BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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Posted on June 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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US mortgage applications are in “meltdown” and the threat to house prices is growing. The Mortgage Bankers Association’s index of applications tumbled again last week and has fallen dramatically since January. Pantheon Macroeconomics said the chances of a “short period of clear declines” in home prices is growing.
Jobless claims for the week hit 229,000, the highest since January. The number of jobless claims increased by 27,000 from the last period, and it greatly surpassed the Dow Jones estimate of 210,000, according to this report.
Markets: Investors are nervous before this morning’s crucial inflation report—which will show if inflation has peaked or not. Big Tech stocks such as Meta, Amazon, and Apple dragged the market lower. The 10-year T-bond was 3.046?
Finally, average US gas pricestopped $5 per gallon according to GasBuddy. Many experts predict we’re headed toward $6 and beyond.
Posted on June 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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BY HEALTH CAPITAL CONSULTANTS, LLC.
DEFINITION: Vertical integration is an arrangement in which the supply chain of a company is integrated and owned by that company. Usually each member of the supply chain produces a different product or service, and the products combine to satisfy a common need.
A study released in the December 2021 issue of Health Affairs examined the correlation between hospital/health system ownership of physician practices and physician compensation. While a number of studies have analyzed the “rapidly growing trend” of vertical integration from the hospital/health system perspective, this is the first study to evaluate vertical integration from the physician practice perspective.
This Health Capital Topics article will discuss the study’s findings and potential implications. (Read more…)
Posted on June 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Darrell Pruitt DDS
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More reasons to stick with paper if you haven’t yet become paperless, Doc
“Paying Ransomware Paints Bigger Bullseye on Target’s Back – Ransomware attackers often strike targets twice, regardless of whether the ransom was paid. Paying ransomware attackers doesn’t pay off and often paints a bigger target on a victim’s back. Eighty percent of ransomware victims that paid their attackers were hit a second time by the malware scourge.”– Threatpost, June 8, 2022.
A dentist can avoid the second ransomware attack by returning to paper … What? Yeah. I said it.
“New ransomware numbers come from a Cybereason’s April ransomware survey of 1,456 cybersecurity professionals. According to the gated report (registration required), victims that were successfully extorted were not only targeted a second time, but frequently data encrypted by criminals later became unusable during the decryption process because of corruption issues.”
Posted on June 8, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Economist Paul Krugman just compared the cryptocurrency boom to the mid-2000s housing bubble. According to BIA, the Nobel laureate noted that, just like during the housing boom, it seems ridiculous to question an asset class that has become so valuable and attracted so many influential promoters. It sounds absurd to suggest crypto is “a house built not on sand, but on nothing at all.” Yet Krugman’s assessment is precisely that. “If you ask me, it looks as if we’ve gone from the Big Short to the Big Scam.”
The SEC is considering sending retail stock orders to auctions under a new proposal. Trading firms could be forced to compete in auctions to execute retail stock orders under the planned proposals. It comes after the regulator focused on payment-for-order flow as a barrier to market efficiency.
Cathie Wood’s Ark Investment Management is suffering a steeper drop in assets than almost any other US exchange-traded fund issuer this year. Ark’s lineup holds $15.3 billion across nine ETFs, a 48% decrease from the start of 2022, according to data compiled by Bloomberg Intelligence through June 1st. That’s the biggest collapse in assets among the 25 largest US issuers.
The average price per gallon of gasoline in the U.S. reached a new high of $4.92. In Michigan the average sits higher at $5.17 per gallon, according to AAA’s tracker.
The World Bank released a grim forecast for the global economy, concluding that “for many countries, recession will be hard to avoid.” Disruptions from the war in Ukraine, Covid lockdowns in China, and ongoing supply shortages could lead to 1970s-style “stagflation”—and hit low- and middle-income countries the hardest.
Posted on June 7, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Lower is Better
[By Staff Reporters]
Net working capital is the difference between current assets and current liabilities. The lower the net working capital, the more economically efficient the medical care provided. Some important definitions and ratios for hospitals include those immediately below:
Days Sales Outstanding: AR/(net sales/365)
Year-end receivables net of allowances for doubtful accounts, plus financial receivables divided by net sales per day. A decrease in days sales outstanding (DSO) represents an improvement in cash flows while an increase represents deterioration. The hospital industry average is 30 days.
Days Payable Outstanding: AP/(total expenses [less depreciation and amortization] / 365)
Year-end payables divided by expenses per day. An increase in days payable outstanding (DPO) is an improvement, while a decrease is not. Payables exclude accrued expenses. Hospital industry average is 20 days.
Days Inventory Outstanding: Inventory/(net sales/365)
Year-end inventories divided by sales per day. A decrease in days inventory outstanding (DIO) is an improvement, while an increase may be a sales deterioration. Hospital industry average is 4 days.
Days Working Capital: (AR + inventory – AP)/net sales/365)
Year-end net working capital (service receivables plus inventory, minus AP) divided by sales per day. The lower the better. Hospital industry average is 14 days.
Assessment
For more health economics and finance terms and definitions, please review the following:
Conclusion
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Economists seeking to improve the efficiency of health care delivery frequently emphasize two issues: the fragmented structure of physician practices and poorly designed physician incentives. This decade old paper analyzes these issues from the perspective of organizational economics.
We begin with a brief overview of the structure of physician practices and observe that the long anticipated triumph of integrated care delivery has largely gone unrealized. We then analyze the special problems that fragmentation poses for the design of physician incentives. Organizational economics suggests some promising incentive strategies for this setting, but implementing these strategies is complicated by norms of autonomy in the medical profession and by other factors that inhibit effective integration between hospitals and physicians. Compounding these problems are patterns of medical specialization that complicate coordination among physicians.
We conclude by considering the policy implications of our analysis – paying particular attention to proposed Accountable Care Organizations.
Notes: From an article entitled, “Characteristics of Home-Based Care Provided by Accountable Care Organizations,” by Robert E. Mechanic, MBA, Jennifer Perloff, PhD, Amy R. Stuck, PhD, RN, Christopher Crowley, PhD. In a 2019 ACO survey, 40 out of 151 responding ACOs reported formal home-visit initiatives serving high-need, high-cost patients.
Posted on June 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Between September of last year and May, audit rates have doubled “for taxpayers in every income category above $100,000,” the IRS said in a statement. Audit rates for incomes between $100,000 and $500,000 have risen to 0.6%, doubling from 2019, the IRS said. Audits for taxpayers making above $10 million in one year increased fourfold, reaching 8%.
Best States for Minimizing Taxes in Retirement: If decreased tax liability is high on your list of priorities, a few states stand out. These states either have no state income tax, no tax on retirement income, or a substantial discount on the taxes levied on retirement income: Alaska, Florida, Georgia Mississippi Nevada South Dakota and Wyoming.
And, Amazon Worldwide Consumer CEO Dave Clark is leaving the company. The longtime executive has worked for Amazon since 1999.
Finally, colleague Michael Burry MDrecently compared the current market downturn to an aviation disaster, and said it reminded him of the collapse of the mid-2000s housing bubble. “As I said about 2008, it is like watching a plane crash,” the investor wrote in a since-deleted tweet on May 24. “It hurts, it is not fun, and I’m not smiling.” The Scion Asset Management chief warned that based on historic market slumps, the S&P 500 index could lose half its value and sink below 1,900. He also suggested it could be several years until Amazon, Microsoft, and other high-flying stocks record their bottom tick, as they did in 2002 and 2009. Mike Burry, who wrote a chapter in our financial textbook for physicians, shot to fame for anticipating and profiting from the 2008 crash. He diagnosed the “greatest speculative bubble of all time in all things” last summer, and warned buyers of meme stocks and cryptocurrencies that the “mother of all crashes” was coming.
Posted on June 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
The Invisible Hand of Capitalism?
By Vitaliy Katsenelson CFA
Just as the well-meaning economist of the Soviet Union didn’t know the correct price of sugar, nor do the good-intentioned economists of our global central banks know where interest rates should be.
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Assessment
Even more important, they can’t predict the consequences of their actions.
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OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
Posted on June 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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US roaring consumer demand has caused an increase in the price of goods and services, otherwise known as inflation. But with inflation at a 40-year high this year, Americans are finding their monthly income isn’t going as far as it used to. In April, the personal savings rate in the US ticked down to a 14-year low of 4.4%, according to the latest figures from the Commerce Department. That’s half the rate it was in December, and roughly a third of where it was the year before. And, many households are already in negative savings territory, meaning they are increasingly tapping into their savings to cover purchases each month.
And Oil prices moved higher as a production increase by OPEC+ countries was viewed as potentially too little to offset the absence of Russian supply, while US crude inventories declined sharply. West Texas Intermediate moved 1.249% higher to $116.70, while Brent crude, the international benchmark, jumped about 1% to $117.47
Finally, The Social Network twins are laying off 10% of the workforce at Gemini, the crypto exchange they own. Tyler and Cameron Winklevoss said that the industry has entered a “contraction phase that is settling into a period of stasis”—which is another way of saying that the total value of digital assets has plunged by about $2 trillion from its peak last November.
Posted on June 2, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Oracle Corp. said it has received all regulatory clearances needed to complete its $28.3 billion purchase of digital medical-records provider Cerner Corp., paving a further expansion into health care for the software giant.
Seven states are now at an average of $5 or higher per gallon, according to AAA data, with Illinois becoming the latest to join California, Oregon, Washington, Nevada, Arizona, and Alaska. The national average for a gallon of gas sits at $4.671 for regular unleaded gas as of June 1st while diesel gas prices are at $5.54 per gallon on average nationally, down from the record high of $5.58 per gallon set on on May 18th.
As part of Facebook’s rebranding to Meta Platforms, the company’s stock ticker will officially change from “FB” to “META” effective before the market opens on June 9th. The social media giant has utilized the “FB” ticker since its initial public offering in 2012. And, Sheryl Sandberg, the COO of Meta just announced that she is stepping down from her position with the company. She held the role since 2008. She’ll be replaced by chief growth officer Javier Olivan who’s been with Meta for 15 years. Olivan said he won’t be as “public-facing” as Sandberg and will focus more on working with multiple teams.
Finally, Georgia Department of Public Health officials have confirmed the first potential case of monkeypox in the state. It comes less than a month after the first confirmed U.S. case of monkeypox in 2022 was reported out of Massachusetts. The Georgia patient is a male resident from Metro Atlanta and has a history of international travel. Monkeypox, a member of the Orthopoxvirus genus, typically begins with a flu-like illness and swelling of the lymph nodes, followed by a rash on the face and body.
Posted on June 1, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
So far this year, Alphabet (NASDAQ: GOOG) (NASDAQ: GOOGL), Amazon (NASDAQ: AMZN), and Tesla (NASDAQ: TSLA) have announced plans for splitting their stocks.
And, the FOMC’s $9 trillion portfolio is about to be reduced in a process intended to supplement rate hikes and buttress the central bank’s fight against inflation. “Quantitative tightening” is the opposite of “quantitative easing”. It’s basically a way to reduce the money supply floating around in the economy and helps to augment rate hikes in a predictable manner — though, by how much remains unclear.
Finally, the market for public listings [IPOs] has essentially stalled. No companies, including SPACs, went public in the US last week for the first time in two years, according to Renaissance Capital.
Welcome, and thank you for joining us for the 5th annual Top Economics Blogs list! We are happy, once again, to introduce you to a freshly updated list of economics blogs for 2022. As always, our winners list provides blogs for many different audiences, ranging from the budding economic enthusiast to the seasoned academic. The list also covers a variety of economics topics, whether it be traditional economic theory or the application of economics to current events and issues. In this meticulously curated list, we’ve condensed the most unique elements of each blog into short descriptions, so that you can see which ones catch your eye.
For 2022, a few newcomers have emerged, while many mainstays from previous years are present as well. Like previous years, we’ve done our best to capture the blogs which stand out for their quality rather than their popularity. As such, the list is an eclectic group that represents a wide range of tastes and perspectives.
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Regardless of your school of thought or political affiliation, you can find valuable new content in this list of engaging, high-quality economics blogs.
Posted on May 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
MUSK versus TWITTER
By Staff Reporters
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DEFINITION: A shareholder rights plan, colloquially known as a “poison pill“, is a type of defensive tactic used by a corporation‘s board of directors against a takeover. In the field of mergers and acquisitions, shareholder rights plans were devised in the early 1980s as a way to prevent takeover bids by taking away a shareholder’s right to negotiate a price for the sale of shares directly.
Typically, according to Wikipedia, such a plan gives shareholders the right to buy more shares at a discount if one shareholder buys a certain percentage or more of the company’s shares. The plan could be triggered, for instance, if any one shareholder buys 20% of the company’s shares, at which point every shareholder (except the one who possesses 20%) will have the right to buy a new issue of shares at a discount. If all other shareholders are able to buy more shares at a discount, such purchases would dilute the bidder’s interest, and the cost of the bid would rise substantially. Knowing that such a plan could be activated, the bidder could be disinclined to take over the corporation without the board’s approval, and would first negotiate with the board in order to revoke the plan.
The plan can be issued by the board of directors as an “option” or a “warrant” attached to existing shares, and only be revoked at the discretion of the board.
Posted on May 27, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By MCOL
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4 Key Take-Aways
• 87% of nurses said that medical courier deliveries—or lack thereof—impacted their work weekly. • 32% of nurses have created a “secret stash” of supplies. • 27% have personally transported an item to another facility in the past year to overcome courier issues. • 19% said that errors or delays impacted their ability to provide patient care five or more times per month.
Posted on May 26, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
–OR–
Worse Care for All?
THE CBO OPINES
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Senate Budget Committee Chairman Bernie Sanders (I-Vt.) has announced that as early as next week, his committee will hold a hearing “on the need to pass a Medicare for All single-payer program.”
Sanders gets an “A” for passion, but an “F” in compassion.
But, the non-partisan Congressional Budget Office has cautioned that Sanders’ Medicare for All bill would create “a shortage of providers, longer wait times, and changes in the quality of care.”
Posted on May 18, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Is Stagflation Risk Real?
By Merk Insight
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DEFINITION: In economics, stagflation or recession-inflation is a situation in which the inflation rate is high, the economic growth rate slows, and unemployment remains steadily high. It presents a dilemma for economic policy, since actions intended to lower inflation may exacerbate unemployment.
A few days ago, I had the pleasure of attending the Hoover Monetary Conference – I would call it a Powwow of central bankers, if there had not been an actual Powwow a few steps outside the venue. While Hoover is known to reflect “hawkish” views, “hawks” and “doves” alike used the question of whether the Fed is “behind the curve” to argue all things inflation and stagflation.
I left the conference even more concerned about the risk of stagflation; let me explain.
Posted on May 17, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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The US COVID death toll officially reached 1 million, an amount greater than the combined populations of Boston and Orlando. Coming three months after the country reached 900,000 deaths and less than two and a half years after the first recorded US cases. It’s a reminder that despite dropped mask mandates and summer months approaching, the virus continues to be a threat.
New Omicron sub-variants that appear adept at eluding immunity from prior infections have caused yet another spike in reported cases and hospitalizations. US cases have jumped 60% over the past two weeks, to an average of 90,000 new cases every day.
That figure is far short of the real infection rate, as states have shuttered many large testing sites, and cases discovered from at-home tests often go unreported.
Here were a few floating around the internet this week, according to Neal Freyman:
When Matt Damon said, “Fortune favors the brave” in a Crypto.com commercial in October 2021. (It actually was kinda the top, because bitcoin peaked at $69,000 a few weeks later.)
When one investor went on CNBC last year to promote his investment in a lending platform called Upstart, he was asked what Upstart does. He hesitated, told the anchor his audio had cut out, and never responded.
When Dogecoin surged more than 10,000% to become the fourth most valuable cryptocurrency ahead of Elon Musk hosting SNL.
When electric vehicle startup Rivian was worth more than $110 billion and didn’t bring in any revenue.
When NFT platform OpenSea raised money at a $13.3 billion valuation—more than the value of American Airlines.
Posted on May 15, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters and MCOL
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Outcomes of In-Person and Tele-Health Encounters During COVID-19
• Ambulatory encounters decreased by 1.0% and the number of in-person encounters per enrollee decreased by 17.0% from 2019 to 2020. • For members with an initial telehealth encounter for a new acute condition, the adjusted odds ratio was 1.44 for all follow-ups combined and 1.11 for an emergency department encounter. • For members with an initial telehealth encounter for a new chronic condition, the adjusted odds ratios were 0.94 for all follow-ups combined and 0.94 for in-patient admissions.
Posted on May 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
It’s Friday the 13th
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The IRS destroyed data for an estimated 30 million filers in March 2021, according to the Treasury Inspector General for Tax Administration. The decision, prompted by a backlog of paper filings, has sparked anger in the tax community. “It just further damages the IRS’ reputation in the business community and in the public,” said Larry Harris, director of tax services at Parsec Financial.
More than $200 billion has been wiped off the cryptocurrency market today alone, as investors are sent into a panic. Ethereum, the world’s second largest digital currency plummeted by 20% in the space of 24 hours. Bitcoin, the original cryptocurrency started in 2009, dropped by 9%, but overall it is down 50% since its all time high in November. Chaos on the market has seen other currencies such as Shiba Inu and Dogecoin losing 30% and 25%, respectively. Meanwhile Terra Luna, which was among the top 10 most valuable cryptocurrencies had 98% of its value wiped out overnight, falling to below one dollar per coin.
Immediately after becoming the interim CEO of Starbucks (NASDAQ: SBUX), Howard Schultz suspended the company’s share-repurchase program. “This decision will allow us to invest more into our people and our stores — the only way to create long-term value for all stakeholders,” he said in a press release.
Snowflake, Meta, Microsoft and Uber — are all down from 20% to as much as 60% year to date. The technology stock sector, especially unprofitable firms and richly valued software names, have been hit the hardest as of late. The NASDAQ Composite slid more than 13% in April, dropping almost 30% from its all-time high.
President Biden, anticipating the milestone of one million American lives lost to Covid-19, said in a formal statement on Thursday that the United States must stay committed to fighting a virus that has “forever changed” the country.
Finally, Microsoft founder Bill Gatessaid on Tuesday that he tested positive for COVID-19 and is experiencing mild symptoms. In a series of tweets, the billionaire shared that he was “lucky to be vaccinated” and will be isolating until he’s healthy again.
Posted on May 13, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Jules Lipoff, MD: Senior fellow at the Leonard Davis Institute of Health Economics and an assistant professor of clinical dermatology at Perelman School of Medicine, both of the University of Pennsylvania. Erica Mark, medical student at the University of Virginia, contributed to this article.The opinions expressed in this article do not necessarily represent those of the University of Pennsylvania Health System or the Perelman School of Medicine.
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If you follow the news or your social media feed, you know that crowdsourcing medical expenses is increasingly popular for financing health care costs. In fact, you might have contributed to one; 22 percent of American adults report donating to GoFundMe medical campaigns.
As of 2021, approximately $650 million, or about one-third of all funds raised by GoFundMe, went to medical campaigns. That staggering amount of money highlights how dysfunctional our health care system is, forcing people to resort to crowdsourcing to afford their medical care — but it’s not surprising. In the United States, 62 percent of bankruptcies are related to medical costs. This should be a wake-up call to address and reform the system further.
Posted on May 12, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters and MCOL
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WTW: Employee Healthcare Affordability Survey
• By the end of 2023, most employers (95%) are expected to offer virtual care for medical and behavioral health issues, and 61% expect to offer lower cost sharing for virtual care. • Over half (55%) think the expansion of virtual care will help decrease costs in the long run, and 50% think it will improve outcomes. • Employer confidence in sponsoring healthcare benefits over the next 10 years is at its highest point in over 10 years (84% in 2022 versus 38% in 2011). • One in 10 employers (9%) currently offer genetic testing as a screening for early-stage cancer with another 5% planning to do so by 2023.
A recent study examined the growth in hospital prices paid by commercial health insurance companies compared to Medicare over a seven-year period and found that commercial health plan rates were, on average, 180% higher than Medicare rates as of 2019.
While the national ratio between commercial and Medicare hospital payment growth rates remained relatively stable during the seven-year study period, ratios varied widely on a regional basis. This Health Capital Topics article will discuss this recent study and its implications. (Read more…)
In a recent article on the Mises Institute’s Power and Market blog, Kyle Ward appealed to the subjective theory of value to castigate Peter Schiff for his notorious skepticism of Bitcoin:
Posted on May 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
Types with Guide
By Staff Reporters
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According to Investopedia, a stablecoin is a class of cryptocurrencies that attempt to offer price stability and are backed by a reserve asset. Stablecoins have gained traction as they attempt to offer the best of both worlds—the instant processing and security or privacy of payments of cryptocurrencies, and the volatility-free stable valuations of fiat currencies.
Stablecoins are cryptocurrencies that attempt to peg their market value to some external reference.
Stablecoins may be pegged to a currency like the U.S. dollar or to a commodity’s price such as gold.
Stablecoins achieve their price stability via collateralization (backing) or through algorithmic mechanisms of buying and selling the reference asset or its derivatives.
Posted on May 11, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Palantir Technologies Inc., Peter Thiel’s single-biggest equity position, plummeted as much as 23% Monday after it reported widening losses and slow revenue growth. The slump erased $270 million from the value of Thiel’s stake. So far this year he’s shed 19% of his net worth, now valued at $7.4 billion, according to the Bloomberg Billionaires Index.
10 Year T-Bond: 2.987%
Economy: The Consumer Price Index report will drop this morning and give us inflation data for April.
NOTE: The CPI is a price of an index or the price of a weighted average market basket of consumer goods and services purchased by households. Changes in measured CPI track changes in prices over time.
Posted on May 10, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Bitcoinis now almost 50% off its all-time high. If bitcoin is a store of value, it certainly hasn’t proven itself yet. With bitcoin’s price falling below $30,000 for the first time since July 2021, at least 40% of bitcoin investors are underwater.
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Markets: The S&P fell below 4,000 points for the first time in more than a year as inflation concerns trampled a day down on Wall Street. Big Tech companies lost more than $1 trillion in market value over the past three trading sessions alone.
Posted on May 9, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Staff Reporters
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• 108,700 additional physicians became employees of hospitals or other corporate entities – 83,000 of that shift occurred after the onset of COVID-19. • Hospital and other corporate entities acquired 36,200 additional physician practices over the three-year period, resulting in a 38% increase in the percentage of corporate owned practices. • 58,200 additional physicians become hospital employees – 51,000 of that shift occurred after the onset of COVID-19. • 50,500 additional physicians became employees of corporate entities – 32,000 of that shift occurred after the onset of COVID-19.
Posted on May 4, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Markets: Led by energy, stocks posted their second straight day of gains. But some see danger ahead given the FOMC raising interest rates with slowing growth [stagflation]. Hedge fund billionaire Paul Tudor Jones told CNBC, “You can’t think of a worse environment than where we are right now for financial assets.”
Posted on May 3, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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17% of Healthcare Execs Said AI Would Affect Financial Outcomes
• 60% of respondents expect AI to impact clinical outcomes. • 17% said AI would affect financial outcomes. • 13% said AI would impact their operation outcomes. • 9% said AI would impact administrative outcomes. • 61% of executives hope to bring about a complete digital transformation in their organizations within three to five years.
During this period, the standard deviation of quarterly real gross domestic product (GDP) declined by half and the standard deviation of inflation declined by two-thirds, according to figures reported by former U.S. Federal Reserve Chair Ben Bernanke. The Great Moderation can be summed up as a multi-decade period of low inflation and positive economic growth.
But, what about health economics, writ large? And, the actual practice of medicine by physicians in the trenches. Consider this historical review.
GOLDEN AGE OF MEDICINE
The ‘golden age of medicine’ – the first half of the 20th century, reaching its zenith with Jonas Salk’s 1955 polio vaccine – was a time of profound advances in surgical techniques, immunization, drug discovery, and the control of infectious disease; however, when the burden of disease shifted to lifestyle-driven, chronic, non-communicable diseases, the golden era slipped away. Although modifiable lifestyle practices now account for some 80% of premature mortality, medicine remains loathe to embrace lifestyle interventions as medicine Here, we argue that a 21st century golden age of medicine can be realized; the path to this era requires a transformation of medical school recruitment and training in ways that prioritize a broad view of lifestyle medicine. Moving beyond the basic principles of modifiable lifestyle practices as therapeutic interventions, each person/community should be viewed as a biological manifestation of accumulated experiences (and choices) made within the dynamic social, political, economic and cultural ecosystems that comprise their total life history. This requires an understanding that powerful forces operate within these ecosystems; marketing and neoliberal forces push an exclusive ‘personal responsibility’ view of health – blaming the individual, and deflecting from the large-scale influences that maintain health inequalities and threaten planetary health. The latter term denotes the interconnections between the sustainable vitality of person and place at all scales. We emphasize that barriers to planetary health and the clinical application of lifestyle medicine – including authoritarianism and social dominance orientation – are maintaining an unhealthy status quo.
To listen to all those desperate to reform health care, you get the impression that physicians are pretty horrible people. We are all sexist, greedy, money grubbing tyrants who will perform unnecessary tests and procedures just to make money. We don’t care about quality or cost. We are killing off 250,000 patients every year with our ignored “errors.”
We purposely keep our patients in pain, or we addict them to narcotics just to shut them up. We are constantly told by lawyers that lawsuits are necessary to protect patients from doctors. We provide unsafe drugs just because the drug reps give us free pens and coffee cups. The government must step in to clean up the mess.
The U.S. government is the largest payor of medical costs, through Medicare and Medicaid, and has a strong influence on reimbursement for home healthcare services. In 2020, Medicare and Medicaid accounted for an estimated $829.5 billion and $671.2 billion in healthcare spending, respectively. The outsized prevalence of these public payors in the healthcare marketplace often results in their acting as a price setter, and being used as a benchmark for private reimbursement rates. This effect may be even stronger in the home health industry.
The third installment of this home health valuation series will discuss the reimbursement environment in which these organizations operate. (Read more…)
• 56% of the U.S. adult population report no recent occurrences of being unable to afford care or prescribed medicine. • 36% of the U.S. adult population report recent occurrences of being unable to pay for care or medicine or lack easy access. • 8% of the U.S. adult population report recent occurrences of being unable to pay for household care, being unable to pay for prescribed medicine and feeling that they would not have access to affordable quality care if needed today.
Posted on April 29, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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Medicare Advantage Organizations (MAOs) delayed or denied payments and services to patients, even when these requests met Medicare coverage rules, according to a report released by federal investigators on Thursday.
Posted on April 28, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
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By Eric Bricker MD
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According to One Survey, only 4% of People Understand the Basic Insurance Terms of Deductible, Co-Insurance, Copay and Out-of-Pocket Maximum.
In Another Survey by United Healthcare Itself, Only 9% Understood the Terms Premium, Deductible, Co-Insurance and Out-of-Pocket Max.
This Lack of Understanding is Not the Fault of the Employee Benefits Professionals or the Employees… Rather, the Health Insurance Plan Designs Are Just Too Complicated.
Posted on April 24, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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According to FOX News, a New York physician was charged in an unsealed indictment on Thursday over an alleged $10 million health care fraud scheme. The Department of Justice announced that Elemer Raffai, 56, was charged with health care fraud for his alleged involvement in an alleged scheme between July 2016 and June 2017, signing prescriptions and other order forms for services that weren’t medically necessary, the Department of Justice states.
Raffai allegedly signed prescriptions and other order forms through telemedicine services for durable medical equipment that the Department of Justice claims were not medically necessary.
Justice says that Raffai was partially convinced to make the prescriptions and orders due by the payments of bribes and kickbacks. The indictment also alleges that Raffai and other individuals either submitted or caused $10 million in false and fraudulent claims to be submitted to Medicare, which paid more than $4 million on the claims.
If convicted, the physician faces a maximum of 10 years in prison
Posted on April 23, 2022 by Dr. David Edward Marcinko MBA MEd CMP™
By Staff Reporters
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What a week in the world’s financial markets? It is perfect timing for this ME-P.
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It is useful to look at stock market levels compared to where they’ve been over the past few months. When the S&P 500 is above its moving or rolling average of the prior 125 trading days, that’s a sign of positive momentum. But if the index is below this average, it shows investors are getting skittish.
The Fear & Greed Index uses slowing momentum as a signal for Fear and a growing momentum for Greed.
But, a few big stocks can skew returns for the market. So, it’s important to also know how many stocks are doing well versus those that are struggling.