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    As a former Dean and appointed University Professor and Endowed Department Chair, Dr. David Edward Marcinko MBA was a NYSE broker and investment banker for a decade who was respected for his unique perspectives, balanced contrarian thinking and measured judgment to influence key decision makers in strategic education, health economics, finance, investing and public policy management.

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

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

    Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

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

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

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

    Marcinko is “ex-officio” and R&D Scholar-on-Sabbatical for iMBA, Inc. who was recently appointed to the MedBlob® [military encrypted medical data warehouse and health information exchange] Advisory Board.

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Update on Medical “Prior Authorization”

Survey Highlights on Pre-Certification

By wedi

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Product Details

“DICTIONARY OF TERMS FOR THE BUSINESS OF MEDICINE”
DHEF: https://lnkd.in/dqdbWM9
DHIMC: https://lnkd.in/e9AmEhd
DHITS: https://lnkd.in/eWx3WjZ
MORE: https://lnkd.in/eVGcji5

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Employee Health Cost Projections

Per Employee

By: http://www.MCOL.com

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The Economic Impact of Lung Disease

Among U.S. Workers

By http://www.MCOL.com

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2021 Physician Fee Schedule

2021 Physician Fee Schedule & Quality Payment Program Proposed Rules Released

[By Health Capital Consultants]

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On August 3, 2020, the Centers for Medicare & Medicaid Services (CMS) released two proposed payment rules for calendar year (CY) 2021: the Medicare Physician Fee Schedule (MPFS) and the Quality Payment Program (QPP). CMS included in the MPFS proposed rule adjustments to physician payment rates and an expansion of telemedicine services.

The proposed QPP rule, meanwhile, takes into account adjustments made for the COVID-19 public health emergency (PHE) and seeks to reduce unnecessary regulatory burden on providers by eliminating some requirements. These rules, which have garnered mixed reactions from stakeholders, are both open for comment until October 5, 2020. (Read more…)

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Some Perverse Incentives in the Healthcare System

Perverse Incentives in the Healthcare System

By Paul Thomas MD

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

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

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

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

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

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

Your doctor did.

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

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

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

THANK YOU

MICRO versus MACRO Economics

The Differences in Chart Form

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ON PATIENTS WITH TWO OR MORE CHRONIC DISEASES

Medicare FFS Spending = 93%

By staff reporters

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RACIAL DISPARIETIES AMONGT MEDICARE BENEFICIARIES

AT HIGH-PERFORMANCE HOSPITALS

By http://www.MCOL.com

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F.A. HAYEK versus J.M. KEYNES

 Keynes VERSUS Hayek 

By staff reporters

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“Medical Management and Health Economics Education for Financial Advisors”

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

Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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Best Cities for a Job in the Health Care Industry

The Top Six [6] Cities

By staff reporters

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Atlanta’s Piedmont Hospital Pays $16 Million to Settle Kickback Allegations

Piedmont Pays $16 Million to Settle Kickback and Overbilling Allegations

By Health Capital Consultants, LLC

On June 25, 2020 Atlanta’s Piedmont Healthcare, Inc. agreed to pay $16 million to the federal government to resolve two False Claims Act (FCA) allegations of kickbacks and overbilling. The relator, a former Piedmont physician, alleged Stark Law and Anti-Kickback Statute (and subsequent FCA) violations of paying an amount that was above fair market value (FMV) and commercially unreasonable in Piedmont’s 2007 acquisition of Atlanta Cardiology Group (ACG).

Additionally, Piedmont’s payments settle allegations that the hospital admitted patients without medical necessity in order to bill Medicare and Medicaid for inpatient procedures that were recommended to be performed at the less expensive outpatient or observation settings.  (Read more…)

Assessment: Your thoughts are appreciated.

NOTE: I was on the courtesy medical staff of Piedmont Hospital in Atlanta for more than a decade = DEM.

“Medical Management and Health Economics Education for Financial Advisors”

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

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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COVID-19 CLAIMS BY AGE and GENDER

January – May 2020

By http://www.MCOL.com

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Physician Fees Throughout Time

INFLATION ADJUSTED

By Anonymous

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Physicians and medical scientists have intervened in the three revolutions in triple aim since the rise of American dominance in medical training, orthopedic technology, and Nobel Prizes. How has value based care rewarded them?

The open treatment of broken thigh bone paid 85% higher in 1849 than today when adjusted for inflation.

Join our movement for technology that works every physician every patient every time.

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Alternative Medical Payment Models

“The Path to Successful Utilization of Alternative Payment Models”

By Health Capital Consultants, LLC

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

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ESSAY: The Path to Successful Utilization of Alternative Payment Models

ASSESSMENT: Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

The AJPH Continues

AJPH 
Dear Dr. David Marcinko,

 

This month, AJPH continues to publish and promote COVID-19 papers that discuss the impact of the pandemic on the future of public health. Please visit the compiled list of our COVID-19 articles. The July issue also focuses on topics related to abortion, misinformation and structural racism and redlining. Here are a few of the many articles in the July 2020 issue:

 

·  Podcast: COVID-19: Are We In This Pandemic All Together?

·  The Public Health We Need

· Public Health Perspective in the Times of COVID-19

· COVID-19: The First Post-Truth Pandemic

· Accurate Statistics on COVID-19 Are Essential for Policy Guidance and Decisions

· Producing Independent, Systematic Review Evidence: Cochrane’s Response to COVID-19

· Will There Be an Epidemic of Corollary Illnesses Linked to a COVID-19–Related Recession?

·  Teaching Public Health Will Never Be the Same

·  Abortion Trends in Georgia following Enactment of the 22-Week Gestational Age Limit

· Structural Racism, Historical Redlining, and Risk of Preterm Birth in New York City.

 

Also, as we maintain physical separation, check out the June issue of AJPH via e-Reader or Kindle. The mission of AJPH is to advance public health research, policy, practice and education. Toward that goal, the journal also produces monthly podcasts available in English, Spanish and Chinese at ajph.org. The monthly podcasts also are on iTunes and Google Play. Be on the lookout for more timely research from AJPH, and consider subscribing or becoming an APHA member for full access.

Stay safe,

 

 

Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

@AlfredoMorabia

@AMJPublicHealth

Post-Coronavirus Physician Practice Acquisitions

Proceed with Caution

By Health Capital Consultants, LLC

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

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

 

ASSESSMENT: Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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COVID-19 Forces Value-Based Reimbursement Model Revision

COVID-19 Forces Value-Based Reimbursement Model Revision

By Health Capital Consultants, LLC

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

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Monthly Percentage Change in Health Care Utilization

By Specialty – CIRCA 2019-2020

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ABSOLUTE versus RELATIVE RISKS IN MEDICINE

ABSOLUTE versus RELATIVE RISKS IN MEDICINE

Courtesy: https://lnkd.in/eBf-4vY
Understanding the Difference

ESSAY: https://lnkd.in/gTgjmTB

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

Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:


1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs


THANK YOU
***

Social Determinants of Mental Health

SDoMH

[Staff reporters]

As mental illness and chronic health conditions become more common, leaders are looking at upstream solutions that can improve overall well-being by addressing social determinants of mental and physical health.

For example, the Blue Cross Blue Shield of Michigan Foundation is providing over $125,000 in grants for community organizations working with vulnerable populations, including children and adults suffering from mental illness, homeless adults and families that are struggling financially.

And, health plans including Blue Cross Blue Shield of Tennessee and Horizon Blue Cross Blue Shield of New Jersey are integrating care to ensure people can access behavioral health treatment through their primary care providers.

Assessment

Your thoughts are appreciated

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MENTAL HEALTH WHITE PAPER

Mental Health DR. MARCINKO

Invite Dr. Marcinko

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The Economic Burden of Injuries and Violence

Join Our Mailing List

For 2013

By. Dr. David E. Marcinko

By http://www.MCOL.com

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I’m not a psychologist, psychiatrist or expert on violence, terrorism or mass shootings, etc. But, I am heart broken over events this weekend in Dayton, OH and ElPaso, TX.

However, I have been speaking, publishing and wrting about medical work place violence for almost two decades. Now, while perhaps an under-researched topic, not in the public zeitgeist, it certainly is a subset noted by the FBI [2.7%].

And so, here is a review of the economic burdens of violence for 2013. The extent to which they may, or may not, relate to this Bloody Suday Weekend in Dayton OH and ElPaso, TX is left to the reader.

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ImageProxy

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NOTE: The ME-P can only speculate how this healthcare workplace violence information from a public safety expert, applies to the recent spate of national violence – regardless of venue – or how any lessons learned are applicable in this case; or not.

MORE: WV 1

Conclusion

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

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

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[PRIVATE MEDICAL PRACTICE BUSINESS MANAGEMENT TEXTBOOK – 3rd.  Edition]

Product Details

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Book Dr. Marcinko for your Next Seminar!

Book Marcinko

Join Our Mailing List

Book Speaker Dr. David E. Marcinko CMP® MBA for your Next Medical, Pharma, Hospital, University or Financial Services Seminar or Personal and Corporate Coaching Sessions 

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Dr. David Edward Marcinko, editor-in-chief, is a next-generation apostle of Nobel Laureate Kenneth Joseph Arrow PhD, as a health-care economist, insurance advisor, financial advisor, risk manager, and board-certified surgeon from Temple University in Philadelphia.

In the past, he edited eight practice-management books, three medical textbooks and manuals in four languages, five financial planning yearbooks, dozens of interactive CD-ROMs, and three comprehensive health-care administration dictionaries.

Internationally recognized for his clinical work, he is a past endowed chair; professor of health economics, finance and public health policy management; and distinguished visiting professor of surgery as a Bachelor of Medicine–Bachelor of Surgery (MBBS) degree recipient from Marien Hospital in Aachen, Germany.

He provides litigation support and expert witness testimony in state and federal court, with medical publications archived in the Library of Congress and the Library of Medicine at the National Institutes of Health.

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iMBA, Inc Seminar Topics

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[PHYSICIAN FOCUSED FINANCIAL PLANNING AND RISK MANAGEMENT COMPANION TEXTBOOK SET]

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

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[HOSPITAL OPERATIONS, ORGANIZATIONAL BEHAVIOR AND FINANCIAL MANAGEMENT COMPANION TEXTBOOK SET]

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[Foreword Dr. Phillips MD JD MBA LLM] *** [Foreword Dr. Nash MD MBA FACP]

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[PRIVATE MEDICAL PRACTICE BUSINESS MANAGEMENT TEXTBOOK – 3rd.  Edition]

Product Details

  [Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]

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https://davidedwardmarcinko.com/speaking/

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Healthcare Spending Distribution

CIRCA: 2018

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ASSESSMENT: Your comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Healthcare and the Pandemic

Click to access AMCP-ACHP-Consumer-Polling-Data.pdf

The MD SALARY “versus” NET-WORTH CONUNDRUM

A Graphical Power-Point Presentation

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

“Of the 125 medical schools in the USA, only one of them to my knowledge offers a class related to saving or investing money.”
– William C. Roberts, MD

Private Banker Jorge Russe; MBA CMP™ explains in this PPT Presentation on Net Worth; NOT Income.

ESSAY: https://lnkd.in/eGArJR2

CMP® CURRICULUM: https://lnkd.in/eDTRHex

Assessment: Your comments are appreciated.

***

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU
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Changes in Medical Expenditure Distribution

CIRCA: 202-2016

By staff reporters

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Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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Health Insurance CEOs

A Salary Round-Up

By Howard Green, MD

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During this corona virus pandemic, 70 million+ Americans are uninsured and 150 million Americans are under-insured.

Many are  one illness from bankruptcy with no access to quality affordable healthcare. Health insurance companies redistribute more money for executives, politicians and shareholders.

Assessment: Your thoughts are appreciated

***

 BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

VIRTUAL MEDICAL OFFICE APPOINTMENT “BALANCE BILLING”

Only a Matter of Time for Greedy Physicians?

Courtesy: http://www.CertifiedMedicalPlanner.org

By Dr. David E. Marcinko MBA

Balance Billing [Surprise] is a medical invoice from an out-of-network provider for the difference between the total cost of services being charged and the amount the insurance pays.

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

And, we warned about it more than a decade ago.

ESSAY: https://medicalexecutivepost.com/2008/09/17/balance-billing-conundrum/

Now, it has become a huge with doctors who are not subject to the rates or terms of providers in-network.

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

But, we may be slowing making progress against this nefarious practice.

ESSAY: https://medicalexecutivepost.com/2017/01/07/a-small-step-forward-on-surprise-medical-care-balance-billing/

Unfortunately, the Corona Pandemic may have simultaneously exposed a new wrinkle in the conundrum.

LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html

QUERY: Have we now arrived in the digital pandemic age with “virtual” balance billing?

LINK: https://www.firstcoastnews.com/article/news/local/watch-that-medical-bill-patient-says-virtual-appointment-cost-him-more-than-twice-the-usual-amount/77-4e2bed29-68a8-4f3e-91fa-be243f2b18bc

ASSESSMENT: Your thoughts and comments are appreciated.

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Product DetailsProduct DetailsProduct Details

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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

COVID-19 Financial Relief Available to Hospitals and Physicians

COVID-19 Financial Relief Available to Hospitals and Physicians

By Health Capital Consultants, LLC

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

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

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

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Assessment: Your thoughts are appreciated.

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Product DetailsProduct Details

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How Will COVID-19 Change Healthcare Delivery?

How Will COVID-19 Change Healthcare Delivery?

By Health Capital Consultants, LLC

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

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

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

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Assessment: Your thoughts are appreciated.

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Product DetailsProduct Details

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SDOH – Building the Case

Why SDOH?

[By MCOL.com and staff reporters]

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Product DetailsProduct DetailsProduct Details

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THE “COBRA EFFECT” IN HEALTH ECONOMICS

The Law of Un-Intended [Pandemic] Health Consequences

Courtesy: http://www.CertifiedMedicalPlanner.org

By Dr. David E. Marcinko MBA

The Cobra Effect attempts to solve a problem that makes that problem worse.

LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html

The effect comes from an Indian story about a city infested with snakes offering a bounty for every dead cobra, which caused entrepreneurs to start breeding cobras for slaughter.

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PODCAST: https://www.bing.com/videos/search?q=cobra+effect&&view=detail&mid=591D3F7C353025BE2EEE591D3F7C353025BE2EEE&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3Dcobra%2Beffect%26FORM%3DHDRSC3

QUERY: Now; what about the PPP, the CARES Act, PPE and related Corona Pandemic consequences; etc?

Assessment: Your thoughts and comments are appreciated.

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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

WHAT IS AN “ENTREPRENEUR” ACCORDING TO AUSTRIAN ECONOMISTS

The Methodology of Thinking on Your Own

Courtesy: http://www.CertifiedMedicalPlanner.org

cropped-dem

By Dr. David E. Marcinko MBA

The Austrian school of Economics uses the logic of a priori thinking—something a person can think on their own without relying on the outside world—to discover economic laws of universal application.

The other mainstream schools of economics, like the neoclassical school, the new Keynesians and others, make use of data and mathematical models to prove their point objectively.

In this respect, the Austrian school can be more specifically contrasted with the German historical school that rejects the universal application of any economic theorem.

PODCAST: https://www.youtube.com/watch?v=MxK8FKU3BPs

And so, colleague Peter Quinones Free Man Beyond The Wall – welcomes Per in this podcast presentation. Per talks about the role of the entrepreneur, not only in society, but according to the Austrian School of Economics!

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PODCAST: http://freemanbeyondthewall.libsyn.com/episode-312

Assessment: Your thoughts and comments are appreciated.

BUSINESS, FINANCE, INVESTING  AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Product DetailsProduct DetailsProduct Details

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Costliest Healthcare Conditions

CIRCA: 2016

[By staff reporters]

http://www.MCOL.com

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RECALL: These conditions represent co-morbidities for the Corona Virus pandemic; as well.

Assessment: Your thoughts are appreciated.

FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs:

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1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

***

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

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What is Anscombe’s Quartet?

The Need for Data Visualization

Courtesy: www.CertifiedMedicalPlanner.org

Anscombe’s Quartet comprises four data sets that have nearly identical simple descriptive statistics, yet have very different distributions and appear very different when graphed. Each dataset consists of eleven (x,y) points.

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

They were constructed in 1973 by the statistician Francis Anscombe to demonstrate both the importance of graphing data before analyzing it and the effect of outliers and other influential observations on statistical properties. He described the article as being intended to counter the impression among statisticians that “numerical calculations are exact, but graphs are rough.”

So, always plot that data!

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PODCAST: https://www.bing.com/videos/search?q=Anscombe%e2%80%99s+Quartet%3a+&&view=detail&mid=68A62E7AB26B2B6EE69668A62E7AB26B2B6EE696&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DAnscombe%25e2%2580%2599s%2BQuartet%253a%2B%26FORM%3DHDRSC3

Assessment: Your thoughts and comments are appreciated.

Product DetailsProduct DetailsProduct Details

BUSINESS TEXTS FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

***

WHAT IS THE “LUXURY PRODUCT” ECONOMIC PARADOX?

WHAT IS THE “LUXURY PRODUCT” ECONOMIC PARADOX?

By Dr. David Edward Marcinko MBA

Courtesy: http://www.CertifiedMedicalPlanner.org

he more expensive something is – the less likely you are to use it. This relationship between price and product utility is graphed as an “inverted U.”

LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html

So, super car Ferraris sit in garages; but Fords get driven.

ESSAY: https://medicalexecutivepost.com/2014/01/08/the-jaguar-touring-sedan-one-of-the-finest-luxury-cars-built-yesterday/

My own Jaguar touring sedan illustrates this paradox.

dem-jag

ESSAY: https://medicalexecutivepost.com/2018/09/02/my-jaguar-mechanic-vs-doctor-story/

This theory may even be valid for services; as well as products?

THINK: Plastic and cosmetic surgery?

Assessment: Your thoughts and comments are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Product DetailsProduct DetailsProduct Details

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What is the McNamara [Bio] Statistical Fallacy?

A Metaphor for the Corona Virus Pandemic!

Courtesy: www.CertifiedMedicalPlanner.org

By Dr. David E. Marcinko MBA

A belief that rational decisions can be made with quantitative data and measures alone, when in fact the things you can’t measure are often the most consequential.

LINK: https://www.springerpub.com/dictionary-of-health-economics-and-finance-9780826102546.html

Named after Defense Secretary McNamara, who tried to quantify every aspect of the Vietnam War.

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PODCAST: https://www.bing.com/videos/search?q=McNamara+Fallacy&&view=detail&mid=45C00D0DA1BEBD06B0DA45C00D0DA1BEBD06B0DA&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DMcNamara%2BFallacy%26FORM%3DHDRSC3

QUERY: Is this also a metaphor for the “Art” and Science of Medicine and Economics?

Assessment: Your thoughts and comments are appreciated.

BUSINESS TEXTS FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

***

Product DetailsProduct DetailsProduct Details

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Coronavirus Aid, Relief, and Economic Security (CARES) Act

The CARES Act and HSAs, HRAs and FSAs, etc
[By Staff reporters]

The Coronavirus Aid, Relief, and Economic Security (CARES) Act, signed into law March 27, 2020, contains important updates on the use of health savings accounts (HSAs), flexible spending accounts (FSAs) and health reimbursement accounts (HRAs).

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So, we wanted to inform you of the below changes that expand qualified medical expenses and access to remote care:

Telehealth services
High-deductible health plans (HDHPs) with an HSA may provide pre-deductible coverage for telehealth and other remote care services. This provision will last until December 31, 2021 (plan year must begin prior to this date).
Certain over-the-counter (OTC) drugs and medications as qualified medical expenses
The CARES Act restores the ability to use HSAs, FSAs and HRAs to purchase certain OTC drugs and medications, like aspirin and other pain medications, allergy medication, etc., without a doctor’s prescription.
For the first time, menstrual care products are considered qualified medical expenses for payment or reimbursement with an HSA, FSA or HRA.
Both provisions for OTC and menstrual products apply to amounts paid or expenses incurred on or after January 1, 2020, and are ongoing without an expiration date.
Important note for FSAs and HRAs:
You can use your account funds to purchase these products starting today. However, be sure individual merchants, like pharmacies and convenience stores,  update their point of sale (POS) system to now recognize these products as qualified medical expenses for FSA and HRA.
Use your payment card as you normally would for these purchases, and if the sale will not process, you can pay out of pocket with the option to reimburse yourself with account funds. As a reminder, keep your itemized receipt or explanations of benefits, which are needed to verify each purchase so you can be reimbursed.
For HSAs, you may use your debit card as you normally would since no claim reimbursement process is required. Please retain copies of your receipts as needed for tax purposes.
Please visit the US Federal  website for the latest developments and regulation changes related to COVID-19 and your health account(s), such as the CARES Act.

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Assessment: Your thoughts are appreciated

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

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COVID-19 and Pre-Existing Conditions

Cases Per Condition

[By staff reporters]

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Health Care Costs [Fixed and Variable]

Employers and “Brokers”

By staff reporters

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Revenue:

  • Anthem Revenue $104 Billion (2019)
  • Cigna Revenue $154 Billion (2019)
  • United Revenue $242 Billion (2019)
  • Aetna Revenues $69.6 Billion (2019)

CEO Salary:

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

NOTE: The total annual healthcare spending in the US is over $3.6 trillion annually. Healthcare spending on administration: 73%. Percentage of healthcare spending on physician salary: less than 8%.

Assessment: Your thoughts are appreciated.

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35+ COVID-19 Diagnostic Tests

Some Under Clinical Trials

By Igor Korolev DO, PhD

Physician / Neuroscientist – Improving Healthcare & Health Outcomes through Science & Technology

eveloped / approved as fast as 5 minutes! Several are potential drug treatments & vaccines under evaluation in clinical trials.

There is HOPE!

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Disclaimer –  For informational purposes only; should not be considered medical advice; always consult a healthcare professional.

Assessment: Your thoughts are appreciated.

BUSINESS TEXTS FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

 ***

Few of Us Remove Gloves Properly

MORE Corona Virus Precautions

By Dr. David Edward Marcinko MBA

Courtesy: www.CertifiedMedicalPlanner.org

If you wear gloves because of Covid-19, and if you don’t take them off properly, you just get everything that was all over the gloves, all over yourself and everything else. As a surgeon for almost two decades, I can tell you that taking gloves off correctly isn’t a trivial thing.

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HOW TO REMOVE: Briefly, you want to pinch one glove near the wrist and pull it over your hand so it ends up inside out. Then hold that in your gloved hand and carefully slip the fingers of your bare hand into the top of the other glove, let it turn inside out and cover the balled-up other glove.

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CDC: Check out this step-by-step CDC infographic. And, if you’re not disposing of them properly, you’re just potentially contaminating more surfaces and putting yourself at a much higher risk. Finally, don’t skip hand washing after you take them off, even if you’ve removed them right.

PODCAST: https://www.bing.com/videos/search?q=how+to+removesurgicalgloves&&view=detail&mid=2607568A504FC540B18D2607568A504FC540B18D&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3Dhow%2Bto%2Bremovesurgicalgloves%26FORM%3DHDRSC3

Assessment: Your thoughts and comments are appreciated.

***

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

What is the WAFFLE HOUSE Index?

mm! mm! GOOD!

Courtesy: www.CertifiedMedicalPlanner.org

415 Restaurants Closing in Georgia and Elsewhere

The Waffle House Index [WHI] is an informal metric named after the Waffle House restaurant chain, headquartered in Georgia, and used by the Federal Emergency Management Agency (FEMA) to determine the effect of a storm and the likely scale of assistance required for disaster recovery.

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

IOW: “If you get there and the Waffle House is closed? Well, that’s really bad”, according to Craig Fugate – Former Head of the Federal Emergency Management Agency [FEMA].

MORE: https://en.wikipedia.org/wiki/Waffle_House_Index

QUERY: Have we hit the WHI wall regarding Covid-19?

PODCAST: https://www.yahoo.com/gma/waffle-house-index-unofficial-barometer-bad-things-dips-153600807–abc-news-topstories.html

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Assessment: And so, your thoughts and comments are appreciated.

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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Medical Laboratory Test SENSITIVITY “versus” SPECIFICITY

Obvious Covid-19 Implications

By Dr. David Edward Marcinko; MBA, CPHQ, CMP

cropped-dem

We’ve discussed biologic false positives and false negatives before on this ME-P.

LINK: https://medicalexecutivepost.com/2019/09/14/what-are-false-positive-and-false-negative-tests/

Courtesy: www.CertifiedMedicalPlanner.org

So, now is the time to discuss and conquer the medical laboratory concepts of Sensitivity and Specificity.

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Sensitivity and specificity are statistical measures of the performance of a binary classification test, also known in statistics as a classification function, that are widely used in medicine.

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

  • Sensitivity (also called the true positive rate, the recall, or probability of detection in some fields) measures the proportion of actual positives that are correctly identified as such (e.g., the percentage of sick people who are correctly identified as having the condition).
  • Specificity (also called the true negative rate) measures the proportion of actual negatives that are correctly identified as such (e.g., the percentage of healthy people who are correctly identified as not having the condition).

LINK: https://www.differencebetween.com/difference-between-sensitivity-and-vs-specificity/

NOTE: The terms “positive” and “negative” don’t refer to the value of the condition of interest, but to its presence or absence; the condition itself could be a disease, so that “positive” might mean “diseased”, while “negative” might mean “healthy”.

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And so, colleague Michael Lawrence Langan MD opines on a much deeper level.

ESSAY: https://disruptedphysician.blog/2016/11/19/diagnostic-testing-101-1-the-importance-of-sensitivity-specificity-and-diagnostic-test-accuracy-5/

Assessment: Your thoughts and comments are appreciated.

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Product DetailsProduct DetailsProduct Details

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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

“Flattening the Curve” of COVID-19 Infections

WHAT IT IS – HOW IT WORKS?

Courtesy: www.CertifiedMedicalPlanner.org

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

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

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

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

Assessment: Your thoughts and comments are appreciated.

covid-19-curvesv3

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

Human Health Behavior TRENDS and COVID-19 Thoughts

Human Health Behavior and COVID-19 Thoughts

Courtesy: www.CertifiedMedicalPlanner.org

Here are 3 theories and 1 “rule” for the healthcare industrial complex that may help explain how the sector may not work correctly; from trauma, to epidemiology and  to Corona; all the time.

1 – Berkson’s Paradox: Strong correlations can fall apart when combined with a larger population.

For example, among motorcycle crash victims wearing helmets are more likely to be seriously injured than those not wearing helmets. But, that’s because most crash victims saved by helmets did not need to become hospital patients, and those without helmets are more likely to die before becoming a hospital patient.

2 – Group Attribution Error: Incorrectly assuming that the views of a group member, like a physician, reflect those of the whole group in a different discipline.

3 – Baader-Meinhof Phenomenon: Noticing an idea or word every where you look as soon as it’s brought to your attention in a way that makes you overestimate its prevalence.

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LINK:

https://www.bing.com/videos/search?q=BAADER-MEINHOF+PHENOMENON&&view=detail&mid=7DA25E95466C56098E5A7DA25E95466C56098E5A&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DBAADER-MEINHOF%2BPHENOMENON%26FORM%3DHDRSC3

The 90-9-1 Rule: In social media networks, 90% of users just read content, 9% of users contribute a little content, and 1% of users contribute almost all the content.

QUERY: Does Social Media really give a false impression of what ideas are popular or “average.”

THINK: Corona Virus?

ASSESSMENT: Your thoughts and comments are appreciated.

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TEXTS FOR PHYSICIAN EXECUTIVES:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

***

Understanding the 2020 Corona Virus Economic Crisis

Understanding the 2020 Corona Virus Economic Crisis

By William Poole

Dear Dr. David E. Marcinko,

Thank you for your interest in the Merk Perspective.

Merk Senior Economic Adviser and former St. Louis Fed President William Poole shares his thoughts on how to assess the economic impact of the Corona virus, pointing out in what ways it is different from past crises.

There are several aspects of the crisis that deserve separate attention. Many will seem obvious but nonetheless need to be made explicit to yield a thorough analysis.

MORE: https://www.merkinvestments.com/insights/2020/2020-03-12.php?utm_source=merk&utm_medium=link&utm_campaign=merk-campaign&registered=yes

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Assessment: Your thoughts are appreciated.
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Best Wishes,

Axel Merk
President and Chief Investment Officer
Merk Investments

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

 

A Health Care Spending Distribution

CIRCA: 2018

By http://www.MCOL.com

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Assessment: Your thoughts are appreciated.

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Ending Childhood Obesity on “Fat” Tuesday

Join Our Mailing List

A Fat Tuesday Message in 2020

[By Staff Reporters]

More than a decade ago, First Lady Michelle Obama kicked off a campaign to try to end childhood obesity within a generation.

Of course, with the impending Lenten season about to start, the timing could not be more prescient for a re-dedication to this goal.

Let’s Move

The campaign to end obesity is called: “Let’s Move“; local to Savannah, GA.

https://www.prlog.org/12621769-enmarket-raised-15000-for-the-partnership-for-healthier-america-to-help-end-childhood-obesity.html

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ME-P Mardi Gras Mask on Fat Tuesday

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MORE: https://medicalexecutivepost.com/2018/03/02/us-childhood-obesity-trends/

ADULTS: https://medicalexecutivepost.com/2016/03/25/an-obesity-pic/

Conclusion

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

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

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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FROM “TRIPLE” TO “QUADRUPLE” AIM

Include the Physicians, Clinicians and Medical Providers?

By: Dr. David E. Marcinko MBA

Courtesy: http://www.CertifiedMedicalPlanner.org

The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”:

  • Improving the patient experience of care (including quality and satisfaction);
  • Improving the health of populations; and
  • Reducing the per capita cost of health care.

PODCAST: https://www.youtube.com/watch?v=a_QskzKFZnI

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QUERY: But what about the physicians?

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Assessment: Why not include us in a “Quadruple Aim” aspiration?

Conclusion: Your thoughts and comments are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Product DetailsProduct Details

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