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By NIHCM
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READ HERE: https://nihcm.org/publications/hospital-consolidation-trends-impacts-outlook
CITE: https://www.r2library.com/Resource/Title/082610254
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Filed under: "Advisors Only", "Doctors Only", Career Development, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance | Tagged: hospital consolidation | Leave a comment »
NON-TRADITIONAL ACCOUNTING METHODS KNOWN IN THE BUSINESS COMMUNITY BUT NOT USED IN HOSPITALS OR HEALTH CARE ORGANIZATIONS
By Dr. David Edward Marcinko; MBA CMP® CPHQ
SPONSOR: http://www.CertifiedMedicalPlanner.org
Sooner or later – as a practicing physician – you will want to ascertain and then demonstrate the cost effectiveness of your medical care. By using the process of Activity Based Cost (ABC) Management, you will be able to do so.
ALAS: But, if you’re using a traditional accounting system – like most all hospitals today that use the fictional “average wholesale cost” method – you won’t know a thing about your medical practice or clinic activity costs. Hence, again like most all hospitals, fees become simply vacuous.
Here’s how: https://medicalexecutivepost.com/2007/12/15/activity-based-cost-medical-management/
HOW TO READ A SCIENTIFIC PAPER: https://medicalexecutivepost.com/2021/04/09/how-to-read-and-understand-a-scientific-paper/
DETAILED WHITE PAPER–IN-PROGRESS [thru editing but before peer-reviewed publication]: https://medicalexecutivepost.com/wp-content/uploads/2007/12/abcm.pdf
ASSESSMENT: Your thoughts are appreciated.
ORDER TEXTBOOK: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?s=books&ie=UTF8&qid=1287563112&sr=1-9
THANK YOU
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Filed under: Accounting, CMP Program, Health Economics, Healthcare Finance, Practice Management | Tagged: activity based accounting, Certified Medical Planner™, CMP Program, cost accounting, David Edward Marcinko, managerial accountihng | 1 Comment »
The Difference
[By Anonymous]
One of the most important concepts in behavioral economics is that people react differently to gains and losses. An example from Hodja Nasreddin:
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“One day Nasreddin went to his neighbour and asked to borrow a large cooking pot. The neighbour obliged and Nasreddin promised to bring it back shortly. Weeks passed when the neighbour came by to remind Nasreddin about his pot.
Embarrassed, the hodja went inside and after a short time re-emerged with the pot. On handing it over there was a clanging sound inside upon which the neighbour lifted the lid to reveal a smaller pot inside. “Hodja, what is this?” He exclaimed. “Neighbour, it seems the pot you gave me was expecting and this is her young!” The neighbour gave the hodja a silent look and left with both pots.
Some time later Nasreddin again asked to borrow the pot and the neighbour happily obliged. Again weeks passed and the neighbour came again inquiring about his pot.
“Alas!” Nasreddin said, your dear pot passed on to the afterlife, please accept my condolences.”
“But hodja, how can a metal pot die?” said his neighbour whereupon Nasreddin hodja flew into a rage and yelled:”You had no trouble believing it gave birth but her death strikes you as incredible? Now begone, you rascal!
NOTE: Why backward? http://mullahnasruddin.com/?p=1927
Assessment: Your thoughts are appreciated.
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Filed under: Health Economics, Investing | Tagged: behavioral econmomics, Hodja Nasreddin | Leave a comment »
Sub-Variants BA.4 and BA.5
By Staff Reporters
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Re-formulated virus booster shots from Pfizer and Moderna should be on pharmacy shelves by September, a Biden administration official told NBC News.
This means a campaign to release second boosters to a broader swath of the population this summer is being scrapped. These re-tooled shots are intended to provide better protection against the Omicron BA.5 and BA.4 sub-variants, which accounted for more than 90% of new cases in the USA last week.
CITE: https://www.r2library.com/Resource/Title/082610254
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Filed under: Breaking News, Drugs and Pharma, Glossary Terms, Health Economics | Tagged: BA.4, BA.5, corona, corona boosters, Corona Boosters 2.0, omicron, omicron variants | Leave a comment »
What is stop-loss insurance AND how does it work?
By Staff Reporters
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A stop-loss health insurance policy covers claims above a health insurance plan’s retained claims. The claims fund of a self-funded employer will pay claims up to the predetermined deductible for each of the company’s covered employees. The role of the stop-loss is to cover all claims above these deductible levels.
CITATION: https://www.r2library.com/Resource/Title/0826102549
According to RoundStone Insurance, aggregate stop-loss insurance is designed to protect an employer who self-funds their employee health plan from higher-than-anticipated payouts for claims. Stop-loss insurance is similar to high-deductible insurance, and the employer remains responsible for claims below the deductible amount.
An individual stop-loss insurance carrier determines the average expected monthly claims per employee / per month PEPM based on the employer’s history. Then, this figure is multiplied by a percentage ranging from 110%-150%. That determined amount is then multiplied by the enrollment on a monthly basis to establish the aggregate deductible.
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Filed under: "Ask-an-Advisor", Glossary Terms, Health Economics, Health Insurance, Risk Management | Tagged: aggregate stop-loss insurance, Health Insurance, individual stop-loss insurance, PEPM, Risk Management, stop loss insurance | Leave a comment »
By Staff Reporters
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Procter & Gamble (PG) warned hat consumers were beginning to pull back on their spending as inflation concerns mount. P&G posted 7% sales growth during its most recent quarter ending June 30, its strongest growth in years. The company was able to push through higher prices on consumers. But its sales volumes declined 1% last quarter, a sign consumers were dialing back.The company forecast sales growth of between 3% and 5% for its upcoming fiscal year, down from 7% during its latest fiscal year. On a call with analysts Friday, P&G leaders said that while consumers are still buying household necessities, they are beginning to alter their purchasing behavior. For example, consumers are not stocking up their pantries as much as they were early in the pandemic, and they’re buying more private-label brands, particularly in paper goods. As shoppers are “more exposed to inflation broadly in the marketplace with the highest inflation in 40 years, it’d be naive to assume the consumer is not looking at their cash outlay,” P&G finance chief Andre Schulten told analysts. P&G’s stock fell 5% during midday trading.
The S&P 500 was up 1.3% as of 2:18 p.m. Eastern, while the NASDAQ was up 1.6%. Both indexes are on pace to end July with the biggest gains since November 2020. The Dow Jones Industrial Average was up 0.8%. Positive earnings news from Apple and Amazon, as well as oil giants Exxon and Chevron, helped put traders in a buying mood.
CITE: https://www.r2library.com/Resource/Title/082610254
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Filed under: Alerts Sign-Up, Glossary Terms, Health Economics, Healthcare Finance, Investing, LifeStyle | Tagged: home mortgage rates, mortgage rates, mortgages, NASDAQ, P&G, Procter & Gamble, S&P 500, stocks | Leave a comment »
By Eric Bricker MD
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Google Starts Stop Loss Company Called Coefficient
Coefficient Will be a Part of the Verily Healthcare Subsidiary Within Google. Coefficient Will Also Be in Partnership and Partly Owned by the Giant, International Reinsurance Company Swiss Re.
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Filed under: "Ask-an-Advisor", Breaking News, Career Development, Experts Invited, Health Economics, Health Insurance | Tagged: Coefficient, Eric Bricker MD, google, Google Stop-Loss Company, Insurance Stop-Loss, Swiss Re, Verily Healthcare | Leave a comment »
By Staff Reporters
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ICYMI: After a celebrated 130-year brand history, last fall GE announced plans to create three new, publicly traded companies, building on its heritage of innovation while marking a new beginning.
CITE: https://www.r2library.com/Resource/Title/082610254
And now, these planned companies have names. So meet the three ways GE plans to evolve from building a world that works to creating a future that does, too:
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Filed under: Glossary Terms, Health Economics, Investing | Tagged: GE, GE Aerospace, GE Healthcare, GE Vernova, general electric | Leave a comment »
Medicare cuts by specialty 1/1/2021
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Filed under: Health Economics, Health Insurance, Health Law & Policy | Tagged: medicare, Medicare cuts by specialty | Leave a comment »
BY Eric Bricker MD
Employee AGE AND Demographics
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Healthcare Costs (Per Person Per Year) by Age:
Less than 18: $3,628
19 – 44: $4,422
45-64: $8,370
65+: $18,424
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Filed under: "Advisors Only", "Doctors Only", Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Op-Editorials, Videos | Tagged: Amazon Care, Eric Briker MD, Haven Health | Leave a comment »
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By Neal Freyman [Morning Brew]
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Amazon turned and coughed up $3.9 billion to buy One Medical, a primary care provider, in its biggest push yet into health care. It may not be long until your Prime membership comes with a complimentary physical.
What’s One Medical? A company that operates more than 180 medical offices across 25 US markets, offering both in-person and virtual medical services. When it went public as a unicorn in January 2020, it followed a similar trajectory of other high-flying startups: A huge spike when telehealth was in feverish demand, then an equally huge crash to fall well below its IPO price.
The deal for One Medical represents Andy Jassy’s first major acquisition as CEO of Amazon, showing that he’s willing to make bets on growth in certain areas even as he reins in costs in others.
As you know all too well from every time you pay a medical bill, health care is a massive industry. With a market size of $4 trillion, it accounts for about 20% of the entire US economy. And as Amazon looks to grow outside of its core areas, it sees potential in sending a digital shock wave through a medical industry that’s entangled in a complex web of insurance companies and government regulations.
Not that it’s even clear what a “core” area of Amazon is anymore. Besides its e-commerce marketplace, Amazon has tentacles in cloud services, grocery stores, entertainment, and many other sectors. Basically, we’re about to live in a world where one company owns the James Bond franchise…and also medical clinics.
But Amazon’s infatuation with health care isn’t new. It acquired the online pharmacy PillPack in 2018, and launched its own on-demand health care services one year later. Some projects, like its buzzy joint venture with Berkshire Hathaway and JPMorgan, collapsed, illustrating the challenges for anyone—even Bezos and Buffett—to break into the medical realm.
Those stumbles won’t stop Amazon, or Big Tech in general, from trying. Just this week, Apple released a 60-page report outlining why health care will be a major focus for the company going forward.—NF
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BUSINESS MEDICINE: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?s=books&ie=UTF8&qid=1287563112&sr=1-9
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Filed under: Breaking News, Career Development, Experts Invited, Health Economics | Tagged: Amazon, Morning Brew, Neal Freyman, One Medical | 1 Comment »
HIGH COST MEDICAL CLAIMANTS
CITE: https://www.r2library.com/Resource/Title/0826102549
By Eric Bricker MD
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YOUR COMMENTS ARE APPRECIATED.
ESSAY: https://medicalexecutivepost.com/2019/08/31/is-health-economics-heterodoxic-or-not/
MORE: https://medicalexecutivepost.com/2019/11/10/ricardian-derived-demand-economics-in-medicine/
MORE: https://medicalexecutivepost.com/2014/08/27/financial-and-health-economics-benchmarking/
MORE: https://healthcare
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Filed under: Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Videos | Tagged: Eric Bricker MD, Health Economics, Healthcare Finance, high cost medical claimants, medical claims, Population Health, public health | Leave a comment »
The Healthcare, IT AND FINANCIAL Sectors
DEFINITION: A private, non-public, company valued at more than a billion dollars.
CITE: https://www.r2library.com/Resource/Title/0826102549
Now, just five months into 2021, there were 199 new companies that reached unicorn status (a private company with a $1+ billion valuation), eclipsing the 163 companies that reached unicorn status in all of 2020, according to Crunchbase data shared with Emerging Tech Brew. And it’s not just a pandemic rebound: That figure is higher than any full-year total over the last nine years.
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After a 2020 full of stagnation and uncertainty, the VC scene is making up for lost time and then some.
“Many of the concerns…that ground deal making to a halt have largely been alleviated in what many investors see as a new normal,” Joshua Chao, venture capital analyst at PitchBook told us. “We’re now seeing VCs invest in companies outside of their immediate networks and it’s just full steam ahead on deal making and fundraising.”
Deena Shakir, partner at Lux Capital, said VCs are branching out of their traditional comfort zones to chase opportunities, leading to stiff competition and unprecedented valuations.
Why so exuberant? Blame the same Big Acceleration society underwent since Covid hit: the shift to digital. Tami Hutchinson, VP at Intel Capital, told us the pandemic-fueled digital transformation has now become “a critical must-have for all enterprises,” creating opportunities for startups to serve that need.
Health Care: Health care, financial services, and privacy and security are the most popular sectors for new $1+ billion companies, per Crunchbase. Shakir echoed that idea, saying Lux is most excited by deals at the intersections of “clinical data and AI, hardware and software, care delivery and clinical insights, [and] physical and digital security.”
More proof…
Looking ahead…VCs say it’s a safe bet to assume that more billion-dollar companies are on the horizon this year.
“For entrepreneurs, this is possibly one of the most founder-friendly periods we’ve seen in several years—all-time highs for valuations across the board coupled with all-time lows for deals,” Chao said.
ASSESSMENT: Your thoughts and comments are appreciated.
THANK YOU
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Filed under: Financial Planning, Glossary Terms, Health Economics, Healthcare Finance, Investing | Tagged: Crunchbase, Deena Shakir, Lux capital, Pitchbook, Robinhood, Tami Hutchinson, Unicorns, Webull | 1 Comment »
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By Health Capital Consultants, LLC
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Biden Administration to Overhaul Vertical Merger Guidelines
The U.S. healthcare industry has seen a rise in vertical integration transactions since the passage of the ACA, especially among physician groups integrating with health systems or insurers, as providers seek to fill gaps in their continuum of care. In response to these trends and resulting market imbalances, the Biden Administration is aggressively pursuing antitrust enforcement by updating and revising U.S. antitrust law guidance.
This Health Capital Topics article will discuss the vertical integration movement and the proposed changes to antitrust laws that may affect the future of healthcare. (Read more…)
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CITE: https://www.r2library.com/Resource/Title/0826102549
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Filed under: Experts Invited, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, iMBA, Inc., Investing, Professional Liability, Research & Development | Tagged: ACA, Biden, Biden Administration to Overhaul Vertical Merger Guidelines, Health Capital Consultants LLC, Vertical Integration, Vertical Merger Guidelines | Leave a comment »
A great many physician practices already do not accept Medicare. A recent article in Healthcare News indicates that the trend will only continue.
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Filed under: "Ask-an-Advisor", Glossary Terms, Health Economics, Health Insurance | Leave a comment »
By Staff Reporters
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• Cancer makes up nearly 15% of all healthcare spending with employers in the study paying $533 million for nearly 103,000 cancer claims.
• Musculoskeletal conditions (including joint wear, knee injuries, hip pain, etc.) makes up 13% of healthcare spending with employers spending $477 million for 317,000 musculoskeletal claims.
• Cardiovascular conditions (including heart rhythm issues, stroke, heart attack, and heart failure) makes up 9% of healthcare spending with employers paying $357 million towards 169,000 claims.
• Gastrointestinal conditions (including colitis, irritable bowel system, celiac disease, etc.) makes up 7% of healthcare spending with employers paying $284 million for 136,000 claims.
• Neurological conditions (including Parkinson’s disease, migraines, epilepsy, etc.) makes up 6% of total health care spending with employers paying $225 million for 240,000 claims.
Source: HAC and UHC via ACDIS, April 14, 2022
CITE: https://www.r2library.com/Resource/Title/082610254
MANAGED CARE: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4
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Filed under: Accounting, Experts Invited, Funding Basics, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance | Tagged: ACDIS, HAC, healthcare costs, high cost health claims, MCOL, UHC | Leave a comment »
By Eric Bricker MD
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Book Review: ‘The Hospital’ by Brian Alexander –
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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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Filed under: "Doctors Only", Career Development, Ethics, Health Economics, Health Insurance, Healthcare Finance | Tagged: Book Review, Brian Alexander, Eric Bricker MD, The Hospital | Leave a comment »
By Eric Bricker MD
A Mercer Employer Survey
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Filed under: Experts Invited, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance, Research & Development, Videos | Tagged: A Mercer Employer Survey, Employer Healthcare Priorities, Eric Bricker MD | Leave a comment »
BY DR. DAVID E. MARCINKO MBA CMP®
SPONSOR: http://www.CertifiedMedicalPlanner.org
REFERENCES
https://mises.org/library/mayo-clinic-and-free-market
http://www.kevinmd.com/blog/2017/08/problem-free-market-health-care.html
http://www.healthsharetv.com/content/dr-zeke-emanuel-history-healthcare-reform-us
https://www.pointnurse.com/blog/do-you-have-a-healthcare-blockchain-strategy/
Not Really Insurance: The Pre-Existing Condition Debate
Learn More about Concierge Medicine
http://www.kevinmd.com/blog/2017/04/health-care-right-privilege-cant-answer.html
http://www.healthissocial.com/
https://www.pointnurse.com/blog/do-you-have-a-healthcare-blockchain-strategy/
http://www.kevinmd.com/blog/2017/06/golden-era-medicine-never-coming-back.html
http://mdwhistleblower.blogspot.com/2016/02/concierge-medicine-is-it-ethical-or.html
https://studymatescom.wordpress.com/
Is Healthcare a Right? A Privilege? Something Entirely Different?
http://www.kevinmd.com/blog/2017/07/moral-assassination-physicians-must-stop.html
http://www.kevinmd.com/blog/2017/01/emphasize-public-health-medical-education.html
Hobson’s Wrong Answer
Is Health Privacy a Human Right?
http://www.kevinmd.com/blog/2016/12/must-temper-unregulated-free-market-philosophy-health-care.html
http://www.kevinmd.com/blog/2017/06/slow-death-private-practices.html
A Primer For Conservatives: Health Insurance is not Really Insurance
http://www.kevinmd.com/blog/2017/06/doctors-pr-problem.html
http://www.kevinmd.com/blog/2017/06/doctors-cops-can-fight-mistrust-way.html
http://www.sheknows.com/health-and-wellness/articles/1030383/crowdsourcing-health-care
DIY Textbooks: https://medicalexecutivepost.com/2021/04/29/why-are-certified-medical-planner-textbooks-so-darn-popular/
INVITE DR. MARCINKO: https://medicalexecutivepost.com/dr-david-marcinkos-
CONTACT: Ann Miller RN MH
[Executive Director]
MarcinkoAdvisors@msn.com
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Filed under: Book Reviews, Career Development, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: Health Economics, health law, Healthcare Finance, healthcare management, healthcare policy | Leave a comment »
By Staff Reporters
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The Justice Department’s (JD) efforts returned almost $1.9 billion to the federal government or paid it out to private individuals. Of that money, about $1.2 billion went to the Medicare trust fund. About $98.7 million in federal Medicaid money was transferred to CMS. The JD opened 831 criminal healthcare fraud cases last year. Federal prosecutors filed criminal charges in 462 cases involving 741 defendants. A total of 312 defendants were convicted of healthcare fraud during the year. The JD opened 805 civil healthcare fraud investigations and had 1,432 civil healthcare fraud matters pending at the end of last year.
HHS Office of the Inspector General (OIG) investigations resulted in 504 criminal actions against individuals or entities accused of Medicare- and Medicaid-related crimes. The OIG filed 669 civil actions, which included false claims and unjust-enrichment lawsuits filed in federal district courts, and civil monetary penalties. The OIG excluded 1,689 individuals and entities from participating in federal healthcare programs, including Medicare and Medicaid.
Source: Andrew Cass, Becker’s Hospital Review
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Filed under: Accounting, Ethics, Health Economics, Health Insurance, Health Law & Policy | Tagged: healthcare fraud, Justice Recovers $5B from Healthcare Fraud Cases, Justice Recovers $5B from Healthcare Fraud Cases in 2021 | Leave a comment »
By Staff Reporters
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Finally, under proposed IRS changes, individuals who make more than $400,000 annually and couples who make more than $500,000 will have to pay a 3.8% tax on earnings from their pass-through business income. Those revenues would be used to shore up the government-run Medicare healthcare program for the elderly. A pass-through business is a sole proprietorship, partnership, or S corporation that is not subject to the corporate income tax; instead, this business reports its income on the individual income tax returns of the owners and is taxed at individual income tax rates.
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Filed under: Health Economics, Health Insurance, Investing, LifeStyle | Tagged: IRS, markets, pass-through, tax loophole, Theranos, Theranos and the 'Pass-Through' Tax Loophole, twitter | 1 Comment »
By AMA / MCOL
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• More than 80% said patients have better access to care since using telehealth.
• 62% believe patients have higher satisfaction since offering telehealth.
• 60% agreed telehealth enabled them to provide high-quality care.
• 56% are motivated to increase telehealth use in their practices.
• 44% indicated that telehealth decreased the costs of care.
Source: AMA, April 1, 2022
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Filed under: Career Development, Glossary Terms, Health Economics, Health Insurance, Information Technology | Tagged: AMA, MCOL, Tele-Health, tele-medicine | Leave a comment »
By Dr. David Edward Marcinko MBA CMP™
COURTESY: http://www.CertifiedMedicalPlanner.org
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FOREWORD
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ORDER: https://www.r2library.com/Resource/Title/0826102549
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Filed under: Book Reviews, CMP Program, Glossary Terms, Health Economics, Healthcare Finance, iMBA, Inc., Sponsors, Touring with Marcinko | Tagged: Dictionary of Health Economics and Finance, Health Economics, health finance, healthcare economics, Healthcare Finance | Leave a comment »
By Health Capital Consultants, LLC
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Valuation of Home Health Agencies: Technological Environment
With home healthcare providers increasingly being viewed as a critical link in the array of patient-centered healthcare services aimed to bring care back into the community, technology will likely play a more prominent role in managing patient populations in need of home healthcare services.
CITE: https://www.r2library.com/Resource/Title/082610254
The final installment of this five-part series on the valuation of home health agencies (HHAs) will discuss the growing role of technology in home healthcare and the challenges of utilizing this technology post-COVID-19. (Read more…)
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Filed under: Ethics, Health Economics, Health Insurance, Healthcare Finance, Investing | Tagged: Health Capital Consultants LLC, HHAs, home health care, home healthcare agencies, VALUATION: Home Health Agencies [Technological Environment] | Leave a comment »
By Phil Taylor
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US digital health company investment financing experienced a dip in Q1 of 2022, dropping to $6 billion from the $6.7 billion invested in Q1 2021. In addition, the average size of each investment deal dropped from $46 million last year to just shy of $33 million. These declines come after a boom in investments in recent years. The Rock Health Digital health securities index also reflected this year’s trend, including special purpose acquisition company (SPAC) listings.
According to Phil Taylor of PharmaPhorum, “SPACs have been a popular route to public listing for digital health as well as many other sectors, but the deals have underperformed, with steep declines in share prices after they closed that has “exerted downwards pressure” on the Rock Health Digital Health Index (RHDHI).”
Read more by clicking here
SPACs: https://medicalexecutivepost.com/2021/11/12/spac-popularity-soaring-in-healthcare/
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Filed under: "Doctors Only", Career Development, Experts Invited, Glossary Terms, Health Economics, Healthcare Finance, Information Technology | Tagged: Digital Health, digital health finance, digital health financing, Digital Health Financing Boom Chills, health information technolgy, HIT, IT, PharmaPhorum, Phil Taylor, Rock Health Digital Health Index | Leave a comment »
By Staff Reporters
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The market is made up of thousands of stocks. And on any given day, investors are actively buying and selling them. This measure looks at the amount, or volume, of shares on the NYSE that are rising compared to the number of shares that are falling.
Link: https://medicalexecutivepost.com/2022/05/01/what-up-vix/
A low (or even negative) number is a bearish sign. The Fear & Greed Index uses decreasing trading volume as a signal for Fear.
CITE: https://www.r2library.com/Resource/Title/0826102549
The formula: Breadth Line Value= (No. of Advance Stocks – No of Decline Stocks) + Breadth Line Value of the Previous day. When the number of advance stocks exceeds the number of the decline stocks then the breadth line will rise and vice versa.
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Filed under: Accounting, Glossary Terms, Health Economics, Investing | Tagged: breadth line value, fear greed index, fear index, market breadth, stock market breadth, stock price breadth | Leave a comment »
By Eric Bricker MD
By Laurence Baker MD
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Filed under: "Doctors Only", Experts Invited, Glossary Terms, Health Economics, Health Insurance, Information Technology, Interviews, Op-Editorials, Videos | Tagged: 36 Blue Cross / Blue Shield Organizations Explained, Blue Cross, Blue Shield, Eric Bricker MD, HIT, IT, Khan Academy | Leave a comment »
My Laundry Wish List for all US Healthcare Stakeholders
By Dr. David Edward Marcinko; MBA, CMP™
[Publisher-in-Chief]
As President Obama spoke, prodded and cajoled for Congress to pass HR 3200-3400 in 2008, I believe that for any healthcare reform effort to work successfully for the American people – for the long term – we need to consider the following in no particular prioritized order:
Assessment
Recently, while in the Baltimore/Washing area, I was asked by several reporters to opine on the healthcare debate; which I did so freely having never been known as the shy type. And, regular readers will note that many of these items have been used as posts or comments on this ME-P. Unfortunately, my “laundry list” interview was pre-empted by two local but boisterous town-hall meetings with respective passionate politicians. It was redacted no doubt, but never broadcast. Thus, I missed the potential for my “five minutes” of fame. C’est la vive!
Conclusion
There you have it; direct and straight forward. And so, your thoughts and comments on this Medical Executive-Post are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, be sure to subscribe to the ME-P. It is fast, free and secure.
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By Jakob Emerson, beckerspayer.com
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The company formerly known as Anthem commemorated its official rebranding to Elevance Health on June 28th by ringing the opening bell at the New York Stock Exchange and beginning to trade under the new ticker symbol “ELV”. The former Anthem website now reflects the name change, which is a combination of the words elevate and advance to represent the company’s commitment to “elevating the importance of whole health and advancing health beyond healthcare for consumers.”
When it first announced the rebrand in March, the payer said Blue Cross Blue Shield health plan names would not change, though it planned to narrow the number of brands under its umbrella. The company owns BCBS plans in 14 states. On June 15, the company launched two new subsidiaries under the Elevance name: Carelon and Wellpoint.
Carelon, a healthcare services brand, will consolidate the company’s existing portfolio of capabilities and services businesses under a single name. The Wellpoint health plan brand will unify the company’s Medicare, Medicaid, and commercial health plans in select markets.
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Filed under: Breaking News, Experts Invited, Health Economics, Health Insurance | Tagged: Anthem, Anthem is Now Elevance Health, Beckerspayer, Carelon, Elevance Health, Jakob Emerson, WellPoint | Leave a comment »
By Staff Reporters
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Under a law passed by Congress last November, cryptocurrency firms are supposed to begin recording their clients’ detailed transaction data in 2023, with reports sent to the IRS and to investors the following year. From the beginning, industry executives have pushed back, complaining that the legislation was drafted too broadly. Now, the Treasury Department and the Internal Revenue Service are likely to push off a January date for the firms to begin tracking data such as customers’ capital gains and losses, according to anonymous insiders. The move would mean the tax agency waits longer to get the kind of data it gets for stocks or bonds.
| Bitcoin: $20,289.61 |
Markets: After another boring trading session, stocks wait to complete the first half of 2022—which will come at 4pm ET today. And, the carnage from Bed Bath & Beyond is a result of the company reporting a big sales decline from the previous year and showing CEO Mark Tritton the door.
Economy: Fed Chair Jerome Powell and two other central bank chiefs spoke about their inflation-combating efforts at a conference in Portugal. All three acknowledged that recent economic shocks (COVID, the war in Ukraine) have upended how inflation was understood for decades. “I think we now understand better how little we understand on inflation,” Powell said.
10 Year: 3.096%
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Filed under: Alerts Sign-Up, Glossary Terms, Health Economics, Investing, LifeStyle | Tagged: covid, crypro, Crypto IRS, cryptocurrency, economy, inflation, IRS, IRS Crypto, Jerome Powell, markets, midyear, the Markets and the Inflation Economy, Ukraine | Leave a comment »
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By Darrell Pruitt DDS
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“How Is The Market Feeling About Cigna?” Spoiler – According to Benzinga insights, the market is not optimistic about Cigna’s future. Neither am I. But then, I’m only their clients’ dentist.
Link: https://www.benzinga.com/short-sellers/22/06/27888029/how-is-the-market-feeling-about-cigna
Tomorrow is my last day as a Cigna Preferred Provider .. Never Again!
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Filed under: Career Development, Glossary Terms, Health Economics, Insurance Matters, Managed Care, Op-Editorials, Pruitt's Platform | Tagged: Cigna, Darrell Pruitt, DDS, dentists, TeamCigna Should Treat their Dentists Better! | Leave a comment »
By Eric Bricker MD
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Filed under: "Doctors Only", Career Development, Experts Invited, Glossary Terms, Health Economics, Information Technology, Videos | Tagged: EHRs, EMRs, Eric Bricker MD, Healthcare IT Interoperability Rankings | Leave a comment »
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Dr. Bertalan Meskó, MD PhD
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The Medical Futurist
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Filed under: Experts Invited, Glossary Terms, Health Economics, Healthcare Finance, Information Technology | Tagged: Bertalan Meskó, Dictionary of Health Information Technology and Security, HEALTH TECH: Technology Giants?, healthcare technology giants, HT, IT, Technology Giants | Leave a comment »
By Staff Reporters
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Mark Cuban: The billionaire owner of the Dallas Mavericks just launched an online pharmacy for generic drugs that looks to cut out middlemen and combat pharmaceutical industry price gouging by offering steep discounts.
Set up as CostPlusDrugs.com with 100 generic drugs to treat conditions like diabetes and asthma. Cost Plus will not accept health insurance but claims its prices will still be lower than what people would typically pay at a pharmacy.
“All drugs are priced at cost plus 15%!” Cuban tweeted.
READ: https://medicalexecutivepost.com/2022/01/23/podcast-the-mark-cuban-cost-plus-drug-co-mccpdc/
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Filed under: Drugs and Pharma, Health Economics, Health Insurance | Tagged: Cost plus Drugs, Cuban, Mark Cuban | Leave a comment »
START-UPS AND INNOVATIONS
Health tech investment raced ahead in 2020. Join innovation insiders for a discussion on new health technologies, health-care’s digital transformation timeline, and what to expect for mid- to long-term health tech investment.
Your thoughts are appreciated.
THANK YOU
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Filed under: Experts Invited, Health Economics, Healthcare Finance, Information Technology, Investing, Research & Development, Videos | Tagged: Health Care Entrepreneurs, healthcare technology, HIT, medical entrepreneurs | Leave a comment »
By Staff Reporters
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• This year had the largest percentage of announced “mega merger” transactions in the last six years at 16.3% and, in more than one out of every 10 transactions, the smaller partner had a credit rating of A- or higher in 2021.
• Since 2011, average smaller partner size by annual revenue has increased at a compound annual growth rate (CAGR) of approximately 8.0%.
• Transactions involving a not-for-profit partner represented 87% of announced transactions.
• Transactions involving rural or urban/rural sellers increased to 31% of announced transactions.
Source: KaufmanHall, January 10, 2022
CITE: https://www.r2library.com/Resource/Title/082610254
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Filed under: Accounting, Health Economics, Healthcare Finance, Taxation | Tagged: Health M&As, Healthcare M&As, M&A, M&As, Mergers & Acquisitions | Leave a comment »
REALLY?
By Dr. David Edward Marcinko MBA
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The business cycle is also known as the economic cycle and reflects the expansion or contraction in economic activity. Understanding the business cycle and the indicators used to determine its phases may influence investment or economic business decisions and financial or medical planning expectations.
Although often depicted as the regular rising and falling of an episodic curve, the business cycle is very irregular in terms of amplitude and duration. Moreover, many elements move together during the cycle and individual elements seldom carry enough momentum to cause the cycle to move.
However, elements may have a domino effect on one another, and this is ultimately drives the cycle, too. We can also have a large positive cycle, coincident with a smaller but still negative cycle, as may be seen in the current healthcare climate of today.
Scenario: A depressed GNP leads to declining industrial production and capacity utilization. Decreased workloads result in improved labor productivity and reduced labor (unit) costs until actual producer (wholesale) prices decline.
Scenario: CPI declines (due to reduced wholesale prices) and consumer real income rises, improving consumer sentiment and actual demand for consumer goods.
Scenario: GNP raises leading to increased industrial production and capacity utilization. But, labor productivity declines and unit labor costs and producer (wholesale) prices rise.
Scenario: CPI rises making consumer real income and sentiment erode until consumer demand, and ultimately purchases, shrink dramatically. Recessions may occur and economists have an alphabet used to describe them.
For example, with a “V” graph shape, the drop and recovery is quick. For a “U” shaped graph, the economy moves up more sluggishly from the bottom. A “W” is what you would expect: repeated recoveries and declines. An “L” shaped recession describes a prolonged dry economic spell or even depression.
And now, the REAL Cycle?
MORE: https://etonomics.com/2021/11/09/real-business-cycle-theory/
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Filed under: Glossary Terms, Health Economics, Investing, Touring with Marcinko | Tagged: business cycle, David Marcinko MBA, economic business cycle, real business cycle | Leave a comment »
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By Staff Reporters
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Per history, Bank of America’s Global Investment Strategy chief investment officer, Michael Hartnett, pointed out that the average peak-to-trough bear-market decline is 37.3% over a span of 289 days. Matching that pattern would put the end of current pain on Oct. 19th, 2022. This happens to mark the 35th anniversary of Black Monday, as the stock-market crash of 1987 is widely known. And according to statistical averages, the S&P 500 will likely bottom at 3,000.
Despite rising slightly, the S&P just posted its worst week since March 2020. Even energy stocks, one of the lone bright spots in the market, have taken a beating during this higher interest-rate era
The FDA just authorized two Covid-19 vaccines, Pfizer and Moderna, for kids under five—a year and a half after vaccines were approved for adults 16+.
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Filed under: Alerts Sign-Up, Drugs and Pharma, Ethics, Health Economics, Investing, LifeStyle | Tagged: Moderna, pediatric covid vaccines, S&P, S&P performance, stock market, stock market history, vaccines kids | Leave a comment »
By Staff Reporters
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The Federal Reserve hiked interest rates by three quarters of a percentage point [75 bps], its most aggressive move yet to try to control inflation, as it squeezes the U.S. economy. Through interest rate increases, the Fed is attempting to raise the cost to borrow money, slow economic activity, and bring down inflation that’s at 40-year-highs.
And, as much as we love to think we’re exceptional, inflation has been afflicting countries around the globe. In an analysis of 111 countries, Deutsche Bank found that the US’ inflation rate sits roughly in the middle.
The S&P snapped a five-day losing streak (though it’s still in a bear market), and the NASDAQ soared thanks to a surge in tech shares.
US retail sales fell for the first time in five months in May, as Americans pulled back on buying cars and other expensive items.
Finally, an FDA advisory committee unanimously recommended Moderna’s and Pfizer’s COVID vaccines for children under five, which is the only age cohort in the US that doesn’t yet have an authorized vaccine.
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By Eric Bricker MD
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CITE: https://www.r2library.com/Resource/Title/082610254
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Filed under: "Doctors Only", Career Development, Events-Planner, Glossary Terms, Health Economics, Health Insurance, Quality Initiatives, Research & Development, Videos | Tagged: Employee Health Plan, Eric Bricker MD, health plan, health plans, PODCAST: Roadmap to a High Performance Employee Health Plan | Leave a comment »
By Staff Reporters
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• 2016: 18M
• 2017: 19M
• 2018: 20M
• 2019: 22M
• 2020: 24M
• 2021: 26M
Source: OIG, “Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care,” April 2022
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Filed under: Ethics, Glossary Terms, Health Economics, Health Insurance, Surveys and Voting | Tagged: Medicare Advantage, Medicare Part C, Medicare Part C Plan Enrollment, Part C | Leave a comment »
By Staff Reporters
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The corporate technology layoff slump is affecting a wide range of companies. Cryptocurrency company BlockFi, which had grown nearly sixfold in 2021, announced it was laying off 250 people. Privacy and marketing company OneTrust let go 950 employees, Stitch Fix cut 330 and identity-verification company ID.me dismissed 130. Transportation company Bird slashed a similar number, while PolicyGenius gave pink slips to 170.
Ten Year Treasury: 3.484%
And, warning signs are also flashing in global bond markets, revealing the extent to which investors are on edge about the economy, inflation and what central bankers will do next. For example, the yield on benchmark 10-year US Treasuries — which moves opposite prices — jumped from 3.36%. The yield on the 2-year Treasury climbed even higher as investors dumped those notes. That created an unusual phenomenon known as a “yield curve inversion.”
CITE: https://www.r2library.com/Resource/Title/0826102549
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Filed under: Alerts Sign-Up, Health Economics, Investing | Tagged: bond markets, bond yield, inverted yield, layoffs, normal yield curve, yield curve, yield curve inversion | Leave a comment »
By Staff Reporters
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A recent survey from Syft of 100 hospital and supply chain leaders found:
• 65% said better supply chain management could improve margins by 1-3%, with 23% of respondents believing margins can improve by more than 3%.
• 94% agreed that supply chain analytics can reduce supply chain costs. 76% said it can improve quality.
• 24% said their organizations identify supply standardization opportunities very well.
• 32% said it would cost their organizations more than $500,000 annually to meet new supply chain regulations like California Assembly Bill 2357.
Source: Syft via. PRNewswire, December 8, 2021
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PODCAST: https://medicalexecutivepost.com/2021/08/04/podcast-medical-supply-chain-management/
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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: Accounting, Glossary Terms, Health Economics, Practice Management, Videos | Tagged: supply chain management, Syft | 1 Comment »
The Top 15 Most Famous?
By Staff Reporters
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15 Famous Economists and Their Contributions That’ll Truly Amaze You
According to Wikipedia, an economist is a professional and practitioner in the social science discipline of economics. The individual may also study, develop, and apply theories and concepts from economics and write about economic policy. Within this field there are many sub-fields, ranging from the broad philosophical theories to the focused study of minutiae within specific markets, macroeconomic analysis, microeconomic analysis or financial statement analysis, involving analytical methods and tools such as econometrics, statistics, economics computational models, financial economics, mathematical finance and mathematical economics.
CITE: https://www.r2library.com/Resource/Title/082610254
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The Famous 15
READ: https://historyplex.com/famous-economists
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The different phases leading to a “Minsky Moment”
[By Dr. David E. Marcinko MBA]
With all the stock market volatility lately, and the recent declines signaling a potential bear market from both fundamentalists and chartists, I have to ask this question:
Q = Are we entering a stock market Minsky Moment?
DEFINITION
A Minsky moment is a sudden major collapse of asset values which is part of the credit cycle or business cycle. Such moments occur because long periods of prosperity and increasing value of investments lead to increasing speculation using borrowed money. The spiraling debt incurred in financing speculative investments leads to cash flow problems for investors. The cash generated by their assets is no longer sufficient to pay off the debt they took on to acquire them. Losses on such speculative assets prompt lenders to call in their loans. This is likely to lead to a collapse of asset values. Meanwhile, the over-indebted investors are forced to sell even their less-speculative positions to make good on their loans.
However, at this point no counterparty can be found to bid at the high asking prices previously quoted. This starts a major sell-off, leading to a sudden and precipitous collapse in market-clearing asset prices, a sharp drop in market liquidity, and a severe demand for cash.
CITE: https://www.r2library.com/Resource/Title/082610254
A more general meaning is to say that a “Minsky Cycle” features a series of Minsky Moments … in which a period of stability encourages risk taking, which leads to a period of instability, which causes more conservative and risk-averse (de-leveraging) behavior, until stability is restored, continuing the cycle. In this more general view, the Minsky Cycle may apply to a wide range of human activities, beyond investment economics.
History
The term was coined by Paul McCulley of PIMCO in 1998, to describe the 1998 Russian financial crisis,and was named after economist Dr. Hyman Minsky, who noted that bankers, traders, and other financiers periodically played the role of arsonists, setting the entire economy ablaze. Minsky opposed the deregulation that characterized the 1980s.
Some, such as McCulley, have dated the start of the financial crisis of 2007–2010 to a Minsky moment, and called the following crisis a “reverse Minsky journey”; McCulley dates the moment to August 2007, while others date the start to some months earlier or later, such as the June 2007 failure of two Bear Stearns funds.
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Assessment
The concept has some parallels with Austrian business cycle theory although Minsky himself was known as a Keynesian and is identified as a post-Keynesian—as is McCulley.
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.
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By Eric Bricker MD
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MORE: https://medicalexecutivepost.com/2022/01/25/global-medical-trends-healthcare-cost-increases/
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By Eric Bricker MD
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PODCAST: https://www.youtube.com/watch?v=dHAr0s33Gns
RELATED: https://www.youtube.com/watch?v=-21-h5lZBEU
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Your Children and Your Money
By Rick Kahler CFP
As a doctor – Do your kids know how much money you make? If not, and they asked, would you feel comfortable telling them?
My hunch is that the most common answer to both these questions is “No.” Talking about money is such a strong taboo that it often keeps us from sharing information about our earnings and net worth even with members of our immediate families.
Yet being honest with children about what we earn and how we spend it is a perfect opportunity to teach them important life lessons about money.
Here are a few suggestions to foster those conversations:
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More:
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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Filed under: "Doctors Only", Career Development, Health Economics, Practice Worth | Tagged: physician income, physician salary | 1 Comment »
By Dr. David E. Marcinko MBA CMP
I devoted a full chapter of my book; “The Business of Medical Practice” to concierge and boutique medicine, retail medicine, direct, cash and private pay medicine; etc. We included terms and definitions, process and methodologies, marketing and advertising, and examples, etc. In fact, who knew I was so prescient and the landscape would finally begin evolving.
For example, we recently learned about Sam’s Club offering targeted “bundles” of health care services collaborating with Humana. https://lnkd.in/ejHGGzk
And, earlier, we learned of Amazon’s new virtual / primary care clinic model. And of course, in the past couple of weeks, Walmart’s (Sam’s affiliate) opening their freestanding clinics, along with new behavioral health services, as well.
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Assessment: Your thoughts are appreciated.
THANK YOU
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Filed under: Ethics, Glossary Terms, Health Economics, Recommended Books | 2 Comments »
By MCOL
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EHIR was started nearly a decade ago out of a need for objective support in identifying and assessing emerging solutions to sift through the noise and stay ahead of the curve amid a rapidly changing competitive landscape. EHIR provides a streamlined and efficient innovation intake and evaluation process along with valuable insights to the world’s leading employers.
CITE: https://www.r2library.com/Resource/Title/082610254
Employer Health Innovation Roundtable, LLC
4 KEY Findings
• The survey found that 59% indicated lowering costs was a very high, or high, priority – up from 52% prior to the pandemic.
• Over half of the employers surveyed indicated that surgical costs were a significant issue, with surgery accounting for 34% of their total healthcare spend. About 75% noted that by controlling surgery costs, they can largely reduce their total spend.
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* Even though 69% of employers have a COE (Center of Excellence), the majority of them have been implemented within the past two years, and not with an eye to specifically reducing surgical costs.
* Only 9% of respondents rely on carrier-sponsored COEs, which suggests that they are seeking out third-party vendors for this benefit, as either the sole COE provider or as a partner with the employer’s health plan carrier.
Source: EHIR and Carrum Health via PRNewswire, May 4, 2022
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