD
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Filed under: "Doctors Only", Experts Invited, Glossary Terms, Health Economics, Health Insurance, Information Technology, Interviews, Op-Editorials, Videos | Tagged: 36 Blue Cross / Blue Shield Organizations Explained, Blue Cross, Blue Shield, Eric Bricker MD, HIT, IT, Khan Academy | Leave a comment »
By Staff Reporters
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Under a law passed by Congress last November, cryptocurrency firms are supposed to begin recording their clients’ detailed transaction data in 2023, with reports sent to the IRS and to investors the following year. From the beginning, industry executives have pushed back, complaining that the legislation was drafted too broadly. Now, the Treasury Department and the Internal Revenue Service are likely to push off a January date for the firms to begin tracking data such as customers’ capital gains and losses, according to anonymous insiders. The move would mean the tax agency waits longer to get the kind of data it gets for stocks or bonds.
| Bitcoin: $20,289.61 |
Markets: After another boring trading session, stocks wait to complete the first half of 2022—which will come at 4pm ET today. And, the carnage from Bed Bath & Beyond is a result of the company reporting a big sales decline from the previous year and showing CEO Mark Tritton the door.
Economy: Fed Chair Jerome Powell and two other central bank chiefs spoke about their inflation-combating efforts at a conference in Portugal. All three acknowledged that recent economic shocks (COVID, the war in Ukraine) have upended how inflation was understood for decades. “I think we now understand better how little we understand on inflation,” Powell said.
10 Year: 3.096%
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Filed under: Alerts Sign-Up, Glossary Terms, Health Economics, Investing, LifeStyle | Tagged: covid, crypro, Crypto IRS, cryptocurrency, economy, inflation, IRS, IRS Crypto, Jerome Powell, markets, midyear, the Markets and the Inflation Economy, Ukraine | Leave a comment »
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By Darrell Pruitt DDS
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“How Is The Market Feeling About Cigna?” Spoiler – According to Benzinga insights, the market is not optimistic about Cigna’s future. Neither am I. But then, I’m only their clients’ dentist.
Link: https://www.benzinga.com/short-sellers/22/06/27888029/how-is-the-market-feeling-about-cigna
Tomorrow is my last day as a Cigna Preferred Provider .. Never Again!
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Filed under: Career Development, Glossary Terms, Health Economics, Insurance Matters, Managed Care, Op-Editorials, Pruitt's Platform | Tagged: Cigna, Darrell Pruitt, DDS, dentists, TeamCigna Should Treat their Dentists Better! | Leave a comment »
By Eric Bricker MD
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Filed under: "Doctors Only", Career Development, Experts Invited, Glossary Terms, Health Economics, Information Technology, Videos | Tagged: EHRs, EMRs, Eric Bricker MD, Healthcare IT Interoperability Rankings | Leave a comment »
By Staff Writers
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Venture capitalists who are in a rut should stop talking about how hard it is to raise a $100 million fund. Instead, raise a $5 million fund.
Rather, they should stop trying to invest $5 million at a time (with an 18-month window before going public). A better strategy is to start doing smaller investments with longer time horizons.
CITE: https://www.r2library.com/Resource/Title/082610254
Just like chili, low and slow is the way to maximum flavor.
READ: https://tinyurl.com/2ewwvz2c
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Filed under: Glossary Terms, iMBA, Inc., Op-Editorials, Practice Management, Research & Development | Tagged: ENTREPRENEURIAL MANAGEMENT EFFICIENCY: “Slowly I Turned … Step by Step … Inch by Inch", Inch by Inch, management efficiency, Slowly I Turned, Step by Step, venture capitalists | Leave a comment »
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By Nate Raymond
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(Reuters) – The U.S. Supreme Court just made it harder for prosecutors to win convictions of doctors accused of running “pill mills” and excessively prescribing opioids and other addictive drugs by requiring the government to prove that defendants knew their prescriptions had no legitimate medical purpose.
READ FULL STORY: https://www.msn.com/en-us/news/us/u-s-supreme-court-sides-with-doctors-challenging-opioid-convictions/ar-AAYUg31?cvid=c26cb4159770466e984575227031e724
Related: https://medicalexecutivepost.com/2012/02/26/medical-uses-of-abused-drugs/
FAKE Rx: https://medicalexecutivepost.com/2022/05/10/fake-prescription-drug-rx-example/
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Filed under: Breaking News, Drugs and Pharma, Ethics, Glossary Terms | Tagged: Nate Raymond, opioid, Opioid Crisis, pill mills, Reuters, Supreme Court, U.S. Supreme Court Sides with Doctors Challenging Opioid Convictions | Leave a comment »
By Staff Reporters and MCOL
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• 48% of hospitals don’t have a strong digital health strategy.
• 90% believe a strong digital health strategy is critical to improving outcomes, increasing productivity, and enhancing clinician satisfaction.
• 55% receive more than 11 vendor calls and emails from digital health solution vendors per week.
• 95% say it’s challenging to narrow down the list of digital health solutions to evaluate.
• 25% are “very confident” that, after selecting a new digital health solution, it’s truly the best one for their unique needs.
Source: Panda Health, April 2022
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Filed under: Glossary Terms, Information Technology | Tagged: Dictionary of Health Information Technology and Security, digital health strategy, digital health tech, health information technology, HIT, IT, MCOL, Panda Health | Leave a comment »
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Dr. Bertalan Meskó, MD PhD
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The Medical Futurist
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By Staff Reporters
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CITE: https://www.r2library.com/Resource/Title/0826102549
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By Staff Reporters
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Bitcoin’s energy hunger, which has alarmed environmentalists and consumer advocates concerned about pollution and utility prices, comes from the process of mining new tokens. Bitcoin miners earn new tokens by validating transactions through an inherently energy-inefficient process, using specialized machines to solve complex puzzles. All that computing by all those machines has led to an energy appetite rivaling that of entire nations. Bitcoin’s annualized energy consumption has fallen from about 204 terawatt-hours (TWh) per year on June 11th to around 132 TWh per year on June 23rd. But even though its electricity use has plunged, it’s still very high — roughly equivalent to the amount of electricity Argentina uses in a single year.
Editor’s Note: Incidentally, colleague Mike Burry MD, the Scion Asset Management boss has also compared the crypto boom to the dot-com and housing bubbles, and cautioned that retail buyers of meme stocks and crypto are barreling towards the “mother of all crashes.” – DE Marcinko
Markets: Finally, and according to preliminary data, the S&P 500 gained 116.98 points, or 3.08%, to end at 3,912.71 points, while the NASDAQ Composite gained 380.21 points, or 3.38%, to 11,612.40. The Dow Jones Industrial Average rose 839.93 points, or 2.70%, to 31,505.59.
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Filed under: Alerts Sign-Up, Glossary Terms, Investing, LifeStyle | Tagged: bitcoin electricity, bitcoin's energy, crypto, crypto energy, DJIA, Dow Jones Industrial Average, markets, Mike Burry MD, NASDAQ, S&P | Leave a comment »
BY ANONYMOUS
SPONSOR: http://www.CertifiedMedicalPlanner.org
The most basic form of scambaiting sets out to waste a scammer’s time. At a minimum, scambaiters attempt to make scammers answer countless questions or perform pointless and random tasks. By keeping a scammer busy, scambaiters claim they’re preventing the scammer from defrauding a real victim.
Scambaiting may also be conducted with a specific purpose in mind. Sometimes scambaiters attempt to obtain an offender’s bank account information, for instance, which they then report to a financial institution. But there are other, less benevolent motives in the scambaiting community.
Thousands of scambaiters are organised on the 419eater forum, which describes itself as the “largest scambaiting community on earth”, with over 1.7 million forum threads. The forum was first established in 2003 to tackle the growing issue of 419 emails – a scam that promises people huge sums of cash in return for a small upfront fee.
419eater provides a particularly interesting case study because members are incentivised and rewarded for their scambaits through a unique system of icons, regarded as trophies, that they can obtain in their profile’s signature lines.
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Healthcare: https://www.scamwatch.gov.au/types-of-scams/buying-or-selling/health-medical-products
Medical Insurance: https://www.reddit.com/r/scambait/comments/jsgffx/just_got_a_scam_call_to_sign_me_up_for_bogus/
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Filed under: Breaking News, Career Development, CMP Program, Ethics, Glossary Terms, Information Technology, LifeStyle, mental health, Op-Editorials | Tagged: 419eater forum, behind scenes scam-baiting, Certified Medical Planner™, CMP, internet fraud, phone fraud, scam baiting, scambaiting | Leave a comment »
By Staff Reporters
A few big stocks can skew returns for the market. It’s important to also know how many stocks are doing well versus those that are struggling. This shows the number of stocks on the NYSE at 52-week highs compared to those at 52-week lows.
When there are many more highs than lows, that’s a bullish sign and signals Greed.
CITE: https://www.r2library.com/Resource/Title/0826102549
Now; Relative Price Strength (RPS) compares the price trend of a stock to the market.
An RPS > 1 indicates that the stock outperformed the market, an RPS < 1 indicates that the stock underperformed the market, and an RPS = 1 indicates that the stock performed on par with the market.
RPS can be misleading as it uses historical data and does not take into account risk.
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A “Need-to-Know” Glossary for all Medical Professionals
http://www.HealthDictionarySeries.org
[ME-P Staff Writers]
ADV: A two-part form filed by investment advisors who register with the Securities and Exchange Commission (SEC), as required under the Investment Advisers Act. ADV Part II information must be provided to potential investors and made available to current investors.
Alpha: A measure of the amount of a portfolio’s expected return that is not related to the portfolio’s sensitivity to market volatility. A benchmark that uses beta as a measure of risk, a benchmark and a risk free rate of return (usually T-bills) to compare actual performance with expected performance.
For example, a fund with a beta of .80 in a market that rises 10% is expected to rise 8%.
If the risk-free return is 3%, the alpha would be –.6%, calculated as follows: (Fund return – Risk-free return) – (Beta x Excess return) = Alpha (8% – 3%) – [.8 × (10% – 3%)] = (–) .6%
Note: A positive alpha indicates out-performance while a negative alpha means underperformance.
Asset allocation: Strategic asset allocation refers to the long-term targets for allocation of a percentage of a portfolio among different asset classes. In contrast, tactical asset allocation refers to short-term targets.
Average maturity: The average weighted maturity of the bonds in a portfolio providing an indication of interest rate risk.
Benchmark: An index, managed portfolio, or fund used to compare performance characteristics with the targeted portfolio or fund.
Beta: A statistically computed measure of the portfolio’s relationship to changes in market value. If, compared to the S&P 500, a fund has a beta of .80; it is expected to underperform a rising market by 20% and outperform a falling market by 20%.
Bond: Publicly traded debt instruments that are issued by governments and corporations. The issuer agrees to pay a fixed amount of interest over a specified time period and to repay the principal at maturity.
Closed-end mutual fund: An investment company that registers shares in accordance with SEC regulations and is traded in securities markets at prices determined by investments.
Diversification: Buying a number of different investment vehicles to protect against default of a single vehicle, thereby reducing the risk of the portfolio.
Duration: A more technical calculation of interest rate risk exposure that uses the present value of expected cash flows to be returned to the bond holder over the term of the bond.
Fundamental analysis: An analysis of a company’s stock that focuses on the economic environment, the industry the company is in, and the company’s financial situation and operating results.
Mutual fund: A regulated investment company that manages a portfolio of securities for its shareholders.
Net asset value (NAV): The value of fund assets fewer liabilities divided by outstanding shares.
Open-end mutual fund: An investment company that invests money in accordance with specific objectives on behalf of investors. Fund assets expand or contract based on investment performance, new investments and redemptions.
Portfolio manager: The person(s) who is/are responsible for managing the portfolio in accordance with the objectives dictated by an investor or a fund’s prospectus.
Prospectus: A disclosure document filed with the SEC and made available to prospective and current investors. The prospectus covers sales charges, expenses, investment objectives and restrictions, management fees, financial highlights, and other information.
R-squared (R2): Relationship of a fund or portfolio’s performance to a benchmark index.
For example, a fund R-squared of .5 means only 50% of its return is explained by the index. Other factors are responsible for the balance of performance.
SEC yield: A standardized calculation of yield over a 30-day period, sometimes quoted as the “30-day yield.” It takes into account yield-to-maturity rather than current dividends.
Standard deviation: A statistic that looks at a series of returns and expresses the average deviation from the mean return.
Statement of additional information: A disclosure document filed with the SEC that supplements the prospectus. It is made available to investors upon request.
Technical analysis: An analysis that focuses on trends in financial markets generally.
For example, a technical analyst may view an entire industry’s group of stocks to be declining. Although the analyst may be correct about the group of stocks as a whole, there may be exceptions represented by specific, individual companies.
Total return: The combination of investment return from income, such as dividends and interest, and appreciation or depreciation in the value of the investment (Income returns plus capital return.)
Turnover: Under SEC rules, a figure computed that indicates how often securities in the portfolio are bought and sold. For example, if turnover is 100% over a one-year period, the securities (on average) were replaced once.
12b-1 fee: The maximum annual fee payable from fund assets for distribution and sales costs as allowed by the SEC.
MORE: Glossary Terms Ap 3
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By Staff Reporters
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• Primary care physicians: 75%
• Specialty care physicians: 66%
• Pharmacies: 59%
• Hospitals and clinics: 58%
• Health insurance company: 51%
• Government: 24%
Source: Health Sparq, “2022 Annual Consumer Sentiment Benchmark Report,” January 2022
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REALLY?
By Dr. David Edward Marcinko MBA
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The business cycle is also known as the economic cycle and reflects the expansion or contraction in economic activity. Understanding the business cycle and the indicators used to determine its phases may influence investment or economic business decisions and financial or medical planning expectations.
Although often depicted as the regular rising and falling of an episodic curve, the business cycle is very irregular in terms of amplitude and duration. Moreover, many elements move together during the cycle and individual elements seldom carry enough momentum to cause the cycle to move.
However, elements may have a domino effect on one another, and this is ultimately drives the cycle, too. We can also have a large positive cycle, coincident with a smaller but still negative cycle, as may be seen in the current healthcare climate of today.
Scenario: A depressed GNP leads to declining industrial production and capacity utilization. Decreased workloads result in improved labor productivity and reduced labor (unit) costs until actual producer (wholesale) prices decline.
Scenario: CPI declines (due to reduced wholesale prices) and consumer real income rises, improving consumer sentiment and actual demand for consumer goods.
Scenario: GNP raises leading to increased industrial production and capacity utilization. But, labor productivity declines and unit labor costs and producer (wholesale) prices rise.
Scenario: CPI rises making consumer real income and sentiment erode until consumer demand, and ultimately purchases, shrink dramatically. Recessions may occur and economists have an alphabet used to describe them.
For example, with a “V” graph shape, the drop and recovery is quick. For a “U” shaped graph, the economy moves up more sluggishly from the bottom. A “W” is what you would expect: repeated recoveries and declines. An “L” shaped recession describes a prolonged dry economic spell or even depression.
And now, the REAL Cycle?
MORE: https://etonomics.com/2021/11/09/real-business-cycle-theory/
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By Darrell K. Pruitt DDS
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Some say e-prescriptions are a swell idea for dentists!
“Over 70% of organizations suffered two or more ransomware attacks in the past 12 months – According to the data presented by the Atlas VPN team based on a Veeam 2022 Ransomware Trends Report, 73% of organizations suffered two or more ransomware attacks in the past 12 months. The majority — 44% of ransomware infections entered through phishing emails, links, and websites. In total, 35% of organizations experienced two ransomware attacks, nearly a quarter (24%) endured three, close to a fifth (9%) of companies had four, and 4% went through five. Meanwhile, 1% of organizations suffered six or more ransomware attacks in the past 12 months. The remaining 27% of organizations faced only one ransomware attack.” By Acrofan, June 15, 2022.
https://us.acrofan.com/detail.php?number=679260
“Why Ransomware Extortion is a Threat – In a typical ransomware extortion scheme, files are not only encrypted, but are also copied and exfiltrated from the network. Then, when the time comes to demand payment, hackers also say that if the business doesn’t meet their ransom demands within a given timeframe, they will publish the stolen files, or undertake some other activity to harm the business, such as a DDoS attack. This is known as double, or even triple extortion, with threats to release confidential information to the public, disrupt internet access or inform customers, shareholders or other partners about the incident unless they pay the ransom. It puts more pressure on businesses to make a quick decision, boosts the odds of criminals getting a big payout and increases the number of risks firms are exposed to, so this type of ransomware is something every firm should be concerned about.” By Brenda Robb for Security Boulevard on June 15, 2022.
https://securityboulevard.com/2022/06/why-ransomware-extortion-is-a-threat/
It is also worth noting that if a dentist suffers a ransomware attack, HIPAA demands that all affected patients be notified that their identities might have been breached and might show up on the internet. If the breach involves 500 or more records, a description of the incident must be reported in the local media. This could easily bankrupt a practice even before the ransom is paid. What’s more, from the increasing numbers of data breaches that are occurring, one can surmise that dentists are not obeying the law … not yet.
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Filed under: "Doctors Only", Career Development, Experts Invited, Glossary Terms, Information Technology, Pruitt's Platform | Tagged: Darrell Pruitt, dental prescriptions, dental RXs, e-Prescriptions, eDRs, electronic prescriptions, EMRs, eRx, eRXs | Leave a comment »
By Eric Bricker MD
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CITE: https://www.r2library.com/Resource/Title/082610254
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Filed under: "Doctors Only", Career Development, Events-Planner, Glossary Terms, Health Economics, Health Insurance, Quality Initiatives, Research & Development, Videos | Tagged: Employee Health Plan, Eric Bricker MD, health plan, health plans, PODCAST: Roadmap to a High Performance Employee Health Plan | Leave a comment »
By Staff Reporters
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• 2016: 18M
• 2017: 19M
• 2018: 20M
• 2019: 22M
• 2020: 24M
• 2021: 26M
Source: OIG, “Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care,” April 2022
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Filed under: Ethics, Glossary Terms, Health Economics, Health Insurance, Surveys and Voting | Tagged: Medicare Advantage, Medicare Part C, Medicare Part C Plan Enrollment, Part C | Leave a comment »
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 