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PHYSICIAN PAYMENTS: The Financial Compensation Battle Continues

Posted on December 2, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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***

Paying paying doctors and medical providers for their services may seem simple on the surface, but it’s actually extremely complex. Enter two of the most commonly heard phrases in healthcare: “fee-for-service” and “value-based care,” two models insurers use to decide how much to pay providers. According to Healthcare Brew:

  1. Under a fee-for-service model, providers are paid for each individual service they perform, like a blood test or an X-ray, according to Jennifer Clawson, partner and director of value-based health systems at Boston Consulting Group. A service is provided, and the doctor gets a fixed fee for providing it. Simple enough.
  2. The value-based care model is a bit more complicated, as there are many types of value-based payments. What makes them “value-based” is that payers take patient outcomes into consideration, aka they consider the relative value. “The core of value-based care is ultimately, ‘How do I get a better outcome for less money?’” said Sam Hendler, managing director at private equity firm Thomas H. Lee Partners.

One type of value-based payment is called a bundled payment, Clawson said. Say you have a heart condition and need to get a stent put in. There are usually several providers involved in that process, e.g., a primary care doctor, cardiac surgeon, and anesthesiologist. An insurer gives the health system a set amount of money to cover everyone involved in the procedure, and the health system decides how to divvy it up.

Another type of value-based payment is called capitation, and there’s multiple types of capitation payments. It’s sort of like a bundled payment, but instead of insurers paying a set amount per procedure, they’re paying a set amount to cover an entire population of patients with a specific disease, like diabetes.

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

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Filed under: "Doctors Only", Accounting, Career Development, Funding Basics, Glossary Terms, Health Economics, Managed Care | Tagged: Financial Compensation, physician payments, PHYSICIAN PAYMENTS: The Financial Compensation Battle Continues | Leave a comment »

AMAZON: Healthcare Act II

Posted on December 1, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Heath Capital Consultants, LLC

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***

The launch of Amazon Clinic comes less than two months after the announcement that Amazon Care would be shut down. Amazon Clinic, the retail giant’s virtual and in-person medical care service, was rolled out in 2019 as a pilot employee benefit for their own employees and quickly expanded to servicing non-Amazon employers across the U.S. (including large companies such as Hilton, TrueBlue, and Silicon Labs) by 2021.

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

The service combined virtual and in-person care, offering home health services, telehealth appointments, and prescription delivery. (Read more…) 

***

RELATED: https://medicalexecutivepost.com/2022/09/06/more-about-the-end-of-amazon-care/

MORE: https://medicalexecutivepost.com/2022/09/05/amazons-new-move-in-health-care/

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***

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

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Filed under: "Doctors Only", Ethics, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance, Information Technology, Managed Care | Tagged: Amazon, Amazon Care, Amazon Healthcare, Amazon Healthcare II, Health Capital Consultants LLC | Leave a comment »

MORE: Tax Loss Harvesting

Posted on November 25, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Tax Loss Harvesting

By Vitaliy Katsenelson, CFA

DEFINITION: https://medicalexecutivepost.com/2022/11/06/tax-loss-harvesting-what-it-is/

***

Tax Lost Harvesting with Examples

I enjoy writing about taxes as much as I enjoy going to the dentist. But I feel what I am about to say is important. We – including yours truly – have been mindlessly conditioned to do tax selling at the end of every year to reduce our tax bills. On the surface it makes sense. There are realized gains – why don’t we create some tax losses to offset them?

Here is the problem. With a few exceptions, which I’ll address at the end, tax-loss selling makes no logical sense. Let me give you an example.

Let’s say there is a stock, XYZ. We bought it for $50; we think it is worth $100. Fourteen months later we got lucky and it declined to $25. Assuming our estimate of its fair value hasn’t changed, we get to buy $1 of XYZ now for 25 cents instead of 50 cents.

But as of this moment we also have a $25 paper loss. The tax-loss selling thinking goes like this: Sell it today, realize the $25 loss, and then buy it in 31 days. (This is tax law; if we buy it back sooner the tax loss will be disqualified.) This $25 loss offsets the gains we took for the year. Everybody but Uncle Sam is happy.

Since I am writing about this and I’ve mentioned above I’d rather be having a root canal, you already suspect that my retort to the above thinking is a great big NO!

In the first place, we are taking the risk that XYZ’s price may go up during our 31-day wait. We really have no idea and rarely have insights as to what stocks will do in the short term. Maybe we’ll get lucky again and the price will fall further. But we’re selling something that is down, so risk in the long run is tilted against us. Also, other investors are doing tax selling at the same time we are, which puts additional pressure on the stock.

Secondly – and this is the most important point – all we are doing is pushing our taxes from this year to future years. Let’s say that six months from now the stock goes up to $100. We sell it, and… now we originate a $75, not a $50, gain. Our cost basis was reduced by the sale and consequent purchase to $25 from $50. This is what tax loss selling is – shifting the tax burden from this year to next year. Unless you have an insight into what capital gains taxes are going to be in the future, all you are doing is shifting your current tax burden into the future.

Thirdly, in our first example we owned the stock for 14 months and thus took a long-term capital loss. We sold it, waited 31 days, and bought it back. Let’s say the market comes back to its senses and the price goes up to $100 three months after we buy it back. If we sell it now, that $75 gain is a short-term gain. Short-term gains are taxed at your ordinary income tax bracket, which for most clients is higher than their capital gain tax rate. You may argue that we should wait nine months till this gain goes from short-term to long-term. We can do that, but there are costs: First, we don’t know where the stock price will be in nine months. And second, there is an opportunity cost – we cannot sell a fully priced $1 to buy another $1 that is on fire sale.

Final point. Suppose we bought a stock, the price of which has declined in concert with a decrease of its fair value; in other words, the loss is not temporary but permanent.  In this case, yes, we should sell the stock and realize the loss. 

We are focused on the long-term compounding of your wealth. Thus our strategy has a relatively low portfolio turnover. However, we always keep tax considerations in mind when making investment decisions, and try to generate long-term gains (which are more tax efficient) than short term gains. 

We understand that each client has their unique tax circumstances. For instance, your income may decline in future years and thus your tax rate, too. Or higher capital gains may put you in a different income bracket and thus disqualify you from some government healthcare program.

We are here to serve you, and we’ll do as much or as little tax-loss selling as you instruct us to do. We just want you to be aware that with few exceptions tax-loss selling does more harm than good.

***

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

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

***

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Filed under: "Ask-an-Advisor", Accounting, Experts Invited, Glossary Terms, Health Economics, Investing, Taxation | Tagged: IRS, tax, tax deductions, tax loss, tax loss harvesting, Vitaliy Katsenelson CFA | 1 Comment »

Over Heard in the DOCTOR’S LOUNGE

Posted on November 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

On “Hard Working” HMO Physicians

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SPONSOR: http://www.CertifiedMedicalPlanner.org

***

By Dr. David E. Marcinko MBA CMP®

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

One of my favorite patients told me this anecdote as he recalled the story of the old man who spent a day watching his physician son treating HMO patients in the office. 

The doctor had been working at his usual feverish pace all morning, and although he was working hard, bitterly complained to his dad that he was not making as much money as he used to.

Finally, the old man interrupted him and said,

“Son, why don’t you just treat the sick patients?” 

The doctor-son looked annoyed at his father, and responded,

“Dad, can’t you see, I don’t have time to treat just the sick ones.”

***

COMMENTS ARE APPRECIATED.

***

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

***

BUSINESS: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

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Filed under: "Doctors Only", Accounting, Alternative Investments, Career Development, CMP Program, Financial Planning, Health Economics, Health Insurance, Information Technology, Investing, Touring with Marcinko | Tagged: Certified Medical Planner™, CMP, Financial Planning, hard working doctors, hard working physicians, HMO | Leave a comment »

What is Hermeneutics?

Posted on November 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

To Understand … and be Understood

By Dr. David E. Marcinko MBA

Hermeneutics (/ˌhɜːrməˈnjuːtɪks/) is the theory and methodology of interpretation, originally the interpretation of biblical texts, wisdom literature, and philosophical texts.

Hermeneutics is more than interpretive principles or methods we resort to when immediate comprehension fails. Rather, hermenetics is the art of understanding and of making oneself understood.

***

***

MORE: https://medium.com/@danpantelo/hermeneutics-why-people-interpret-things-differently-870f35436fe8

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

***

ORDER: http://www.HealthDictionarySeries.org

HDS

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PODCAST: Healthcare Finance [Recorded Live] Q and A Session

Posted on November 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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COMMENTS APPRECIATED

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***

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

***

ORDER: https://www.amazon.com/Dictionary-Health-Economics-Finance-Marcinko/dp/0826102549/ref=sr_1_6?ie=UTF8&s=books&qid=1254413315&sr=1-6

***

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Filed under: "Doctors Only", Accounting, Ethics, Experts Invited, Health Economics, Health Insurance, Insurance Matters, Videos | Tagged: Eric Bricker MD, Health Economics, health finance, PODCAST: Healthcare Finance Qs and As | Leave a comment »

PODCAST: What is Anscombe’s Quartet?

Posted on November 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

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!

***

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.

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DICTIONARIES FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs

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Filed under: Glossary Terms, Health Economics, Videos | Tagged: Anscombe's Quartet | Leave a comment »

DAILY UPDATE: Stocks Lower on Inflation Data, BlockFi, and Our Healthcare Provider Reader Input Request

Posted on November 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

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***

U.S. equities declined in a choppy and cautious trading session as investors await a host of notable economic reports later this week. The economic docket, while empty today, will round out the inflation picture with release of the Producer Price Index (PPI), as well as the Import Price Index on Wednesday. The releases will follow last week’s cooler-than-expected Consumer Price Index (CPI), which appeared to soothe concerns about how aggressive the Fed will need to remain as FOMC Vice Chair Lael Brainard said it will “probably be appropriate soon” to slow down the pace of interest rate hikes. And Hasbro was the S&P 500’s biggest loser of the day as Bank of America downgraded the stock.

Treasury yields were mostly higher, and the U.S. dollar rose, paring some of last week’s tumble.

Crude oil prices were lower, while gold reversed to the upside following losses earlier in the day.

Equity news was light, with Tyson Foods missing on the bottom line, but reporting record sales for the year and upping its quarterly dividend.

Stocks in Asia were mixed, with Hong Kong leading the region in gains following a jump in property stocks, while European stocks ended the day mostly higher in cautious trading.

Cryptocurrency lender BlockFi just admitted it has significant exposure to Sam Bankman-Fried’s crypto exchange FTX, and associated entities, that last week filed for bankruptcy.

Finally, although it’s become more difficult to find qualified healthcare professionals, it’s proving just as difficult to retain staff, especially when working with fewer resources. At the recent HR Healthcare conference in Austin, much of the retention conversation focused on improving the quality of work life and flexibility. But we want to hear how you’re solving retention and staffing problems: Share your insights right here on the ME-P.

***

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***

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***

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

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Filed under: Alerts Sign-Up, Alternative Investments, Financial Planning, Health Economics, Investing | Tagged: BlockFi, healthcare provider, inflation, inflation data, Stocks Lower | Leave a comment »

PODCAST: What is the McNamara [Bio] Statistics Fallacy?

Posted on November 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

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.

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

***

PODCAST: https://www.bing.com/videos/search?&q=McNamara+Fallacy&view=detail&mid=201A0081979919F8D651201A0081979919F8D651&form=VDRVSR&ru=%2Fvideos%2Fsearch%3Fq%3DMcNamara%2BFallacy%26FORM%3DHDRSC3&ajaxhist=0

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

Assessment: Your thoughts and comments are appreciated.

HEALTH DICTIONARIES FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs

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Filed under: Glossary Terms, Health Economics, Healthcare Finance, Videos | Tagged: McNamara Fallacy, McNamara [Bio] Statistical Fallacy | Leave a comment »

PODCAST: Hospital-Insurance Contracting [“Carve-Out” Prices Explained]

Posted on November 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Videos | Tagged: "Carve-Outs" Explained, Eric Bricker MD, Hospital-Insurance Contracting, PODCAST: Hospital-Insurance Contracting ["Carve-Outs" Explained], PODCAST: Hospital-Insurance Contracting [Carve-Outs Explained] | Leave a comment »

The Economy TODAY!

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

By Staff Reporters

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***

It’s a big day for anyone trying to read Jerome Powell today because the October consumer price index report gets released this morning.

Economists expect to see the annual inflation rate come in at 7.9%, so anything higher is likely to spark fear that the Fed could get even more aggressive with its rate hikes.

***
COMMENTS APPRECIATED

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***

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

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PODCAST: Inflation Impact on Healthcare

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

By Eric Bricker MD

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

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PODCAST: Health Insurance Carrier Contracting

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

By Eric Bricker MD

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

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

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PODCAST: Why Healthcare is So Slow to Change

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

By Eric Bricker MD

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

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Filed under: "Doctors Only", Career Development, Experts Invited, Health Economics, Health Insurance, Managed Care, Videos | Tagged: Eric Bricker MD, healthcare, Healthcare is Slow to Change | Leave a comment »

WEEKEND REVIEW: Stock Market Update and China COVID Policy

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

By Staff Reporters

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  • Markets: Stocks closed their otherwise terrible week on a high note following another solid jobs report for October. The US economy added 261,000 jobs last month, more than expected, though the unemployment rate ticked up to 3.7%. The Fed wants to see the labor market loosen up before it’s willing to slow down its rate hikes.
  • Stock spotlight: Carvana, the online used car retailer that surged during the pandemic, suffered its worst day ever and closed near its all-time low. Carvana’s plunge of more than 95% this year makes it a prime example of Covid darlings that were caught flat-footed when the macroeconomic environment deteriorated and pandemic trends (like huge demand for used cars) snapped back to normal.
  • DraftKings stock had its worst day on record, down nearly 28%, after revealing a longer-than-expected path to profitability.

***

Is China going to loosen its Covid policies? Investors pounced on rumors this week that Beijing was thinking about relaxing its draconian Covid precautions, sending Hong Kong’s Hang Seng Index to its best week in a decade. Separately, Reuters obtained a recording of a former Chinese disease control official telling a conference that China would be making big changes to its “dynamic-zero” Covid policy.

***

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

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Filed under: Breaking News, Financial Planning, Health Economics, Health Insurance, Healthcare Finance, Investing, LifeStyle | Tagged: China, China COVID Policy, covid, stock, Stock Market Update, Stock Market Update and China COVID Policy | Leave a comment »

AHA: Advocates for New Hospital Designation

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

By Health Capital Consultants, LLC

AHA: Metropolitan Anchor Hospitals Serve More Vulnerable Populations

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The American Hospital Association (AHA) is advocating for the creation of a new hospital designation for certain urban safety net hospitals.

In a report released in mid-October 2022, as well as in an accompanying fact sheet and letter sent to congressional leaders, the AHA defines these so-called Metropolitan Anchor Hospitals (MAHs), outlines their importance to the communities they serve, and explains why MAHs deserve supplemental financial support from the government.

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Product Details

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Filed under: "Doctors Only", Alerts Sign-Up, Career Development, Health Economics, Health Insurance, Health Law & Policy, iMBA, Inc., Managed Care | Tagged: Advocates for New Hospital Designation, AHA, MAH, metropolitan Anchor Hospital, New Hospital Designation | Leave a comment »

PHARMA: Will Americans Finally See Drug Prices Decrease?

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

By Health Capital Consultants, LLC

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According to the White House, “Americans pay two to three times as much as people in other countries for prescription drugs, and one in four Americans who take prescription drugs struggle to afford their medications. Nearly 3 in 10 American adults who take prescription drugs say that they have skipped doses, cut pills in half, or not filled prescriptions due to cost.” In an effort to combat this growing crisis, both the federal government and private companies have taken a number of steps over the past year aiming to lower drug prices. This Health Capital Topics article will review those actions and the potential unintended consequences of these actions.
(Read more…)

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

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

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Filed under: "Doctors Only", Drugs and Pharma, Experts Invited, Glossary Terms, Health Economics, Health Insurance | Tagged: drug prices, Drugs, Health Capital Consultants LLC, PBM, pharma, pharmacy, Pharmacy Benefits Managers, Will Americans Finally See Drug Prices Decrease? | Leave a comment »

PODCAST: Hospital Insurance Contracting [Prices]

Posted on November 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

“Percent-of-Charge Discounts”

By Eric Bricker MD

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

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Op-Editorials, Videos | Tagged: "Percent-of-Charge Discounts", Eric Bricker MD, hospital charges, hospital fees, hospital prices, PODCAST: Hospital Insurance Contracting | Leave a comment »

HEALTH INSURANCE: Non-Traditional Players & Disruptors

Posted on November 2, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

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By Health Capital Consultants

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Non-Traditional Players Moving into the Insurance Space

In the past two months, two retail giants – Walmart and Apple – have announced plans to enter the health insurance space. This direct entry into the health insurance market by non-traditional players has been encouraged in part by health insurer-retailer partnerships, which gained traction due to rising demand for Medicare Advantage (MA) in particular and the expansion of the types of benefits that MA plans may offer.

This Health Capital Topics article will discuss reasons behind the insurer-retailer partnerships and how Walmart and Apple plan to disrupt the health insurance market.(Read more…) 

***

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

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

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Filed under: Ethics, Experts Invited, Glossary Terms, Health Economics, Health Insurance | Tagged: Health Capital Consultants LLC, Health Insurance, health insurance disruptors, health insurance Non-Traditional Players | Leave a comment »

“Prime Medicine” Post IPO

Posted on November 1, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Prime Medicine (NASDAQ:PRME) opened up its shares for public trading for the first time since it filed for IPO in September 2022. The company agreed to initially offer 10.29 million shares to the public at $17.00 per share. On its first day of trading, the stock decreased 18.98% from its opening price of $18.97 to its closing price of $15.37.

READ: https://primemedicine.com/

***

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

***

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

***

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Filed under: "Ask-an-Advisor", Health Economics, iMBA, Inc., Information Technology, Investing | Tagged: "Prime Medicine" Post IPO, IPO, Prime Medicine | Leave a comment »

TRANSACTIONAL STOCK ANALYSIS: What it is?

Posted on October 31, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Versus Technical Analysis

By Staff Reporters

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In traditional finance transaction data is guarded by exchanges, brokers, banks and regulators. It’s not accessible to everyone and big players pay a fortune for it.

But, in crypto, Transaction Data is public and on-chain – but it’s not usable by everyone. So, manually making sense of raw blockchain data is practically impossible. The data needs to be processed and analyzed to be made useful. That’s what sophisticated blockchain analytics tools are doing.

The combination of on-chain data and transaction analysis is something that hasn’t been before – in crypto or traditional finance. Getting access to transaction data and tools for searching and analyzing it will unlock a goldmine of potential insight.

People who have been on the inside of projects and see how the sausage is made know that the explanations for price movements are often simple and based on key players buying and selling. When the biggest holders are dumping the price is likely to go down. When a major new buyer takes a position prices are likely to go up.

That’s insight traditional Technical Analysis cannot provide, because it’s limited to looking at price movements. Transaction data, instead, is the underlying activity that generates prices in crypto.

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

Technical Analysis: https://medicalexecutivepost.com/2022/06/23/the-technicians/

Related: https://medicalexecutivepost.com/2022/09/25/what-is-sentimental-stock-market-analysis/

***

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

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

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Filed under: "Ask-an-Advisor", Health Economics, Information Technology, Investing | Tagged: block chain, crypto, transactional analysis, TRANSACTIONAL STOCK ANALYSIS: What it is? | Leave a comment »

The Future of Nursing?

Posted on October 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The future of healthcare will be defined by nurses. Giving them a platform where they can be seen, heard, and valued for what they contribute each and every day is healthcare innovation.

connectRN is an empowered community of nurses, helping them access the flexible work opportunities they want. Nurses use connectRN to find work, access resources, and get much-needed peer support. And healthcare facilities can get the staff they need to provide high-quality patient care.

From in-app shift scheduling to same-day pay to 24/7 support, connectRN offers nurses a modern, seamless, and stress-free experience. After all, thriving clinicians provide the best care.

Learn more about how connectRN is disrupting the healthcare industry.

***

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

***

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Filed under: "Advisors Only", "Doctors Only", Career Development, Health Economics, Health Insurance, Information Technology, LifeStyle, Managed Care, Quality Initiatives | Tagged: future, futures of nursing, nursing, The Future of Nursing? | Leave a comment »

ELON MUSK’S TWITTER FOR DOCTORS: Same, Change, Grow or Die?

Posted on October 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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NEWS FLASH!

Elon Musk, the richest person on the planet, is the CEO of the world’s most valuable automaker TESLA, heads up a $125 billion aerospace giant, and as of yesterday, is the owner of a social media company Twitter.

According to multiple reports, Musk closed the $44 billion deal last night, less than 24 hours before today’s 5pm ET deadline. He began his reign as “Chief Twit” by firing at least four executives, including CEO Parag Agrawal (who was reportedly escorted out of Twitter’s SF headquarters). Later today, Musk is expected to address anxious employees, who might be worried they’ll face the same fate as their former leader. Historically:

  • Musk acquired a large stake in Twitter and later signed a deal to buy all of it.
  • Then he tried to back out, citing bot issues, but Twitter sued him to enforce the agreement.
  • Musk blinked weeks ahead of a trial, and said he would buy Twitter.

Now What?

So begins Musk’s attempt to, in his words, “help humanity” by trying to turn Twitter into a “common digital town square.”

We know that Musk has ultra-ambitious goals for the company: 5x Twitter’s revenue by 2028, supercharge the subscriptions business, and turn Twitter into a super app called “X.” But murkier is the path he intends to take to get there, and he’s already sending mixed signals about his intentions. And what about doctors and the healthcare industrial complex? Will it remain the same or change?

History

Back in early 2014 the first list of the “Top 100 Twitter Accounts For Healthcare Professionals To Follow” was born. Then, the biggest social media-related question to hurdle wasn’t, “Who should I be following on social media?” but rather, “Should I even be on social media at all?”

Many years later, it’s safe to say that social media has firmly established itself in the healthcare industry. By finding healthcare Twitter accounts that are related to your specialty, you can have access to the best information and always remain within the loop.

Top 100 Healthcare Twitter Accounts T...

But, with the Elon Musk takeover of Twitter, the medicine and healthcare accounts available may change, remain static or grow, and finding the most valuable medical accounts to follow has become more challenging than ever.

Today

Today, the question truly is, “Who should I be following?” Thankfully, you have been covered since 2020.

HERE: https://emedcert.com/blog/top-healthcare-twitter-accounts-to-follow

Now, colleagues should follow the rest of the Musk story in 2022 and beyond.

***

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

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Filed under: "Doctors Only", Experts Invited, Health Economics, Health Law & Policy, Healthcare Finance, iMBA, Inc., Information Technology, Investing, LifeStyle, Op-Editorials | Tagged: Change, elon musk, musk, Same or Die?, twitter, TWITTER & DOCTORS: Grow | Leave a comment »

PODCAST: Nine [9] Ways to Pay Doctors

Posted on October 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

“Behavioral Economic Strategies”

By Eric Bricker MD

***

As Published in the Annals of Internal Medicine by an All-Star Cast of Researchers:

1) Limitations of Information
2) Inertia/Status Quo Bias
3) Choice Overload
4) Immediacy
5) Loss Aversion
6) Relative Social Ranking
7) Threshold Effect
8) Limits of Willpower
9) Mental Accounting

***

***

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BUSINESS MEDICINE: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Managed Care, Op-Editorials, Practice Management, Videos | Tagged: 9, behavioral economic strategies, Eric Bricker MD, nine ways pay doctors | Leave a comment »

PODCAST: Private Equity in Healthcare Explained

Posted on October 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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Private Equity is a Newer Name for Leveraged-Buyout Firms that were Popular in the 1980s.

These Companies Use Investor Money and Debt to Buy Companies and Often Use Additional Debt to Accelerate Growth.

The Private Equity Firm then ‘Flips’ or Sells the Company for a Profit.

The Private Equity Firm KKR’s Acquisition of the Physician Staffing Firm Envision is a Great Example of This Strategy.

However, Private Equity Firms May Be Contributing to the Rising Cost of Healthcare Through Their Activities.

***

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BUSINESS OF MEDICINE: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

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Filed under: Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Investing, Practice Worth, Videos | Tagged: Eric Bricker MD, Private Equity, Private Equity in Healthcare, steerage | 1 Comment »

Hospitals in the RED

Posted on October 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

Hospitals this year are seeing more red than black as growing financial challenges, like spiked labor costs and inflation on medical supplies, puts them on pace to have the worst financial performance into the pandemic thus far.

More than half of hospitals (53% of more than 900 sampled) are projected to have negative margins by the end of the year, compared to 39% in 2019, according to a September report from management consulting firm Kaufman Hall, on behalf of AHA. The firm put the median operating margin for hospitals at about -1%, which could mean service cuts, and for more vulnerable hospitals, including rural ones, closing their doors.

But why is the financial outlook so bleak for hospitals? A few factors are conspiring:

Labor costs: The top reasons hospitals are struggling financially in 2022 are “labor, labor, and labor,” said Kevin Holloran, senior director at Fitch Ratings. The healthcare labor shortage doesn’t just extend to nurses, but across the board.

Rising supply prices: Blame inflation. AHA reported that the “costs for energy, resins, cotton, and most metals surged in excess of 30%” between fall 2020 and early 2022.

Sicker patients, longer stays: Intensive care units across the country were overwhelmed with Covid-19 patients at the outset of the pandemic, but more recently hospitals have been caring for sicker non-Covid patients, said Aaron Wesolowski, AHA’s vice president for policy research and analytics

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

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

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Filed under: "Doctors Only", Accounting, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Managed Care, Taxation | Tagged: hospitals, hospitals in red, red hospitals | 1 Comment »

APPLE: Health Insurance?

Posted on October 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Bertalan Meskó, MD PhD

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Ben Wood, chief analyst at European CCS Insights predicts that Apple will enter the US health insurance market in partnership with a major insurer in 2024 – Forbes reported. 

The company already collects heaps of health data, such as blood pressure, blood oxygen levels, ECG readings and body temperature from the Watch, and through phone apps that help people regulate their medication or manage chronic conditions like diabetes. 

I hope you find the report useful!

Best regards,
Bertalan Meskó, MD
The Medical Futurist

***

RELATED: https://www.kevinmd.com/2022/10/amazon-cvs-and-walmart-are-playing-health-cares-long-game.html

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

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

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MEDICARE: Expanding Dentistry?

Posted on October 25, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Dental coverage under Medicare could soon start expanding for seniors under a new proposal from the U.S. Centers for Medicare and Medicaid Services (CMS). Still, the proposed rules would not provide full coverage for regular dental care, which has been explicitly excluded from Medicare since the program’s founding in 1965.

“Traditional Medicare doesn’t cover routine preventive dental services, such as exams, cleanings, X-rays, nor more expensive services such as fillings, crowns or dentures,” said Meredith Freed, a Medicare expert with the Kaiser Family Foundation.

However, the new proposal would effectively open the door to Medicare potentially covering a wider array of dental services if medical science can demonstrate that oral health substantially improves the

READ: https://www.govinfo.gov/content/pkg/FR-2022-07-29/pdf/2022-14562.pdf

***

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

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Filed under: "Doctors Only", Career Development, Ethics, Health Economics, Health Insurance, Health Law & Policy | Tagged: DDS, dentistry, DMD, medicare, MEDICARE: Expanding Dentistry? | Leave a comment »

PODCAST: Top Five Healthcare Consulting Firms

Posted on October 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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

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What is a Medical OBL?

Posted on October 22, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Office Based Laboratories

By Health Capital Consultants, LLC

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DEFINITION: OBLs, also known as office-based endovascular centers, access centers, or office interventional suites, are physician offices wherein a number of services are offered.

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

Similar to ASCs, OBLs can be single specialty or multi-specialty and can have a number of ownership structures. However, unlike ASCs, OBL procedures (because they are located in a physician office) are reimbursed under the Medicare Physician Fee Schedule.

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OBLs are typically operated and utilized by vascular surgeons, interventional radiologists, cardiologists, or other specialists, and services provided include: cardiovascular, endovascular, venous, and non-vascular services; cardiac procedures, such as diagnostic coronary angiograms, coronary stenting, electro physiology services; device implants, including pacemakers, defibrillators, loop recorders, and biventricular pacers; lower extremity endovascular revascularizations, such as chronic total occlusion and complex limb salvage procedures; renal and mesenteric revascularizations; and, subclavian stenting.23 Of these procedures, peripheral vascular intervention, cardiac services, and interventional radiology made up the majority of the OBL market share in 2019.

While slower to materialize than ASCs, OBLs have increased rapidly over the past few years, for reasons similar to ASCs, e.g., opportunities for physician ownership, the “expedient patient experience” and “favorable outpatient procedural reimbursement.”

In 2020, the global OBL market was valued at $9 billion. Similar to ASCs, an increasing focus on outpatient procedures (due to their cost-saving potential)

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BUSINESS: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

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

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Filed under: "Doctors Only", Career Development, Experts Invited, Health Economics, Health Insurance | Tagged: Ambulatory Surgery Centers, ASC, Health Capital Consultants LLC, OBLs, Office Based Laboratories, Office Based Labs | Leave a comment »

What is PRICE’S Law of Publication Participation?

Posted on October 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

What it is – How it works?

Derek Price, who was a British physicist, historian of science, and information scientist, discovered something about his peers in academia. He noticed that there were always a handful of people who dominated the publications within a subject.

Price found out the following:

Price’s law says that 50% of the work is done by the square root of the total number of participants in the work.

***

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

LINK: https://expressingthegeniuswithin.com/prices-law-and-how-it-applies-to-everything/

MORE: https://getpocket.com/explore/item/price-s-law-why-only-a-few-people-generate-half-of-the-results

Your comments and thoughts are appreciated.

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MEDICINE: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

THANK YOU

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Filed under: Glossary Terms, Health Economics | Tagged: Derek Price, Health Economics, law of participation, Prices' Law | Leave a comment »

PODCAST: See the Future of Healthcare?

Posted on October 20, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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

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Filed under: "Doctors Only", Ethics, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Videos | Tagged: Eric Bricker MD, future, healthcare, medicare, Medicare for All, PODCAST: See the Future of Healthcare? | Leave a comment »

COLONOSCOPIES: Statistical Update

Posted on October 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA

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DEFINITION: A Colonoscopy and/or sigmoidoscopy are procedures that let your doctor look inside your large intestine. They use instruments called scopes. Scopes have a tiny camera attached to a long, thin tube. The procedures let your doctor see things such as inflamed tissue, abnormal growths, and ulcers.

EDITOR’S NOTE: The ME-P does not normally discuss medical or clinical matters. But, this report is noteworthy to all.

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About 15 million colonoscopies are performed in the US yearly as part of standard preventive care for adults over 45, but a new study has called into question whether all the footage from those tiny cameras is really necessary.

Over a 10-year period, people who had the screenings were 18% less likely to develop colon cancer than people who didn’t, according to the study in the New England Journal of Medicine. However, the risk of death from the cancer for both the screened and un-screened was about the same, hovering around 0.3%.

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

***

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PODCAST: Healthcare Machine Learning Can Self Create / Improve Algorithms?

Posted on October 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

Machine Learning is a Subset of Artificial Intelligence (AI) Where Computer Software Can Create and Improve on Algorithms on Its Own.

Machine Learning for Population Health

PODCAST: 'Hacking of the American Mind' | The Leading ...

By Eric Bricker MD

Healthcare Machine Learning Company ClosedLoop.ai is One of the Best at Applying Machine Learning to Population Health Data.

ClosedLoop.ai is So Good, They Won the CMS AI Challenge … Beating Out 300 Other Organizations Including IBM, the Mayo Clinic and Deloitte.

The Promise of Machine Learning in Population Health is to Better Predict Which People Will Benefit From an Intervention Because They Are at Greater Risk of a Complication of a Disease or an ER Visit or a Hospitalization.

ClosedLoop.ai Beautifully Applied Their Machine Learning Abilities to Create a Pandemic Risk Model That Helped a New York City Health Insurance Plan Identify Which Members Would Be Most Likely to Have Severe Complications of COVID-19.

As a Result, the Insurance Company Helped These Individuals Have Groceries and Prescription Medication Delivered to Them So They Could Stay at Home and Avoid Exposure to COVID.

There You Have It!  A Practical, Real-World Example of Machine Learning in Population Health That Literally Saved Some People’s Lives.

Disclaimer: Dr. Bricker is the Chief Medical Officer of Virtual Care Company First Stop Health.

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

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Filed under: Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Information Technology | Tagged: AI, artificial intelligence, ClosedLoop.ai, CMS AI Challenge, Covid-19, Dictionary of Health Information Technology and Security, Eric Bricker MD, Machine Learning, Population Health | 1 Comment »

Social Security’s ‘taxable maximum’ Jumps 9%

Posted on October 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Social Security’s payroll tax cap was raised nearly 9% for 2023, meaning more income will face Social Security taxes next year, but the rise is unlikely to affect the solvency of the trusts underpinning the system.

Citing the increase in average wages, the Social Security Administration said the maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $160,200 from $147,000 starting in January. The announcement was part of the release of the cost-of-living adjustment, or COLA. The taxable maximum for 2021 was $142,800.

Citing the increase in average wages, the Social Security Administration said the maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $160,200 from $147,000 starting in January.

The announcement was part of the release of the cost-of-living adjustment, or COLA. The taxable maximum for 2021 was $142,800.

***

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Filed under: Accounting, Health Economics, Health Insurance, Healthcare Finance, LifeStyle, Taxation | Tagged: social security, Social Security’s ‘taxable maximum’ Jumps 9%, SS, ssi, taxable maximum | Leave a comment »

OVERUSE: How Health System Characteristics Impact Health Care

Posted on October 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The high cost of health care in the United States is partially driven by an over-emphasis on low-value health care that is potentially harmful and offers little benefit to most patients.

New research by Jodi Segal, MD, and colleagues, advances efforts to solve the low-value care problem by placing a spotlight on health care system factors that likely contribute to an overuse of care. The work is analyzed in the latest NIHCM Research Insights. Key findings include:

  • Systems that are investor-owned, or have fewer primary care physicians, are more likely to be associated with the overuse of care. 
  • Systems that have major teaching hospitals are less likely to overuse care.  

To continue investigating, evaluating, and addressing the drivers of overuse, the research team updated their Overuse Index tool. This Index may be especially useful for health systems seeking to monitor care use performance over time. This study’s findings may support future research and interventions to increase the use of high-value care.

READ HERE: https://nihcm.org/publications/what-health-system-characteristics-are-associated-with-overuse-of-health-care-in-the-us

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

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Filed under: "Doctors Only", Accounting, Ethics, Health Economics, Health Insurance, Healthcare Finance, Managed Care, Practice Management | Tagged: Health System Characteristics Impact Health Care, healthcare overuse, NIHCM | Leave a comment »

What is STAGFLATION?

Posted on October 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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What Is Stagflation?

Stagflation is characterized by slow economic growth and relatively high unemployment—or economic stagnation—which is at the same time accompanied by rising prices (i.e., inflation). Stagflation can be alternatively defined as a period of inflation combined with a decline in the gross domestic product (GDP).

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

The term, a portmanteau of stagnation and inflation, is generally attributed to Iain Macleod, a British Conservative Party politician who became Chancellor of the Exchequer in 1970.

MORE: https://medicalexecutivepost.com/2019/06/25/what-is-a-portmanteau/

Key Takeaways According to Investopedia

  • Stagflation refers to an economy that is experiencing a simultaneous increase in inflation and stagnation of economic output.
  • Stagflation was first recognized during the 1970s when many developed economies experienced rapid inflation and high unemployment as a result of an oil shock.1
  • The prevailing economic theory at the time could not easily explain how stagflation could occur.
  • Since the 1970s, rising price levels during periods of slow or negative economic growth have become somewhat of the norm rather than an exceptional situation.

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Filed under: Glossary Terms, Health Economics, Investing | Tagged: GDP, Iain Macleod, inflation, Portmanteau, stagflation | Leave a comment »

PODCAST: The AWS Model for Healthcare Change?

Posted on October 14, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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BUSINESS MEDICINE: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

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Filed under: "Doctors Only", Career Development, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Videos | Tagged: AWS, AWS Model for Healthcare Change?, Eric Bricker MD | Leave a comment »

Understanding the Cost of Not-for-Profit Hospital Capital

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

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

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

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

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

Equity Cost

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

Equity Greater than Cost of Debt

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

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

The Weighted Average Cost of Capital

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

Assessment

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

Conclusion

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

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

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

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

DICTIONARIES: http://www.springerpub.com/Search/marcinko
PHYSICIANS: www.MedicalBusinessAdvisors.com
PRACTICES: www.BusinessofMedicalPractice.com
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FINANCE: Financial Planning for Physicians and Advisors
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Filed under: Career Development, CMP Program, Health Economics, Healthcare Finance, Investing | Tagged: Calvin Wiese, cost of hospital debt, david marcinko, equity costs, equity markets, equity public markets, not-for-profit hospitals, WACC, weighted average caost of capital, www.healthcarefinancials.com | 4 Comments »

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

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

Health Insurance Job Options

By Eric Bricker MD

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

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

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

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

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

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Filed under: Experts Invited, Glossary Terms, Health Economics, Health Insurance, Videos | Tagged: Eric Bricker MD, Health Insurance, IC-HRA, ICHRA, Individual Coverage Health Reimbursement Arrangement, QSEHRA, qualified small employer health reimbursement arrangement | Leave a comment »

Dr. Dave Marcinko at YOUR Service in 2022

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

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

By Ann Miller RN MHA

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

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

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

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

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

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

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

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

By Eric Bricker MD

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

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PODCAST: The MEDICARE COST REPORT Explained

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

Not For Doctors – Not Managerial Cost Accounting

By Eric Bricker MD

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

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

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Filed under: "Doctors Only", Accounting, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance | Tagged: cost accounting, Eric Bricker MD, managerial accounting, Managerial Cost Accounting, medicare cost accounting, medicare cost reports | 3 Comments »

PODCAST: Hospital Finance 101 [Full Service Healthcare]

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

By Steve Febus

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

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

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

BUSINESS MEDICINE: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

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

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

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Filed under: "Doctors Only", Accounting, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Managed Care, Videos | Tagged: hospital finance, Hospital Finance 101, Steve Febus | Leave a comment »

What Is a “Reverse” Stock Split?

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

By Staff Reporters

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

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

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

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SO – WHAT EXACTLY IS A REVERSE STOCK SPLIT?

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

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

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

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

What are pros and cons of a reverse stock split?

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

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COMMENTS APPRECIATED

Thank You

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

***

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Filed under: Glossary Terms, Health Economics, Investing | Tagged: HH, Hippo Holdings, reverse stock split, stock split, What Is a "Reverse" Stock Split? | 2 Comments »

DICTIONARY: Health Economics and Finance

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

BY DR. DAVID E. MARCINKO MBA

Designated a Doody’s Core Title!

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

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

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

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

THANK YOU!

Product Details

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

***

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Filed under: Book Reviews, Glossary Terms, Health Economics, Healthcare Finance | Tagged: david marcinko, Dictionary of Health Economics and Finance, Health Economics, healthcare economics, Healthcare Finance | Leave a comment »

PODCAST: High Medical Debt Yet Hospitals Still Thrive!

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

By Eric Bricker MD

***

***

COMMENTS APPRECIATED

Thank You

***

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

***

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Filed under: "Doctors Only", Ethics, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, LifeStyle, Videos | Tagged: Eric Bricker MD, high medical debt, hospitals, hospitals survive, KHN, medical debt | Leave a comment »

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

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

[Doctor-Advisor]

CAREER DEVELOPMENT

Buy from Amazon

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

BOOK FOREWORD / TESTIMONIAL

Best Sellers

Product Details

Product DetailsProduct Details

Product DetailsProduct DetailsProduct Details

###

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

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

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site

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

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

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

By Eric Bricker MD

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

***

***

COMMENTS APPRECIATED

Thank You

***

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

***

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Videos | Tagged: Eric Bricker MD, fee for service, FFS, FFS Drives Costs, healthcare costs | Leave a comment »

PODCAST: Healthcare Selling Strategies

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

By Eric Bricker MD

***

***

COMMENTS APPRECIATED

Thank You

***

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

***

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