Financial Management Strategies for Hospitals and Healthcare Organizations

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

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PODCAST: Prescription Patient Assistance Programs

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

BY ERIC BRICKER MD

With 43 Million Americans Having Lost Their Job at Some Point During the Pandemic and About 1/2 Those Jobs Providing Health Insurance… the 1st Group–People Who Do Not Have Health Insurance–Needs to Be Aware of How These Programs Work.

In this Video You Will Learn the Patient Assistance Program Process for:

1) 2 of the Most Common Types of Insulin

2) The Highest-Revenue Medication in America: Humira

**Note: At the Time of the Video’s Recording, the Unemployment Rate in the US was 15%. As of November 2021, the Unemployment Rate is 4.2%.

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Understanding Hobson’s Choice in Medicine

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

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Hobson’s choice  in Public Health

DEM white shirt

By Dr. David Edward Marcinko MBA

[From Wikipedia, the free encyclopedia]

A Hobson’s choice is a free choice in which only one thing is offered. Because a person may refuse to accept what is offered, the two options are taking it or taking nothing. In other words, one may “take it or leave it.”

The phrase is said to have originated with Thomas Hobson (1544–1631), a livery stable owner in Cambridge, England, who offered customers the choice of either taking the horse in his stall nearest the door or taking none at all.

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An oil portrait of Thomas Hobson, in the National Portrait Gallery, London. He looks straight to the artist and is dressed in typical Tudor dress, with a heavy coat, a ruff, and tie tails

[Thomas Hobson, the National Portrait Gallery, London]

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In Medicine

One of the first examples that springs readily to mind in trying to look for examples of Hobson’s Choice in Medicine is the issue of defensive medicine. While the physician actually has the option of not “shotgunning” a patient (that is, shooting randomly large number of tests in order to cover legal liability and prevent medicolegal backlashes), the risk of missing a diagnosis and the fall outs thereof are so large, that it basically degenerates into a Hobson’s Choice.

The idiosyncrasies of medicine and the way the body reacts to them always leaves us open to the risk of working within the constraints of Hobson’s Choice.

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pills+capsules+other

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For example, antibiotics have saved more lives than we can count, yet, an idiosyncratic, unpredictable reaction may just be waiting for us around the corner.

In Public Health

In the Indian Public Health scenario, all that the patients are offered in a primarily paternalistic system is the choice Hobson had offered all those years ago. Much like Henry Ford, who told customers lining up to buy his revolutionary Ford Model T that they could have their cars in “any color so long as it is black”, the Indian system, hobbled by the lack of an empowered public, and a patient choice scheme, functions on the basis of Hobson’s choice.

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Assessment

Even in the clinical sciences, with shared decision making and user driven healthcare still in their infancy in the nation, a paternalistic physician offers naught but “this or none” choice to their patients. While one can say that the lack of general awareness of the public tends to spawn this issue, we cannot shake off our personal stake in this matter just by hiding behind the façade of moral determinism!

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:

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

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Medical FINANCIAL PLANNING “Holistic” STRATEGIES

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

BY AND FOR PHYSICIANS AND THEIR ADVISORS

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PODCAST: Hospital Charity Care Explained

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

BY ERIC BRICKER MD

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PODCAST: Healthcare Re-Imagined

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

“COMMON BRIDGE” WITH RICH HELPPIE

Richard Helppie's Common Bridge

Colleague Richard Helppie interviews Dean Clancy

Dean Clancy is a senior health care policy fellow at Americans for Prosperity and a nationally known health care freedom advocate and domestic policy expert with more than twenty years’ high-level policy experience in Congress, the White House, and the U.S. health care industry.

EDITOR’S NOTE: I first met Rich in B-school, when I was a student, back in the day. He was the Founder and CEO of Superior Consultant Holdings Corp. Rich graciously wrote the Foreword to one of my first textbooks on financial planning for physicians and healthcare professionals. Today, Rich is a successful entrepreneur in the technology, health and finance space.

-Dr. David E. Marcinko MBA CMP®

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PODCAST: https://richardhelppie.com/dean-clancy/

ASSESSMENT: Your thoughts are appreciated.

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31% of Americans Don’t Know How They’d Pay for Severe Illness

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

By Staff Reporters

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31% of Americans Don’t Know How They’d Pay for Severe Illness

A recent survey by HealthcareInsider that polled 1,062 adults aged 18 and up asked, “If you were to experience a severe illness how would you pay for treatment?”

 •  Don’t know: 31%
 •  Credit card: 26%
 •  Non-retirement savings: 17%
 •  Borrow money from family: 16%
 •  Retirement savings: 11%
 •  Health Savings Account: 9%
 •  Borrow from a finance institution: 8%
 •  Crowdfund online: 6%

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PODCAST: Explaining Relative Value Units As a Physician

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

By Business Savvy Physician

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

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18% of Patients Surveyed Skipped Prescriptions to Save Money

Posted on January 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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18% Surveyed Skipped Prescriptions to Save Money

A recent Gallup survey asked “Thinking about the last 12 months, have you or a family member skipped a prescribed pill, dose, or other type of medication in order to save money?”. The amount of prescriptions in the household of those who answered yes varied as follows:

 •  8+: 25%
 •  5-7: 22%
 •  1-4: 17%
 •  0: 8%
 •  Total that answered yes: 18%

Source: West Health-Gallup 2021 Healthcare in America Report, December 2021

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

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On Hobson’s Economics “Choice”

Posted on January 5, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

The Philosophical Tradeoff

By Dr. David Edward Marcinko; MBA

[Publisher-in-Chief]

In economics, Hobson’s choice is a free choice in which only one option is offered, and one may refuse to take that option. The philosophical choice is therefore between taking the option; and not taking it. 

A False Choice 

The phrase is said to originate from Thomas Hobson [1544-1630], a livery stable owner who, in order to rotate the use of his horses, offered customers the choice of either taking the horse in the stall nearest the door – or taking none at all. It is analogous to the expression “my way or the highway”. 

In other words, it is in many respects a faux choice – or no choice at all. 

Financial Tradeoff 

Some retired physicians and other retired people live on a fixed income and many of them live right on the edge of their financial capability.  At some time in their life, they may have to make a choice regarding many purchases.  

In this case, we will illustrate “choice” using a couple’s purchase of Long Term Care Insurance. Of course, economics is the study of choice; wants, needs and scarcity, etc. 

In our case, if they decide to make the purchase they commit to a lifetime of premium payments. 

The financial tradeoff is this; if they make the commitment to purchase LTCI, they must give up something else.

Example: 

In order to maintain a monthly premium of $100 ($1,200per year), an elderly doctor, retired layman or couple must essentially relegate about $30,000 of financial assets to generate the $100 necessary to make an average premium payment (assumes a 7% rate of return with 4% withdrawal rate) or [4% X $30,000 = $1,200 year]. 

Thus, if the monthly premium cost is $500 per month, the elder must give up the use of $150,000 of retirement asset just to generate enough cash flow to pay for the LTC insurance. 

The married elder couple has to make the choice between lifestyle (dinners, vacations, gifts to children, prescription drugs, medical care or food and shelter) versus paying an insurance premium to provide for nursing home coverage for a need, which may be very real, but will not occur until sometime in the ambiguous future. 

Assessment 

When faced with such a tough economics – Hobsonian – choice, neither of which delivers peace of mind or a respectable solution; many will simply decide that, in either case, they may already end up impoverished. 

Thus, many will often opt for the better lifestyle now … while they can enjoy it … together. 

Conclusion 

A health economist or financial advisor often has to dispel the myths, hopes and misconceptions of clients and deal with the realities they face. Alternative risk management strategies are important, and health economic choices must be considered in any comprehensive financial plan. 

And so, what are your thoughts and comments on Hobson’s choice [dilemma]? 

Speaker: If you need a moderator or a speaker for an upcoming event, Dr. David Edward Marcinko; MBA – Editor and Publisher-in-Chief – is available for speaking engagements. Contact him at: MarcinkoAdvisors@msn.com 

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

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An Open Letter to the ME-P from Alfredo Morabia, MD, PhD

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

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Dear Dr. David Marcinko, 

With warm wishes for a joyful holiday, we are please to announce that the layout of AJPH is almost back on schedule, following COVID-19 related impacts to our production team. To keep these monthly highlight emails synched, we are going to highlight articles in two issues of AJPH. 
The December issue of AJPH features multiple articles focused on surveillance, surveys and COVID-19, along with articles discussing physical and mental health of home health care workers, racial and ethnic disparities in the impact of COVID-19 in the active U.S. military and firearm injury & gun violence.   Here are a few of the many articles in the December 2021 issue:  
Reaffirming the Foundations of Public Health in a Time of Pandemic Impact of the COVID-19 Pandemic on Public Health Surveillance and Survey Data Collections in the United StatesNational Health Interview Survey, COVID-19, and Online Data Collection Platforms: Adaptations, Tradeoffs, and New DirectionsPrevalence and Predictors of Home Health Care Workers’ General, Physical, and Mental Health: Findings From the 2014‒2018 Behavioral Risk Factor Surveillance SystemOral Histories of Civic Action to Address HIV/AIDS

The mission of AJPH is to advance public health research, policy, practice and education. Toward that goal, the journal also produces monthly podcasts available in English and Chinese at ajph.org. The monthly podcasts are also on iTunes and Google Play.
 
Be on the lookout for more timely research from AJPH, and consider subscribing or becoming an APHA member for full access.
 
AJPH and the Centers for Disease Control and Prevention are seeking papers for an issue on “Ubiquitous Lead: Risks, Prevention-Mitigation Programs and Emerging Sources of Exposure.” Manuscripts must be submitted to AJPH by Jan. 30. For additional information about the supplement, contact T. LeBlanc.
 
Happy Holidays!


Alfredo Morabia, MD, PhD
Editor-in-Chief, AJPH
@AlfredoMorabia
@AMJPublicHealth

Join APHA and get full access to AJPH, the official journal of the American Public Health Association.

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PODCAST: Hospital Financial Cross Subsidization Explained

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

BY ERIC BRICKER MD

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Round-Up on MARKETS and MEDICINE: 2022

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

By Staff Reporters

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  • Stock Markets: The three major equity indexes begin 2022 near record highs after closing out their best 3-year performance since 1999. The top-performing S&P sectors: Energy, whose 48% annual gain was its best ever (thank you, soaring oil prices). Real estate was the second-best performing sector at 42%, while tech and financials both rose 33%. The biggest winner in the S&P was Devon Energy, which gained nearly 190%. Ford, Moderna, and nine others in the index more than doubled their stock price. Microsoft rose 51%, and Apple’s 34% gain has it sitting close to a $3 trillion market capitalization.
  • Covid Medicine: Omicron has caused a rapid explosion of Covid cases in the US—the 7-day rolling average of nearly 400,000 new cases on Saturday was more than double the number from one week before. With hospitalizations also ticking higher, officials are warning that health systems will be overloaded before the Omicron wave is expected to peak in mid-January. And, Dr. Anthony Fauci said yesterday that health officials are looking at adding a negative test requirement after five days of quarantine. Under existing guidance, you can emerge from isolation without showing a negative test.
  • CITE: https://www.r2library.com/Resource/Title/082610254

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PODCAST: Ray Dalio on How the Healthcare Economy Works

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

Economy Works’ Applied to Healthcare … Credit Cycles and Healthcare Policy

By Eric Bricker MD

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

RICARDIAN DEMAND HEALTH ECONOMICS: https://medicalexecutivepost.com/2021/12/14/ricardian-derived-demand-economics-in-medicine/

RISING HEALTH CARE COSTS: https://medicalexecutivepost.com/2018/03/11/medical-treatment-costs-becoming-expensive-25-factors/

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PODCAST: Future Hospital “Profit Pool” in 2022?

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

McKinsey Healthcare Industry Analysis – Future Sources of Hospital Profit

BY ERIC BRICKER MD

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HAPPY 2022: Story of the New Year = INFLATION

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

INFLATION – Did we say [Health Care] Inflation?

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Inflation Definition

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Why? Inflation, which is the rate of price increases over time, affects all of us on a personal level. We pay electric bills, go grocery shopping, decorate our houses, buy cars—and this year all of those things got more expensive. Especially health care.

Thanks to a nefarious mix of soaring demand for goods and snarled supply chains, US consumer prices jumped the most in 39 years in November, and the 6.8% inflation rate marked the sixth straight month inflation grew by 5% or more. Producer prices, which can eventually trickle down to individuals, also increased at their fastest pace on record last month.

Of course, some inflation is good for the economy when wages keep up with rising prices (the Fed aims for a 2% inflation rate over time). But, so far in the pandemic, that hasn’t happened. While many Americans have gotten a raise in 2021, wage gains haven’t been sufficient to offset inflation, resulting in the erosion of purchasing power—especially for folks on a more or less fixed income.

Where do we go from here?

After months of claiming inflation was “transitory,” the Fed has dropped that term and adopted a more hawkish monetary policy to tamp down surging prices. The central bank is winding down its bond-buying stimulus program faster than originally planned, and also plans to hike interest rates three times in 2022.

In its inflation-fighting efforts, the Fed isn’t alone on the front lines. The Bank of England became the first major central bank to raise interest rates during the pandemic in order to combat the biggest annual jump in consumer prices in 10 years. Russia has raised rates seven times this year. Mexico, Chile, Costa Rica, Pakistan, and Hungary are among other countries which are tightening monetary policy to combat higher prices.

Looking ahead…as if economic policymakers needed another inflation curveball, Omicron has taken the mound. Central banks generally don’t expect the new variant to significantly dent economic growth, but they do think it may prolong inflation by exacerbating the supply–demand imbalance that fueled higher prices in the first place.

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RICARDIAN DEMAND HEALTH ECONOMICS: https://medicalexecutivepost.com/2021/12/14/ricardian-derived-demand-economics-in-medicine/

RISING HEALTH CARE COSTS: https://medicalexecutivepost.com/2018/03/11/medical-treatment-costs-becoming-expensive-25-factors/

Elderly CPI: https://medicalexecutivepost.com/2019/06/13/what-is-the-elderly-cpi/

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

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PODCAST Year End 2021: Rich Helppie Interviews Dr. James R. Baker, Jr., M.D.

Posted on December 31, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

The Common Bridge

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Entering the Last Chapter of Covid, From Omicron and Beyond – With Dr. James R. Baker, Jr., M.D.
Richard Helppie welcomes back University of Michigan Professor Emeritus of Internal Medicine, and Virologist, Dr. James R. Baker, Jr., M.D., who brings words of both encouragement and warning as the world comes to what he feels is the beginning of the final throws of the Covid-19 pandemic. 

Dr. Baker has been a valued guest on the Common Bridge since the beginnings of the coronavirus over a year ago, and brings thoughtful, scientific, data-driven analysis to the most significant health issue of our lifetime.

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PODCAST: https://richardhelppie.com/james-baker/

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PODCAST: Direct Healthcare Contracting

Posted on December 30, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

How it Works for Employers and Hospitals?

BY DR. ERIC BRICKER MD

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

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

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PODCAST: CIGNA Executive Public Relations “Whistle Blower”

Posted on December 29, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Wendell Potter is a Famous Ex-Executive from Cigna Who Left His High Paying PR Job in 2007 to Reveal the True Story Behind Health Insurance Carrier Public Relations.

BY ERIC BRICKER MD

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Hospital Settles False Claims Act Allegations for $18.2 Million

Posted on December 27, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

BY HEALTH CAPITAL CONSULTANTS, LLC

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Hospital Settles False Claims Act Allegations for $18.2 Million


On December 2, 2021, the U.S. Department of Justice (DOJ) announced that it had entered into an $18.2 million settlement with Flower Mound Hospital, a 91-bed hospital located northwest of Dallas, to resolve claims that the hospital had violated the Stark Law, the Anti-Kickback Statute (AKS), and the False Claims Act (FCA) by making improper inducements to referring physicians. This Health Capital Topics article will review the facts underlying the settlement. (Read more…)

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PODCAST: https://medicalexecutivepost.com/2021/08/28/podcast-stark-and-aks-final-rules/

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PODCASTS: Employer Sponsored Health Plans Explained [Part I and II]

Posted on December 26, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Self and Fully Insured Fundamentals and Basics

[A Two Part Presentation]

DR. ERIC BRICKER MD

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

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PODCAST: Patient Trust in Health Care?

Posted on December 22, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

PERSUASION = Ethos, Pathos and Logos

BY ERIC BRICKER MD

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PODCAST: Why Tech Companies Fail at Health Care

Posted on December 18, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

HEALTH PLAN “AGE” AS RISK FACTOR

BY ERIC BRICKER MD

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

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

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PODCAST: Milliman Medical Care Guidelines

Posted on December 15, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Pervasive MCG Health Insurance Denials

BY ERIC BRICKER MD

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PODCASTS: The Case Against Value Based Care [VBC]

Posted on December 13, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

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And Now – The Other Perspective

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BY ERIC BRICKER MD

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

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

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PODCAST: VBC Financial Risks: https://medicalexecutivepost.com/2021/07/13/podcast-value-based-care-financial-risks/

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PODCAST: What a Hospital CEO Should Do?

Posted on December 12, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Operational and Financial Changes

BY ERIC BRICKER MD

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Major Economic Theories

Posted on December 11, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

In the World? A Brief Review

[By staff reporters]

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Assessment

Your thoughts are appreciated.

RESOURCES:

“Insurance & Risk Management Strategies for Doctors” https://tinyurl.com/ydx9kd93

“Fiduciary Financial Planning for Physicians” https://tinyurl.com/y7f5pnox

“Business of Medical Practice 2.0” https://tinyurl.com/yb3x6wr8

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

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

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Economic Market Update

Posted on December 10, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

END OF “WHAT A WEEK”

By Staff Reporters

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Wall Street closed lower on Thursday as investors banked some profits after three straight days of gains and turned their focus toward upcoming inflation data and how it might influence the Federal Reserve’s meeting next week.

So, what about today-prognostications?

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TRIFECTA Update: Markets, Covid and Congress

Posted on December 8, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

TOPICS PREVIOUSLY MENTIONED ON THE ME-P

By Staff Reporters

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  • Markets: Omicron who? Fed tapering what? Stocks continued to roar back from their post-Thanksgiving hangover, with tech shares leading the way. The NASDAQ had its best day since March.
  • Covid: Pfizer’s Covid-19 vaccine is less effective, but still provides some protection, against the Omicron variant, an early study from South Africa showed.
  • US Government: Congress had a busy evening. Lawmakers reached a deal to raise the country’s debt ceiling, and the House passed a $768 billion defense policy bill that increases pay for service members.
  • Citation: https://www.r2library.com/Resource/Title/0826102549

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PODCAST: Health Insurance for H.I. Company Employees

Posted on December 8, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

What Health Insurance Do Health Insurance Companies Give Their Own Employees?

By Eric Bricker MD

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MARKETS and OMICRON Launch Week Ahead

Posted on December 6, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Stock Market Investing Perspectives

By Staff Reporters

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PODCAST: Fee-for-Service Primary Care

Posted on December 5, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

DUMB?

For Employers, On-Site Clinic or Direct Primary Care is Best!

By Eric Bricker MD

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BUSINESS: 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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HOSPITALS: 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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Recent Weekend Stock Market Volatility

Posted on December 4, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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WHAT A WEEK!

  • Markets: Stocks ended a topsy-turvy week with another stinker yesterday, dragged netherward (big word alert) by the tech sector. Meta shares nearly entered a bear market, falling almost 20% from a closing record in September. Still, the S&P was down less than 1% for the week.
  • CITE: https://www.r2library.com/Resource/Title/0826102549
  • Covid: The first bits of solid Omicron data are starting to trickle out. One study from South Africa showed that the new variant may cause a higher rate of reinfection in people who already got Covid. Critical information on the effectiveness of current vaccines against Omicron could come in a few days, a WHO scientist said.

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PODCAST: Low-Value Healthcare Remains Even Without Fee-for-Service Incentives

Posted on December 2, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

BY ERIC BRICKER MD

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MORE: https://medicalexecutivepost.com/2021/05/27/activity-based-medical-cost-accounting-and-management/

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PODCAST: Healthcare Costs Rising

Posted on December 1, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Doctors, Hospitals, Pharma and DMEs

BY ERIC BRICKER MD

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Money and the Drug Aducanumab

Posted on November 30, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

BIG PHARMA AND ECONOMICS

By Health Care Renewal

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Aducanumab, sold under the brand name Aduhelm, is a medication designed to treat Alzheimer’s disease. It is an amyloid beta-directed monoclonal antibody that targets aggregated forms of amyloid beta found in the brains of people with Alzheimer’s disease to reduce its buildup.

LINK: https://hcrenewal.blogspot.com/2021/07/money-and-aducanumab.html

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Cureus | Aducanumab as a Novel Treatment for Alzheimer's Disease: A Decade of Hope, Controversies, and the Future

RELATED: https://hcrenewal.blogspot.com/2021/07/the-future-of-aducanumab-as-medicine.html

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

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The Bear MARKETS and Cyber ECONOMY

Posted on November 29, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

  • Markets: Stocks dropped sharply in the post-Thanksgiving trading session on Friday due to concerns over the new Covid variant, Omicron. The Dow fell 2.5% for its worst day of the year, and the S&P also tumbled 2.3%. Oil prices and travel stocks also got rocked given fresh worries over travel demand, while “stay-at-home” names like Peloton and Zoom got a boost.
See the source image
  • Economy: It’s still way too early to know the impact of Omicron on economic growth. As we laid out last week, the Fed is under pressure to accelerate the winding down of its stimulus measures in order to battle inflation, but the new variant could change the calculus. Investors dialed back their expectations of a sooner-than-expected rate increase on Friday.

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VALUATION of Internal Medicine Services

Posted on November 27, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Valuation of Internal Medicine Services: Reimbursement

BY HEALTH CAPITAL CONSULTANTS, LLC


As noted in the first installment of this five-part series, internal medicine is the largest specialty among physicians and an understanding of the various environments in which these physicians operate is crucial in determining their numerous value drivers.

In particular, healthcare reimbursement, the process by which private health insurers and government agencies pay for the services of healthcare providers (including internists), is perhaps one of the most important environments to understand, as it comprises a provider’s expectation of future return on investment.

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

This installment will discuss the reimbursement of internal medicine services. (Read more…)

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

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

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PODCAST: NaviHealth Digital Health Start-Up

Posted on November 24, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

SOLD TO OPTUM

BY ERIC BRICKER MD

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Today is FIBONACCI NUMBERS DAY

Posted on November 23, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

MATH NERDS

By Dr. David E. Marcinko MBA

SPONSOR: http://www.CertifiedMedicalPlanner.org

Fibonacci, also known as Leonardo Bonacci, Leonardo of Pisa, or Leonardo Bigollo Pisano, was an Italian mathematician from the Republic of Pisa, considered to be “the most talented Western mathematician of the Middle Ages”

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

Today, 11/23, is the second holiest day of the year for math nerds after Pi Day. Why? Because it’s Fibonacci Day. If you forgot about the Fibonacci series from middle school, it goes 0, 1, 1, 2, 3, 5, 8, 13, 21, and so on, formed by taking the sum of the previous two numbers to create the next number in the sequence.

Fibonacci numbers can be found in many aspects of the natural world, including petal arrangements in flowers, the shape of hurricanes, a honeybee’s family tree, and even DNA molecules.

So yeah, to quote Jack Black in School of Rock, “Math is a really cool thing.”

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The Fibonacci Sequence Is Everywhere—Even the Troubled Stock Market | Science | Smithsonian Magazine

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PODCAST: Five [5] Warning Signs for Virtual Primary Care

Posted on November 23, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

FROM HEALTH INSURANCE CARRIERS

BY ERIC BRICKER MD

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PODCAST: Value-Based Care

Posted on November 22, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Ochsner Health Has Real Hospital Success

By Dr. Eric Bricker MD

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Physician Medical Practice “Misrepresentation” Risks

Posted on November 21, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

BUSINESS FRAUD RISKS

True Case Report

CMP logo

By Dr. David Edward Marcinko MBA CMP©

SPONSOR: http://www.CertifiedMedicalPlanner.org

A Medical Practice Misrepresentation Case Model

Let’s say a physician decided to sell his practice and move to another state. The value of the sale was based, in part, on the yearly gross of the practice. The physician accepted installment payment terms from the buyer and moved to the new state. The buyer began to practice medicine at his new office. Although he was busy, his gross never approached the gross of the prior physician.

Eventually the buyer defaulted on the loan. The selling physician sued for the deficit. The defaulting physician and his forensic consultants then performed an in-depth evaluation of the seller’s practice. The buyer and his team noticed some discrepancies in the billing patterns and practices of the seller. Considering these discrepancies to constitute Medicare and insurance billing fraud, the seller counter-sued the buyer on the grounds of misrepresentation, alleging the gross receipts of the practice purchase price, was grossly inflated.

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

ASSESSMENT: Therefore, the buyer determined that the seller had fraudulently misrepresented the potential of the practice. He also notified state and federal authorities and filed complaints of insurance fraud against the seller.

The seller thought that he would move to the good life in the new state, but his old practice kept him in constant legal trouble.

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

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

SECOND OPINIONS: https://medicalexecutivepost.com/schedule-a-consultation/

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

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PODCAST: Health Plan Innovation

Posted on November 20, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

ALIGNMENT / MISALIGNMENT INNOVATION?

By Dr. Eric Bricker MD

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PODCAST: The EMTALA Law

Posted on November 19, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

Hospitals Must Treat All Patients

BY ERIC BRICKER MD

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The Emergency Medical Treatment and Active Labor Act is an act of the United States Congress, passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act

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

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MORE: https://medicalexecutivepost.com/2009/04/26/understanding-the-emergency-medical-treatment-and-active-labor-act/

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On Traditional v. Behavioral Finance

Posted on November 18, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

A Comparison Chart

[By staff reporters]

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Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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PODCAST: Ascension Non-Profit Hospital System

Posted on November 16, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

THE LARGEST IN THE USA

BY DR. ERIC BRICKER MD

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PODCAST: Health Insurance Claims Repricing

Posted on November 13, 2021 by Dr. David Edward Marcinko MBA MEd CMP™

WHAT IT IS – HOW IT WORKS

By Eric Bricker MD

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HEALTH INSURANCE ADJUDICATION

PODCAST: Health Insurance Claims Adjudication Explained

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