A Rapid Rise in COVID-19 Cases?
By CDC.gov
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Filed under: "Doctors Only", Drugs and Pharma, Health Insurance | Tagged: corona variants, Covid-19 | Leave a comment »
A Rapid Rise in COVID-19 Cases?
By CDC.gov
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Filed under: "Doctors Only", Drugs and Pharma, Health Insurance | Tagged: corona variants, Covid-19 | Leave a comment »
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Filed under: Health Economics, Health Insurance | Tagged: Medicare budget | Leave a comment »
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Filed under: Health Economics, Health Insurance | Tagged: corona pandemic, health insurers' profits, US Health Insurers' Profits Amid the Pandemic | Leave a comment »
DAVID EDWARD MARCINKO IS AT YOUR SERVICE IN 2020-2021
Web: https://lnkd.in/eVGcji5
An Authentic Servant Leader, Mentor, Speaker and Coach 2.0
INVITATION: https://lnkd.in/d2SefCY
SPEAKING TOPIC LIST: https://lnkd.in/e7WrDj9
MY “AVATAR”: https://lnkd.in/d6BU-TQ
TO SCHEDULE A SEMINAR, SPEAKING ENGAGEMENT, POD OR VLOG-CAST:
Contact: Ann Miller RN MHA CMP®
MarcinkoAdvisors@msn.com
770-448-0769
Thank You
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Filed under: Health Economics, Health Insurance, Health Law & Policy, iMBA, Inc., Investing, Touring with Marcinko | Tagged: Daivd Marcinko | Leave a comment »
New Years Resolutions 2021 [Repost]
By Nathan Kaufman • 1st Managing Director at Kaufman Strategic Advisors
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Filed under: Experts Invited, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: Nate Kaufman | Leave a comment »
Filed under: Experts Invited, Health Economics, Health Insurance, iMBA, Inc. | Tagged: Health Capital Consultants LLC | 1 Comment »
COVID-19 and Long Term Care Facilities
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Filed under: Health Insurance | Tagged: Covid-19, LTC insurance, pandemic | Leave a comment »
Not Inflation Protected
By Federal Register
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Filed under: Health Economics, Health Insurance, Health Law & Policy, iMBA, Inc. | Tagged: federal register, Physician Reimbursement | Leave a comment »
THE BUSINESS OF MEDICAL PRACTICE AND HOSPITAL MANAGEMENT
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
HOSPITAL MANAGEMENT & BUSINESS TEXTS FOR PHYSICIANS AND CXOs:
1 – https://lnkd.in/eEf-xEH 2 – https://lnkd.in/e2ZmewQ
“DICTIONARY OF TERMS FOR THE BUSINESS OF MEDICINE”
DHEF: https://lnkd.in/dqdbWM9
DHIMC: https://lnkd.in/e9AmEhd
DHITS: https://lnkd.in/eWx3WjZ
MORE: https://lnkd.in/eVGcji5
THANK YOU
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Filed under: Financial Planning, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, iMBA, Inc. | Tagged: “Investment Planning for Financial Professionals” | Leave a comment »
COVID-19 [NIHCM]
By staff reporters
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Filed under: Drugs and Pharma, Glossary Terms, Health Economics, Health Insurance | Tagged: corona disparity, covid racism | 1 Comment »
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Filed under: Health Economics, Health Insurance, iMBA, Inc. | Tagged: ACOs, CMS, Value-Based care, VBID | Leave a comment »
Healthcare Transparency
By Health Capital Consultants, LLC
On October 29, 2020, the Centers for Medicare & Medicaid Services (CMS) released the Transparency in Coverage final rule. This long-anticipated final rule stems from President Donald Trump’s June 2019 executive order on “Improving Price and Quality Transparency” and builds upon the hospital Outpatient Prospective Payment System (OPPS) price transparency requirements released in November 2019.
These requirements came under fire in a lawsuit filed by the American Hospital Association (AHA), Association of American Medical Colleges (AAMC), Children’s Hospital Association (CHA), and Federation of American Hospitals (FAH), against the Department of Health and Human Services (HHS); the requirements were upheld by the courts in June 2020 and the lawsuit is being appealed by the plaintiffs. (Read more…)
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Filed under: Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, iMBA, Inc. | Tagged: Health Capital Consultants LLC, healthcare transparency | Leave a comment »
Estimated Impacts
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Filed under: Health Economics, Health Insurance | Tagged: corona economics, covod economic impact | Leave a comment »
CIRCA 1969 = Morristown Memorial Hospital, NJ, USA
By Anonymous
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“DICTIONARY OF TERMS FOR THE BUSINESS OF MEDICINE”
DHEF: https://lnkd.in/dqdbWM9
DHIMC: https://lnkd.in/e9AmEhd
DHITS: https://lnkd.in/eWx3WjZ
MORE: https://lnkd.in/eVGcji5
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I rotated thru this facility back when I was at Temple University
Dr. David Edward Marcinko MBA
ME-P Editor-in-Chief
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Filed under: Health Economics, Health Insurance, Touring with Marcinko | Tagged: David Marcinko MBA, hospital bill | Leave a comment »
An Info-Graphic?
By Staff Reporters
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Filed under: Glossary Terms, Health Economics, Health Insurance, Quality Initiatives | Tagged: corona, corona virus deaths, pandemic | 1 Comment »
Self Immolation
[By staff reporters]
A veteran committed suicide by setting himself on fire in front of a New Jersey VA clinic after staff at the clinic repeatedly failed to ensure he received adequate mental health care, an investigation of the death found.
Department of Veterans Affairs staff canceled an appointment Charles Ingram had in fall 2015 because a provider was unavailable, didn’t follow up to reschedule, and when he walked into the clinic to ask for an appointment, they didn’t schedule it until three months later, the VA inspector general found.
Ingram, a 51-year-old Gulf War veteran, had been approved to receive treatment at a non-VA facility, but no one at VA contacted him or scheduled the appointment.
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Filed under: Ethics, Health Insurance, Health Law & Policy | Tagged: VA, Veteran Suicide in Front of VA Hospital | 7 Comments »
[By Staff Reporters]
As a doctor, you have a unique position in society and the ability to help your fellow man/woman during the most frail, jubilant and sacred times of human life; even unto the end.
HELP a Veteran today!
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Assessment
Similarly, as a financial advisor, you have a unique position in society and the ability to help your fellow man/woman during their most financially fragile times of life; even unto the end.
So, be a fiduciary advisor; not just a Registered Representative, commissioned sales person, or agent.
HELP a Veteran today!
More: Are You Providing Pro Bono Financial Advice? [Voting Poll and Survey]
MORE: VA Cost Accounting
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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Although this book targets physicians, I was pleased to see that it also addressed the risk management, financial planning and employment benefit needs of nurses; physical, respiratory, and occupational therapists; CRNAs, hospitalists, and other members of the health care team….highly readable, practical, and understandable.
Captain CASH Unit Iraq [retired] – Cecelia T. Perez RN [Hospital Operating Room Manager, Ellicott City, Maryland
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Filed under: Career Development, Ethics, Financial Planning, Health Insurance, iMBA | Tagged: Help a Veteran, pro bono financial planning, pro-bono medical care, VETERAN'S DAY 2018 | 8 Comments »
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 Howard Green MD
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Health Insurance industry redistributing unlimited cash from patient premiums into the Georgia US Senate run off election to prevent a Democrat Senate Majority from removing the health insurance exemption to Federal antitrust, monopoly, price fixing and collusion McCarran Ferguson laws.
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Filed under: Health Insurance, Health Law & Policy, iMBA, Inc. | Tagged: Health Insurance, Howard Green MD, McCarran-Ferguson Act | Leave a comment »
ADVERSE SELECTION:
By staff reporters
The tendency of people who are less than standard health insurance risks to seek or continue insurance to a greater extent than other individuals. This so called “selection against the insurer”, or “anti-selection”, is a form of stacking the deck and is also found in the tendency of policy owners to take advantage of favorable options in health insurance or managed care contracts.
Or, a particular health plan, whether indemnity or managed care, is selected against by the enrollee, and thus an inequitable proportion of enrollees requiring more medical services are found in that plan.
Example: Low enrollee out-of-pocket costs might lure those individuals requiring more health services into an HMO rather than an indemnity-plan because the former does not have a deductible.
Therefore, the HMO would have a greater proportion of less-healthy enrollees, thereby driving up costs and increasing financial risks. Also occurs with one of the following:
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“DICTIONARY OF TERMS FOR THE BUSINESS OF MEDICINE”
DHEF: https://lnkd.in/dqdbWM9
DHIMC: https://lnkd.in/e9AmEhd
DHITS: https://lnkd.in/eWx3WjZ
MORE: https://lnkd.in/eVGcji5
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Filed under: Health Insurance, Health Law & Policy | Tagged: adverse selection | Leave a comment »
Free Market Health Care = NOT!
By Nate Kaufman
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Filed under: Health Economics, Health Insurance, Healthcare Finance | Tagged: free market medicine | 1 Comment »
COACHING MEDICAL COLLEAGUES IN BUSINESS & FINANCIAL PLANNING
https://lnkd.in/eBf-4vY
For Doctors – By Doctor Colleagues – Confidential Mentoring
By Dr. David E. Marcinko MBA CMP
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
DICTIONARY OF TERMS FOR THE BUSINESS OF MEDICINE
DHEF: https://lnkd.in/dqdbWM9
DHIMC: https://lnkd.in/e9AmEhd
DHITS: https://lnkd.in/eWx3WjZ
INVITATION: https://lnkd.in/d2SefCY
SPEAKING TOPIC LIST: https://lnkd.in/e7WrDj9
MY “AVATAR”: https://lnkd.in/d6BU-TQ
Thank You
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Filed under: Financial Planning, Health Economics, Health Insurance, iMBA, iMBA, Inc., Professional Liability, Quality Initiatives, Recommended Books, Risk Management | Tagged: coach, Daivd Marcinko, physician coaching, Physician mentoring | Leave a comment »
ProPublica
The thousands of “Trumpcare” ads Facebook and Google have published show that the shadowy “lead generation” economy has a happy home on the platforms — and even big names like UnitedHealthcare take part.
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Filed under: Health Economics, Health Insurance, iMBA, Inc. | Tagged: Trump-Care | Leave a comment »
The Top Five States with the Lowest Adult Un-Insurance Rates
CIRCA 2019
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Filed under: Health Economics, Health Insurance, Health Law & Policy | Tagged: State health insurance rates | Leave a comment »
Employer Rankings
[By staff reporters]
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“Medical Management and Health Economics Education for Financial Advisors”
CMP® CURRICULUM: https://lnkd.in/eDTRHex
CMP® WEB SITE: https://lnkd.in/guWSApq
Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Health Insurance | Tagged: America's Health Insurance Plans, Health Insurance | Leave a comment »
“America First Healthcare Plan”
By Robert Gergely MD
Yesterday, The President @POTUS outlined his plans for “America First Healthcare Plan”.
In 45 min. in front of Medical Professionals he brilliantly outlined a free market, competitive and PATIENTS centered philosophy for Medical Care in America. For those who care please view the video. you can find it here:https://lnkd.in/e9pxR-U
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THANK YOU
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Filed under: Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: "America First Healthcare Plan", Robert Gergely MD | Leave a comment »
PART C
By John Kelly
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Medicare Advantage Plans (Private Medicare) are sold on a county-by-county basis. Attached is the market penetration of MA (compared to traditional FFS Medicare) for every county in the USA.
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Wonder why Medicare Advantage Premiums are going down (on average)? Because premiums are one of the measures by which the elderly decide what to purchase. Even though premiums are declining, not all MA plans are ‘cheaper’ than traditional FFS Medicare. Caveat Emptor.
It is also interesting to note that 3 carriers – Humana, UHC and BCBS Affiliates — cover 60% of all MA plan subscribers and use national networks of providers to offer broad service availability (compared to smaller plans, PSP’s and other narrow network options).
Medicare premiums per beneficiary typically exceed $10,000 per year. With effective ingenious use of benefit design, prior authorization, incentives, PBM contract rebates, etc., — there is a lot of money to be made in Medicare Advantage plans — accounting for the rapid growth in these plans over the last decade.
Filed under: Health Economics, Health Insurance, Healthcare Finance | Tagged: Medicare Advantage Plans, Medicare Part C | 2 Comments »
Physician Practices Weathering the Storm of COVID-10?
By staff reporters
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Filed under: Health Economics, Health Insurance, Health Law & Policy | Tagged: corona, pandemic, pandemic unemployment | Leave a comment »
WITH ADJUDICATION CONSIDERATIONS
By Anonymous MD
Now you will learn and know just one reason why doctors are pulling their hair out, felling stress, burn out and may even consider suicide?
Only 54 pages of steps for one electronic claim.
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REPEAT: FOR EVERY PATIENT CLAIM
AETNA® – We are not glad we met ya!
Filed under: Health Insurance, iMBA, Inc. | Tagged: Aetna, medical billing, medical insurance claims | 1 Comment »
Per Employee
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Filed under: Health Economics, Health Insurance, Healthcare Finance | Tagged: Employee Health Cost Projections | Leave a comment »
Among US Workers
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Filed under: Health Insurance, LifeStyle, Quality Initiatives | Tagged: lung cancer, lung disease, mcol.com | Leave a comment »
Get Ready – Get Set – Go!
By staff reporters
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Filed under: Health Insurance, LifeStyle, Quality Initiatives | Tagged: corona cure, corona vaccine, COVOD-19 Vaccine Race | Leave a comment »
Among U.S. Workers
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Filed under: Glossary Terms, Health Economics, Health Insurance, LifeStyle | Tagged: corona, Covid-19, lung, lung disease, mcol.com, vaping | Leave a comment »
2021 Physician Fee Schedule & Quality Payment Program Proposed Rules Released
[By Health Capital Consultants]
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On August 3, 2020, the Centers for Medicare & Medicaid Services (CMS) released two proposed payment rules for calendar year (CY) 2021: the Medicare Physician Fee Schedule (MPFS) and the Quality Payment Program (QPP). CMS included in the MPFS proposed rule adjustments to physician payment rates and an expansion of telemedicine services.
The proposed QPP rule, meanwhile, takes into account adjustments made for the COVID-19 public health emergency (PHE) and seeks to reduce unnecessary regulatory burden on providers by eliminating some requirements. These rules, which have garnered mixed reactions from stakeholders, are both open for comment until October 5, 2020. (Read more…)
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Filed under: Health Economics, Health Insurance, Healthcare Finance | Tagged: 2021 Physician Fee Schedule, CMS, Health Capital Consultants LLC, Quality Payment Program CMS | Leave a comment »
By staff reporters
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Filed under: Health Insurance, LifeStyle | Tagged: asymptomatic corona virus, asymptomatic corvid-19 | 3 Comments »
Amid Corona Virus Pandemic
By staff reporters
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Filed under: Health Insurance | Tagged: statista, US Health Insurer's Profits | Leave a comment »
Medicare FFS Spending = 93%
By staff reporters
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Filed under: Health Economics, Health Insurance, Healthcare Finance | Tagged: Medicare FFS, Medicare FFS Spending, Medicare Spending | Leave a comment »
To RIP Medical Debt
By Anonymous
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Filed under: Health Insurance, Health Law & Policy | Tagged: hospital debt, Patient debt, RIP Medical Debt | 1 Comment »
AT HIGH-PERFORMANCE HOSPITALS
Filed under: Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: mcol.com, medicare, racial disparities | Leave a comment »
Pledge to Protect – One Another
By Dr. David E .Marcinko MBA
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Your thoughts and comments are appreciated.
BNG AND INSURANCE TEXTS FOR DOCTORS:USINESS, FINANCE, INVESTI
THANK YOU
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Filed under: Health Insurance, LifeStyle, Touring with Marcinko | Tagged: corona, Covid-19, face masks, Pledge to Protect | Leave a comment »
Three Ways to Discuss
By staff reporters
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THANK YOU
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Filed under: Health Insurance, Health Law & Policy, iMBA, Inc. | Tagged: public health | Leave a comment »
WHAT IS “ANOSMIA”
By Darrell Pruitt DDS and David E. Marcinko MBBS, MBA
Anosmia, also known as smell blindness, is the loss of the ability to detect one or more smells. Anosmia may be temporary or permanent. It differs from Hyposmia which is a decreased sensitivity to some or all smells.
According to Wikipedia, Anosmia can be due to a number of factors, including an inflammation of the nasal mucosa, blockage of nasal passages or a destruction of one temporal lobe. Inflammation is due to chronic mucosa changes in the lining of the paranasal sinus and in the middle and superior turbinates. When anosmia is caused by inflammatory changes in the nasal passageways, it is treated simply by reducing inflammation. It can be caused by chronic meningitis and neurosyphilis that would increase intracranial pressure over a long period of time, and in some cases by ciliopathy, including ciliopathy due to primary ciliary dyskinesia. The term derives from the New Latin anosmia, based on Ancient Greek ἀν- (an-) + ὀσμή (osmḗ, “smell”; another related term, hyperosmia, refers to an increased ability to smell). Some people may be anosmic for one particular odor, a condition known as “specific anosmia”. The absence of the sense of smell from birth is known as congenital anosmia.
Ageusia is the loss of taste functions of the tongue, particularly the inability to detect sweetness, sourness, bitterness, saltiness, and umami. It is sometimes confused with anosmia – a loss of the sense of smell. Because the tongue can only indicate texture and differentiate between sweet, sour, bitter, salty, and umami, most of what is perceived as the sense of taste is actually derived from smell. True Ageusia is relatively rare compared to Hypogeusia – a partial loss of taste – and Dysgeusia – a distortion or alteration of taste.
ASSESSMENT:
If you should suddenly lose your sense of smell (anosmia), you might want to get tested for COVID-19 – even without the presence of other symptoms.
“A majority of COVID-19 patients experience some level of anosmia, most often temporary. Analyses of electronic health records indicate that COVID-19 patients are 27 times more likely to have smell loss but are only around 2.2 to 2.6 times more likely to have fever, cough or respiratory difficulty, compared to patients without COVID-19.”
See: “How COVID-19 Causes Loss of Smell – Olfactory support cells, not neurons, are vulnerable to novel coronavirus infection.” By Kevin Jiang for Harvard Medical School, July 24, 2020.
https://hms.harvard.edu/news/how-covid-19-causes-loss-smell
Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Glossary Terms, Health Insurance, iMBA, Inc., Pruitt's Platform, Touring with Marcinko | Tagged: AGEUSIA, ANOSMIA, corona, Corvid-19, D. Kellus Pruitt DDS, David Edward Marcinko, DYSGEUSIA, HYPERSOMIA, HYPOGEUSIA, pandemic | Leave a comment »
January – May 2020
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Filed under: Health Economics, Health Insurance | Tagged: COVID-19 CLAIMS BY AGE and GENDER | Leave a comment »
AJPH | |||||||||
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Filed under: Health Economics, Health Insurance, iMBA, Inc., Practice Management, Quality Initiatives | Tagged: AJPH, American Journal Public Health | Leave a comment »
COVID-19 Forces Value-Based Reimbursement Model Revision
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ASSESSMENT: Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Experts Invited, Health Economics, Health Insurance, Health Law & Policy | Tagged: COVID-19 Forces Value-Based Reimbursement Model Revision, Health Capital Consultants LLC | Leave a comment »
By Specialty – CIRCA 2019-2020
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Filed under: Health Economics, Health Insurance, Quality Initiatives | Tagged: MCOL, Percentage Change in Health Care Utilization | Leave a comment »
“BY DOCTORS – FOR DOCTORS – PEER REVIEWED – FIDUCIARY FOCUSED”
SAMPLE: 21. Practice Risks
MORE: Risk Mgmt Leadership
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Filed under: Book Reviews, CMP Program, Funding Basics, Health Insurance, Healthcare Finance, iMBA, Insurance Matters, Professional Liability, Recommended Books, Research & Development, Risk Management, Touring with Marcinko | Tagged: certified medical planner, CMPs, Dr. Marcinko, Insurance Plannng for Doctors, medical risk management | 1 Comment »