BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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The U.S. government is the largest payor of medical costs, through Medicare and Medicaid, and has a strong influence on reimbursement for home healthcare services. In 2020, Medicare and Medicaid accounted for an estimated $829.5 billion and $671.2 billion in healthcare spending, respectively. The outsized prevalence of these public payors in the healthcare marketplace often results in their acting as a price setter, and being used as a benchmark for private reimbursement rates. This effect may be even stronger in the home health industry.
The third installment of this home health valuation series will discuss the reimbursement environment in which these organizations operate. (Read more…)
Posted on April 30, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Staff Reporters
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DEFINITION:
In finance, a stock index, or stock market index, is an index that measures a stock market, or a subset of the stock market, that helps investors compare current stock price levels with past prices to calculate market performance.
The Dow Jones Industrial Average DJIA, -2.77% dropped 939.18 points, or 2.8%, to close at 32,977.21.
The S&P 500 SPX, -3.63% dropped 155.57 points, or 3.6%, to finish at 4,131.93, re-entering correction territory.
The NASDAQ Composite COMP, -4.17% shed 536.89 points, or 4.2%, to end at 12,334.64.
Ironically, on Thursday, the Dow rose 614.46 points, or 1.9%, while the S&P 500 gained 2.5% and the NASDAQ Composite jumped 3.1%. The Dow and S&P 500 marked their best daily percentage climbs since March 9, while the NASDAQ saw its best day since March 16th, according to Dow Jones Market Data.
For the week, the Dow dropped 2.5%, the S&P 500 slumped 3.3% and the tech-laden NASDAQ lost 3.9%. In April, the Dow fell 4.9%, the S&P 500 tumbled 8.8% and the NASDAQ plunged 13.3%.
SCM: Supply chain bottlenecks are still stinging corporate giants. With China locking down cities at the first trace of Covid, American companies whose products are made in Chinese factories aren’t able to fulfill orders. Apple said Thursday that it would face up to $8 billion in losses due to restrictions in Shanghai.
• 56% of the U.S. adult population report no recent occurrences of being unable to afford care or prescribed medicine. • 36% of the U.S. adult population report recent occurrences of being unable to pay for care or medicine or lack easy access. • 8% of the U.S. adult population report recent occurrences of being unable to pay for household care, being unable to pay for prescribed medicine and feeling that they would not have access to affordable quality care if needed today.
Posted on April 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Staff Reporters
The Big Tech earnings boom is officially over, but some of the world’s most powerful and valuable companies are breaking off from the pack.
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According to MarketWatch, profit increases are no longer a given for Big Tech. Collectively, Alphabet Inc. GOOGL, +3.70%GOOG, +3.82%, Amazon.com Inc. AMZN, +4.65%, Apple Inc. AAPL, +4.52%, Meta Platforms Inc. FB, +17.59% and Microsoft Corp. MSFT, +2.26% saw profit fall more than 17% year-over-year in the first quarter in earnings reports delivered this week, as they lapped the end of a pandemic boom that brought record results. But only three of the five actually saw earnings decrease individually, as Amazon’s surprising loss swayed the collective results.
But, it wasn’t good for the company Teladoc, which is one of investor Cathie Wood’s biggest holdings. Teladoc plunged 40% on a gloomy forecast. The pandemic winner is now down nearly 90% from its high in February 2021.
Posted on April 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Medicare Advantage Organizations (MAOs) delayed or denied payments and services to patients, even when these requests met Medicare coverage rules, according to a report released by federal investigators on Thursday.
Posted on April 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Eric Bricker MD
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According to One Survey, only 4% of People Understand the Basic Insurance Terms of Deductible, Co-Insurance, Copay and Out-of-Pocket Maximum.
In Another Survey by United Healthcare Itself, Only 9% Understood the Terms Premium, Deductible, Co-Insurance and Out-of-Pocket Max.
This Lack of Understanding is Not the Fault of the Employee Benefits Professionals or the Employees… Rather, the Health Insurance Plan Designs Are Just Too Complicated.
Posted on April 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The Dow Jones Industrial Average fell 809 points, or 2.4 percent today, as investors sold stock amidst concerns of coming recession.
The Dow faced a significant decline since trading opened. By the market’s close, it had reached one of its lowest closing values in the past year. Similar declines were observed on other market indices – including the S&P 500, which fell by 2.8 percent, and the NASDAQ Composite (comprising technology company stock), which lost 4 percent of its value.
The National Review and most experts ascribed the loss to stocks by big technology companies, whose increases in value have come to represent a sizeable portion of market indices. Alphabet, Apple, Microsoft, and Twitter all declined by several points. Each of these companies was due to present earnings reports after the close of trading, which investors did not expect to bode well.
Alphabet, in particular, announced slower sales growth and a drop in earnings from ad-revenue on Google and its other platforms. Netflix, which reported a decline in subscribers on Friday, had previously experienced a 30 percent decline in its stock price amounting to a loss of $54 billion.
Posted on April 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Staff Reporters
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e-Health: Three Highlights
• $6 per month is the average Medicare Advantage premium for plans selected by eHealth shoppers, up from $5 last year (a majority choose $0-premium plans); $22 per month is the average Part D plan premium, up from $20 last year. • Medicare Advantage enrollees are paying deductibles 4% higher than last year ($121 vs. $116), while Part D plan enrollees have deductibles 7% higher than last year ($427 vs. $400). • The average annual out-of-pocket limit for people selecting Medicare Advantage plans decreased 5% for 2022, from $5,367 to $5,108.
Posted on April 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Dogecoin jumped more than 17% Monday following several reports that Twitter is poised to accept Elon Musk’s $43 billion bid, with the potential for the two parties to finalize a deal as soon as Monday. The meme token DOGEUSD, -3.99% gained 14% over the past 24 hours, trading at around $0.15, according to CoinDesk data. Still, it is down about 80% from its all-time high in May 2021.
Bitcoin BTCUSD, 0.88% was trading 0.02% lower from 24 hours ago to around $39,407. Ether ETHUSD, 0.22% was trading at around $2,928, up 0.1%, according to CoinDesk data.
And, after Musk, chief executive at Tesla TSLA, -0.70%, made a bid on April 14 to buy the remainder of Twitter TWTR, +5.66% stock that he didn’t already own at $54.20 per share without saying how he would pay for it, the social media giant’s board had been expected to reject Musk’s offer, as it adopted a so-called “poison pill” plan. However, the company took a dramatic turn after Musk said last week he lined up $46.5 billion in financing, The Wall Street Journal reported. Deal later done!
According to MarketWatch, Dogecoin supporters are hoping that Musk, the long-time backer for the Shiba Inu-themed token, could boost its usage after he takes over the social media platform.
Posted on April 25, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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After last week’s sharp decline, the S&P is down 5.7% so far in April and is on track for its worst monthly drop since March 2020, when the spreading COVID-19 pandemic blasted stocks.
And, battered U.S. stocks are facing a potentially painful stretch in the weeks ahead as hawkish Federal Reserve policy, rising bond yields, geopolitical uncertainty and the corporate earnings season fuel investor unease. For example:
REPORTINGCOMPANIES:
Monday: Germany business climate; Earnings from PepsiCo and Whirlpool
Tuesday: US consumer confidence; Earnings from 3M, General Electric, JetBlue, UPS, Warner Bros. Discovery, Alphabet, General Motors, Mondelez, Microsoft and Visa
Wednesday: Earnings from Boeing, Harley-Davidson, Kraft Heinz, Spotify, Ford Motor, Mattel, Meta and PayPal
Thursday: Bank of Japan policy decision; US first quarter GDP; Earnings from Caterpillar, Altria, Domino’s Pizza, Mastercard, Twitter, Amazon, Apple, Intel, Roku and Robinhood
Friday: Europe first quarter GDP and inflation data; US personal income and spending data; PCE Price Index; Earnings from ExxonMobil and Chevron
One measure of investor anxiety, the CBOE Volatility Index, known as Wall Street’s fear gauge, on Friday notched its largest one-day gain in about five months to close at a five-week high of 28.21.
The S&P 500 dropped and erased earlier gains. The Dow Jones Industrial Average also turned lower. The NASDAQ fell more than 2% and extended losses when the tech-heavy index was weighed down by a slide in Netflix. Meanwhile, Tesla (TSLA) shares rose after the electric vehicle-maker handily exceeded expectations in its fiscal first-quarter results.
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Treasury bond yields climbed after Federal Reserve Chair Jerome Powell suggested the case for front-loading interest rate hikes with 50 basis-point increases in order to quickly address persistent inflationary pressures. San Francisco Federal Reserve President Mary Daly also suggested in an interview with Yahoo Finance that she would back a larger-than-typical 50 basis point interest rate hike following the Fed’s May meeting given current price pressures.
China: The nation’s securities regulator issued investor guidance for the country’s giant social security fund, just as the benchmark CSI 300 Index was heading toward the lowest level since June 2020.
Posted on April 21, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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DEFINITION: A blank check company is a development stage company that has no specific business plan or purpose or has indicated its business plan is to engage in a merger or acquisition with an unidentified company or companies, other entity, or person.
Posted on April 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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Q: What is the plan for a future with COVID? A: A new 136-page report written by dozens of experts provides a comprehensive roadmap to the next normal both to address the pandemic and protect against future biosecurity threats. The group identified 12 key areas of focus, including long COVID, equity, and vaccines. The report also addressed concerns about how the end of the pandemic will disrupt the U.S. health care system when policies introduced during the public health emergency come to an end.
Posted on April 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
About Four-Twenty Day
[By Anonymous DEA Agent]
Today is … 420, 4:20, or 4/20 (pronounced four-twenty)
And, it refers to consumption of cannabis and, by extension, a way to identify oneself with cannabis subculture. Observances based on the number include the time (4:20 p.m.) as well as the date (April 20).
Again … that’s today as this ME-P was published @ 4:20 p.m., EST!
THE DEA DESTROYS A POT FARM
PHOTOS:
Photo taken after the “grow” was eradicated. There is still no “pot” of gold at the end of the rainbow.
DEA taking one of many seized vehicles/equipment.
The marijuana farm was operating under the name “Brian’s Green Thumb Farm.”
Inside the barn, Agents found rows and rows of drying marijuana.
Over 2,000 pounds of drying marijuana from the barn, bagged and ready for destruction.
Air view of the massive “grow” from the guard tower.
One of two sleeping shelters, each guarding the middle perimeter. In the back, one of four tents, each positioned in the corners for guards.
The plant being ripped out of the ground by the backhoe.
In 2019: Carl’s Jr. was become the first major fast-food chain to debut a cannabis-infused burger.
Conclusion
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OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
Posted on April 19, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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DEFINITION: Direct Medical Specialty Care (DMSC) is an innovative alternative payment model improving access to high functioning healthcare with a simple, flat, affordable membership fee. No fee-for-service payments. No third party billing. The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider. Patients have extraordinary access to a physician of their choice, often for as little as $70 per month, and physicians are accountable first and foremost their patients. DPC is embraced by health policymakers on the left and right and creates happy patients and happy doctors all over the country!
Doug Geinzer, Founder and President of High Performance Providers, specializes in high-cost, steerable surgeries. During the episode, Geinzer and host Chris Habig discuss the direct alignment between the specialty care community and the direct primary care community, as well as Geinzer’s job as a consultant to surgeons.
Posted on April 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Winners: While the broader S&P 500 fell in April, the health care, utilities, consumer staples, and real estate sectors have all gained.
Bonds: The 40-year bull market in bonds could be on its last legs as interest rates continue to rise as higher interest rates often translate into lower stock prices. Now the widely-followed 10-year US Treasury yield is pushing against its 40-year downtrend line that starts with the 1981 peak in interest rates of 15.81%.
Ten Year Treasury bond: 2.843%
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If the 10-year US Treasury yield decisively breaks above its 40-year downtrend, that could be seen as the start of a new uptrend, which would mean a continued rise in interest rates and ongoing pressure on stock prices.
But if the 10-year yield gets firmly rejected at the downward sloping trend line, one could expect a continuation of lower interest rates for longer, which could help boost valuations for risk assets and drive stock prices higher.
Covid-19: Cases are rising in more than half of all states due to the new coronavirus subvariant, but White House Covid-19 advisor Dr. Ashish Jha said Sunday the vaccines are still “holding up” against the virus and the new strain does not cause more severe infection.
Posted on April 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Follow The Money!
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By Jonathan Burroughs MD MBA
For those seeking to better understand the US healthcare system, national healthcare consultant Dr. Jonathan Burroughs suggests playing a game of “follow the money.” He asserts that whenever healthcare appears illogical, following the money will make it all rational and clear. The U.S. spends 2x as much money as the rest of the industrialized world, yet its citizens do not live as long as they do in 36 other nations. Dr. Burroughs gives an overview on how to fix the system.
Dr. Burroughs has worked with over 1,100 hospitals across the country to help healthcare leaders navigate the 21st century. He is a popular national speaker, who speaks to the impact of healthcare reform on hospitals, physicians and patients. Jonathan is a healthcare legal expert, who has participated in over 65 cases across the country. He is the winner of the James A Hamilton Award in 2016 awarded by the American College of Healthcare Executives titled “Redesign the Medical Staff Model”. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx
DEFINITION: A centenarian is a person who has reached the age of 100 years. Because life expectancy worldwide are below 100 years, the term is invariably associated with longevity. In 2012, the United Nations estimated that there were 316,600 living centenarians worldwide.
Sto Lat (One Hundred Years) is a traditional Polish song that is sung to express good wishes, good health and long life to a person. It is also a common way of wishing someone a happy birthday in Polish. Sto lat is used in the Spring, many birthdays and on international days of language.
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What Percentage of the Population Lives to 100?
According to the Social Security Administration, the overall chances of living to 100 aren’t actually that great. And, according to the World Economic Forum, there are over 500,000 centenarians among the 7.9 billion people worldwide. That means that only a 0.006% of the population is 100 or more.
Here are a few additional facts from the most recently available information from the Society of Actuaries and the Social Security Administration:
One out of three males and one out of two females who are in their mid-50s today will live to be 90.
For a couple who is 65 today, there is a 50% chance that one person will be alive at 92.
If you have lived to be 65, you will likely live another 20 years, on average.
If you live to be 75, the average life expectancy is 88.
If you live to be 85, the average life expectancy is 92.
And, if you live to be 95, the average life expectancy is 98.
Posted on April 17, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By staff Reporters
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39% of Providers Conduct Covid-19 Screens Via Telehealth
In a recent survey providers were asked what types of patient care they deliver via telehealth. The survey found:
• Conduct primary care visits (75%) • Conduct chronic care visits (72%) • Order prescription refills (64%) • Conduct COVID-19 screenings (39%) • Conduct urgent care visits (38%) • Address mental health concerns (36%) • Conduct follow-up after a procedure or surgery care (28%)
Posted on April 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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DEFINITION: Physical and psychological reliance on opioids, a substance found in certain prescription pain medications and illegal drugs like heroin.
Opioids are prescribed to treat pain. With prolonged use, pain-relieving effects may lessen and pain can become worse. In addition, the body can develop dependence. Opioid dependence causes withdrawal symptoms, which makes it difficult to stop taking them. Addiction occurs when dependence interferes with daily life. Taking more than the prescribed amount or using illegal opioids like heroin may result in death.
Symptoms of addiction include uncontrollable cravings and inability to control opioid use even though it’s having negative effects on personal relationships or finances.
Treatment varies but may include discontinuing the drug. Medications such as methadone can help alleviate the symptoms of withdrawal and cravings. Pairing medication with inpatient or support programs generally has the most success.
A recent survey of nearly 1,000 patients with opioid use disorder (OUD) about recovery, telehealth, and stigma found in regards to recovery:
• 95% Describe their overall outlook on recovery as positive; just 1% describe as negative. • 76% Report having a strong support system to help navigate treatment. • 43% Returned to treatment immediately after relapse, 34% took over 3 months to start over. • 30% Blame individuals for the opioid crisis (over drug companies, doctors, and the government.)
Posted on April 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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OneNFT: In March 2021, a crypto-currency entrepreneur bought an NFT of Twitter founder Jack Dorsey’s first tweet for $2.9 million. Last week he listed it for $48 million, promising to donate half of the proceeds to charity. But when the auction closed yesterday, the top bid was just … $277.
DEFINITION: NFT stands for non-fungible token. It’s generally built using the same kind of programming as cryptocurrency, like Bitcoin or Ethereum, but that’s where the similarity ends. Physical money and cryptocurrencies are “fungible,” meaning they can be traded or exchanged for one another.
Ten Year Bond Yield: 2.701%
Markets: The S&P and NASDAQ snapped their three-day losing streaks, and airline shares boomed after Delta said it would report a Q2 profit. And, Peloton’s shares are down nearly 30% this year and have lost virtually all of their pandemic gains.
JPMorgan’s profit dropped 42% last quarter and it wrote down almost $1.5 billion in assets it linked to the war in Ukraine and inflation.
Posted on April 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Markets: Stocks blew a lead in the afternoon for the NASDAQ’s and S&P’s third straight losing session. Blame a red-hot inflation report that took another bite out of stocks.
DIGITS: Money is about to enter a new era of competition and digital technology is poised to change our relationship with money and, for some countries, the ability to manage their economies.
I was recently interviewed by Millennial Investors podcast. They sent me questions ahead of time that they wanted to ask me “on the air”. I found some of the questions very interesting and wanted to explore deeper. Thus, I ended up writing answers to them (I think through writing). You can listen to the podcast here.
By the way, I often get asked how I find time to write. Do I even do investment research? Considering how much content I’ve been spewing out lately, I can understand these questions. In short – I write two hours a day, early in the morning (usually from 5–7am), every single day. I don’t have time-draining hobbies like golf. I rarely watch sports. I have a great team at IMA, and I delegate a lot. I spend the bulk of my day on research because I love doing it.
This is not the first time I was asked these questions. If you’d like to adapt some of my daily hacks in your life, read this essay.
Posted on April 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Today’s consumer price index [CPI] reading is expected to show that March prices surged 8.4% over last year.
Treasury yields rose and stocks dropped in anticipation of higher interest rates and a cooling economy. The tech-heavy NASDAQ lost more than $1 trillion in market value in just the past five trading sessions.
US average gas prices sank to their lowest level in more than a month, at $4.11 a gallon. The easing is likely a reaction to the White House’s big release of crude reserves and lock-downs in China reducing overall demand for fuel.
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.
Posted on April 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
SPUR INNOVATION
The Dallas Morning News Reported that Healthcare Costs Per Capita in the Dallas-Fort Worth Metro Area are Higher than New York City, Houston, Miami, Chicago, Atlanta and Washington, D.C.
Posted on April 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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In finance, the yield curve according to Wikipedia is a graph which depicts how the yields on debt instruments – such as bonds – vary as a function of their years remaining to maturity. Typically, the graph’s horizontal or x-axis is a time line of months or years remaining to maturity, with the shortest maturity on the left and progressively longer time periods on the right. The vertical or y-axis depicts the annualized yield to maturity.
Currrently 10 year T-bonds are about 2.7%
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According to finance scholar Dr. Frank J. Fabozzi, investors use yield curves to price debt securities traded in public markets and to set interest rates on many other types of debt, including bank loans and mortgages. Shifts in the shape and slope of the yield curve are thought to be related to investor expectations for the economy and interest rates.
And, Ronald Melicher and Merle Welshans have identified several characteristics of a properly constructed yield curve. It should be based on a set of securities which have differing lengths of time to maturity, and all yields should be calculated as of the same point in time. All securities measured in the yield curve should have similar credit ratings, to screen out the effect of yield differentials caused by credit risk.
For this reason, many physician investors and traders closely watch the yield curve for U.S. Treasury debt securities, which are considered to be risk-free. Informally called “the Treasury yield curve”, it is commonly plotted on a graph such as the one on the right. More formal mathematical descriptions of this relationship are often called the term structure of interest rates.
Posted on April 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By American Journal of Public Health
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DEFINITION: Public health is “the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals”.
Posted on April 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Dr. David Edward Marcinko MBA
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National Public Health Week is observed during the first week of April every year. That’s seven days to champion the health of all Americans. It’s a week to recognize that everyone should lead healthier lives, irrespective of where they live, work, or come from. Since its founding in 1955, the initiative has become an important movement to highlight issues that can improve the health and happiness of a nation. You could choose to crush a workout or any workout challenge today. It’s a great week to start eating healthy and stick to it. Whatever you do, remember to involve your friends, family, and the larger community. It’s also a week when we campaign for health policies that are fair, inclusive, and accessible to all communities in the United States.
The first National Public Health Week took place in April 1955 and was organized by the American Public Health Association (A.P.H.A.). Since then, the initiative has received tremendous support from civil societies and administrations across the United States. The day recognizes the long history and achievements in public health. It also serves to highlight critical issues to help people lead healthier and happier lives.
In attempting to reach these goals, National Public Health Week seeks to address the root causes of poor health, disease, and lifestyles. It starts with recognizing that healthcare is still a privilege many cannot afford. Where people are born, their neighborhoods, places of work, different lives, and backgrounds determine the quality of healthcare access.
For example, a child who goes to school hungry will not be an engaged student. People working for minimum wages sacrifice health for the sake of an income. It’s thousands of families who have no access to nutritious food in their communities. Or those without the means to travel to access quality healthcare, often located far away.
National Public Health Week is committed to making health inclusive and equitable. It hopes to foster decision-making that considers the health of all communities — irrespective of income, race, or gender. Each year, the first full week in April celebrates the power of the community in realizing this vision. The A.P.H.A. usually announces different themes for each day of the week. From fitness challenges and discussions to sharing healthy recipes — it’s seven days of committing to health as a country.
So, no matter where you are, APHA invites you to join us as we celebrate National Public Health Week! This year’s theme, Public Health Is Where You Are, celebrates what we know is true: The places where we are, physically, mentally and societally, affect our health and our lives.
Celebrate and promote health in your community by hosting your own NPHW event!
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… Here are a few ideas:
Host virtual health panels and discussions. …
Team up to reach new audiences and build community. …
Posted on April 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Stocks ended lower but off their worst levels, with the tech-heavy NASDAQ Composite bearing the brunt of selling pressure for a second session Wednesday after minutes of the Federal Reserve’s March policy meeting outlined plans for shrinking the central bank’s nearly $9 trillion balance sheet.
The Dow Jones Industrial Average ended with a loss of around 145 points, or 0.4%, near 34,497, according to preliminary figures, while the S&P 500 sank around 44 points, or 1%. to finish near 4,481. The NASDAQ Composite shed around 315 points, or 2.2%, closing near 13,889.
And, the 10-year treasury yield, which indicates the level of investor confidence in the markets, jumped to 2.62% which was the highest level since March, 2019. The move higher is partly due to continued momentum from Tuesday’s 28.19% rise, which was propelled by U.S. Federal Reserve Governor Lael Brainard’s hawkish comments. However, the 5-year yield remained inverted and higher then the 30-year yield. The spike higher in bond yields
Posted on April 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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Update on COVID-19 booster shots
In case you missed it: If you or a loved one are 50 or older, or are moderately or severely immunocompromised, you can get an additional Pfizer or Moderna COVID-19 booster shot at no cost to you.
The CDC recommends an additional booster shot for certain individuals to increase protection from severe disease from COVID-19. People over the age of 50, or who are moderately or severely immunocompromised, can get an additional booster of Pfizer or Moderna 4 months after their last dose.
This is especially important for those 65 and older who are at higher risk from severe disease and most likely to benefit from getting an additional booster.
Learn More: Remember: Medicare covers the COVID-19 vaccine, including booster shots, at no cost to you. Find a COVID-19 vaccine location near you.
Posted on April 6, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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US. stocks faltered and were dragged down by losses in tech, as investors weighed remarks by Federal Reserve [FOMC] Governor Lael Brainard that indicated policymakers were ready to act more aggressively to rein in inflation. Investors also monitored reports indicating the U.S. and European Union are expected to unveil more sanctions against Russia on Wednesday.
The S&P 500 tumbled 1.3%, and the Dow Jones Industrial Average shed 280 points after climbing for two straight trading sessions. The NASDAQ Composite plunged 2.3% to log its biggest drop in three weeks and erase gains from a tech rally that helped the index pop on Monday. Meanwhile, the 10-year U.S. Treasury yield jumped to 2.56%, its highest level since May 2019.
Brainard, who is awaiting a confirmation vote to serve in the central bank’s number two role, said at a conference on Tuesday that the Fed can raise interest rates more aggressively to dampen the high rate of inflation felt by Americans, also noting that officials will likely start shrinking asset holdings in a about a month (a move that could have the effect of further raising long-term interest rates).
“Currently, inflation is much too high and is subject to upside risks,” Brainard said. “The Committee is prepared to take stronger action if indicators of inflation and inflation expectations indicate that such action is warranted.”
Posted on April 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The NASDAQ composite booked its best day in more than a week after investors snapped up technology and communications shares on Elon Musk’s disclosure of a large stake in social media platform Twitter Inc. The NASDAQ, Dow industrials and S&P 500 all rose for a second straight trading day.
The NASDAQ Composite COMP, +1.90% finished up 271.05 points, or 1.9%, at 14,532.55. That’s the largest daily percentage gain since March 24, 2022, according to Dow Jones Market Data.
The Dow Jones Industrial Average DJIA, +0.30% added 103.61 points or 0.3%, closing at 34,921.88.
The S&P 500 SPX, +0.81% closed up 36.78 points, or 0.8%, at 4,582.64.
Posted on April 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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It sure has been a wild ride for investors over the past few weeks, with the benchmark S&P 500 rising 10% from March 8th through March 30th. But the broader stock market is still down for 2022. Below is a list of 10 stocks that have fallen at least 20% this year, but are expected by analysts to rise as much as 66% over the next 12 months.
Posted on April 2, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Eric Bricker MD
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1) Traditional Medicare: Health Insurance for Seniors 65 and older. Medicare Part A is coverage for hospital services. Medicare Part B is coverage for doctor, physical therapist and other provider services and for outpatient services such as labs and imaging.
2) Medicare Advantage: Health Insurance for Seniors 65 and older administered through a private health insurance company. It is sometimes referred to as Medicare Part C. It can be chosen instead of Traditional Medicare and often includes Dental Insurance, Vision Insurance, Hearing Aid Insurance and Prescription Drug Coverage.
3) Medicare Part D Prescription Coverage: Additional insurance for people on Traditional Medicare to cover their prescription medications as well. Medicare Part D is administered by private insurance companies.
4) Medicare Supplement Plans: Insurance that can be purchased in addition to Traditional Medicare to cover the expenses that Traditional Medicare does not cover, such as hospitalization deductibles and Medicare Part B co-insurance.
5) Medicaid: The health insurance program administered by each state for it’s economically disadvantaged residents. It is funded in part by the Federal Government and in part by each state. It is administered by private health insurance companies.
6) Affordable Care Act (ACA) Exchange Plans: Health insurance for people under 65 who make too much money to qualify for Medicaid, but do not received health insurance through their employer. ACA Exchange Plans are subsidized by the Federal Government and administered by private insurance companies.
Posted on April 1, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Michael Accad MD
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In a recent article on the Mises Institute’s Power and Market blog, Kyle Ward appealed to the subjective theory of value to castigate Peter Schiff for his notorious skepticism of Bitcoin:
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Schiff is quick to point out that gold has uses outside of being money. It is used in electronics, dentistry, and jewelry, to name a few…This leads Schiff to claim that bitcoin is unlike gold in that it has no fundamental (or objective) value. His mistake is obvious: there is no such thing as objective value, whether we’re talking about gold or bitcoin. Value is subjective and determined internally by individuals…Yes, gold can be used to build electronics, but that only has value because consumers subjectively value electronics. (emphasis in the original)
I believe Ward errs in how he relates the subjective theory of value to Bitcoin, but his error stems both from an ambiguity in phrases like “objective value” and from an ambivalence in how the founding fathers of Austrian economics themselves considered the relationship between the human agent and the good being valued.
In this article I will argue that the “orthodox” Austrian school position regarding the emergence of sound money from commodities—first proposed by Carl Menger, subsequently developed by Ludwig von Mises, and presumably adopted by Peter Schiff—is the correct one. But I will appeal to a Scholastic notion of the good to defend that view. That notion of the good is also critical to secure the foundation of a sound economic science.
EDITOR’S NOTE: Florida Podiatry Practice Now Accepts Bitcoin
JAWSPodiatry is now one of the first medical practices in South Florida to accept Bitcoin! Bitcoin, as you know is a virtual currency that has generated a lot of headlines and has been growing in use and acceptance across the country and around the world. It is a distributed, peer-to-peer digital currency that functions without the intermediation of any central authority.
Pink sheets are an over-the-counter (OTC) market that connects broker-dealers electronically. There is no trading floor and the quotations are also all done electronically. Since there is no central trading floor or stock exchange like the New York Stock Exchange (NYSE), the pink sheet-listed companies do not have the same criteria to fulfill as the companies listed on national stock exchanges. Many stocks listed on the pink sheets are low-priced penny stocks that trade for under $5 a share.
Pink sheets got their name because the original pink sheets listing the stocks were actually printed and distributed on pink pieces of paper. Trading over-the-counter (OTC) refers to the process of how securities listed on the pink sheets are traded through a broker-dealer network.
Posted on March 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
BY HEALTH CAPITAL CONSULTANTS, LLC.
DEFINITION: The False Claims Act, also called the “Lincoln Law”, is an American federal law that imposes liability on persons and companies who defraud governmental programs. It is the federal Government’s primary litigation tool in combating fraud against the Government. The law includes a provision that allows people who are not affiliated with the government, called “relators” under the law, to file actions on behalf of the government. Persons filing under the Act stand to receive a portion of any recovered damages.
On February 1, 2022, the U.S. Department of Justice (DOJ) announced their recovery of $5.6 billion in settlements and judgments from civil cases involving fraud and false claims for fiscal year (FY) 2021. Over $5 billion was recouped from the healthcare industry for federal losses alone, and included recoveries from drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories, and physicians.
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This figure is more than double the amount of healthcare-related recoveries secured in FY 2020, which totaled $1.8 billion. (Read more…)
Posted on March 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The SAFE Banking Act: Would allow marijuana [pot] shops to convert from cash transactions to digital exchanges potentially reducing the amount of armed robberies.
Posted on March 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Eric Bricker MD
Their 8 Point Strategy Included: 1) CDHP, 2) Centers-of-Excellence, 3) Narrow Network, 4) Rx Formulary Changes, 5) Spousal Surcharge, 6) COBRA Members to the Exchange, 7) 2nd Opinion Program … AND 8) Moved Health Plan Control from HR to a Chief Medical Officer AND Kept a Short Leash on their ASO Carrier.
Posted on March 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Understanding GOs and RBs
[By Staff Writers]
General obligation bonds are secured by the taxing authority and are therefore considered safer than other municipals. The full faith and credit of the municipality ensures prompt payment of principal and interest.
Further more, most municipal bonds, including city, county, and school district issues, are secured by a pledge of unlimited property taxes (known as ad-valorem taxes), which further secures the bonds. If taxes are not paid, the property may be sold at a tax sale, at which the bondholder has a superior position.
Revenue bonds
Revenue bonds are payable from the earnings of a revenue-generating facility, such as water, sewers, or utility systems, toll bridges, or airports. The risk, however, is that the facility will not generate income sufficient to pay the interest, and therefore the yield is somewhat higher than for a general-obligation bond.
Revenue bonds are supported only by the revenue earned, so if the project does not produce revenues sufficient to pay the interest on the bonds, then the bonds go into default. Therefore, it is important to properly evaluate the municipality’s ability to tax and/or the assumptions used to project the facility’s revenue.
Conclusion
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