National Doctors’ Day 2020

National Doctors’ Day is Global

[By staff reporters]

National Doctors’ Day is a day celebrated to recognize the contributions of physicians to individual lives and communities. The date may vary from nation to nation depending on the event of commemoration used to mark the day.

In some nations the day is marked as a holiday. Although supposed to be celebrated by patients in and benefactors of the healthcare industry it is usually celebrated by health care organizations. Staff may organize a lunch for doctors to present the physicians with tokens of recognition. Historically, a card or red carnation may be sent to physicians and their spouses, along with a flower being placed on the graves of deceased physicians.

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LINK: https://nationaltoday.com/doctors-day/

Assessment: Your thoughts are appreciated.

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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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FREE FINANCIAL & BUSINESS ADVISORY CONSULTATIONS

iMBA IS NOW OFFERING FREE FINANCIAL & BUSINESS ADVISORY CONSULTATIONS

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By Ann Miller RN MHA CMP®
[Executive Director]
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The Institute of Medical Business Advisors [iMBA, Inc] is now offering free 30 minute phone or Skype® video consultations and second opinions to physicians, nurses and medical colleagues, on a limited scheduling and time basis, during the current Corona Virus outbreak 24/7.
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According to Professor and CEO Dr. David Edward Marcinko MBA, “this is our small way to help give back to colleagues who are so clinically vital to the US public health system and wellness of the country.” Topics include a plethora of personal financial planning and / or medical practice management business issues.
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SCHEDULE A CONSULT:
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS
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FOR PHYSICIAN-EXECUTIVES AND MEDICAL CXOs
THANK YOU
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WHAT IS THE PUBLIC HEALTH “NUMERATOR” & “DENOMINATOR”

What it is – How it works?

Courtesy: http://www.CertifiedMedicalPlanner.org

In public health epidemiology, while numerators are measures of health events, the denominator is the population from which events are drawn.

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

For example, if we are measuring the incidence of Covid-19 among teens, who might comprise your denominator?

ANSWER: Any denominators used should be reflective of the population who could have been included in the numerator had they developed the condition of interest. This is the population at risk, and is often taken as the number of people who are disease-free at the start of data collection. If individuals who could not develop the condition of interest were included in the denominator, this would result in an underestimation of calculated rates.

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PODCAST: https://www.coursera.org/lecture/epidemiology-tools/denominators-jnpaa

PODCAST: https://www.healthknowledge.org.uk/public-health-textbook/research-methods/1a-epidemiology/numerators-denominators-populations

Assessment: Your thoughts and comments are appreciated.

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BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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Human Health Behavior TRENDS and COVID-19 Thoughts

Human Health Behavior and COVID-19 Thoughts

Courtesy: www.CertifiedMedicalPlanner.org

Here are 3 theories and 1 “rule” for the healthcare industrial complex that may help explain how the sector may not work correctly; from trauma, to epidemiology and  to Corona; all the time.

1 – Berkson’s Paradox: Strong correlations can fall apart when combined with a larger population.

For example, among motorcycle crash victims wearing helmets are more likely to be seriously injured than those not wearing helmets. But, that’s because most crash victims saved by helmets did not need to become hospital patients, and those without helmets are more likely to die before becoming a hospital patient.

2 – Group Attribution Error: Incorrectly assuming that the views of a group member, like a physician, reflect those of the whole group in a different discipline.

3 – Baader-Meinhof Phenomenon: Noticing an idea or word every where you look as soon as it’s brought to your attention in a way that makes you overestimate its prevalence.

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LINK:

https://www.bing.com/videos/search?q=BAADER-MEINHOF+PHENOMENON&&view=detail&mid=7DA25E95466C56098E5A7DA25E95466C56098E5A&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DBAADER-MEINHOF%2BPHENOMENON%26FORM%3DHDRSC3

The 90-9-1 Rule: In social media networks, 90% of users just read content, 9% of users contribute a little content, and 1% of users contribute almost all the content.

QUERY: Does Social Media really give a false impression of what ideas are popular or “average.”

THINK: Corona Virus?

ASSESSMENT: Your thoughts and comments are appreciated.

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TEXTS FOR PHYSICIAN EXECUTIVES:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

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On Medical Office Fire Drills and Training

Office Fire Drills

By Dr. David E. Marcinko MBA

Fire Drills should be performed at least annually and documented.

When first opening an office or when a new employee is brought onboard, staff need to be trained on the use of a fire extinguisher, location of the nearest fire extinguisher and location of alarm pull station (if any) on the first day. Training should be documented and placed in the employee file.

Generally speaking, a fire extinguisher is required every 75 feet in office space and be the appropriate type for the nature of business and equipment in use. Most offices use a multi-purpose ABC extinguisher that can be used on most types of fires.

The types of fires are listed below:

  • Class A fires are for ordinary combustible materials such as paper, wood, cardboard, and most plastics.
  • Class B fires involve flammable or combustible liquids (gasoline, kerosene, oil, and grease).
  • Class C fires are those caused by electrical equipment (wiring, appliances, and outlets).
  • Class D fires are chemical fires that involve combustible metals i.e. potassium, sodium, and magnesium.

EXTINGUISHERS

Carbon Dioxide (CO2) extinguishers can be used for class B and C fires. These extinguishers are highly pressurized and are best suited for electrical or computer equipment. They have an advantage over dry chemical extinguishers for this use since they do not leave damaging residue. However, they are not effective for Class A fires.

It is important to know which type of extinguisher is best for the office and equipment since using the wrong type can be critical in an emergency.

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THE EMERGENCY LIST:

At a minimum, a physician office should have a safety program that addresses the following in the event of an emergency:

  1. Written Program
  2. Emergency Notification Procedures
  3. Warning and Evacuations Process
  4. Evacuation Procedures
  5. Facility/Department Evaluation or site review
  6. Means of egress clearly marked (map posted with exit route and nearest exit)
  7. Emergency Action Plan
  8. Fire Prevention Plan
  9. Fire extinguisher location(s), types and use (P.A.S.S. Pull, Aim, Spray & Sweep)

If you are in an area susceptible to weather emergencies such as tornadoes, the emergency plan should address these as well.

Assessment: Your thoughts are appreciated

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The Impact of Coronavirus [Covid-19]

People, Economy and Your Portfolio

By Vitaliy Katsenelson CFA

The Coronavirus

I cannot tell you how much displeasure I have experienced from what I am about to say. I’ll be throwing around statistics of people dying as if I am talking not about people but widgets. My six-year-old daughter Mia Sarah had a garden-variety virus a few weeks ago. When my wife told me – a few minutes after I had been reading about coronavirus –for a second my heart sank, as virus to me meant coronavirus.

Even if Mia Sarah had coronavirus, the chances of survival were greatly in her favor. (Coronavirus, like the flu, is exponentially deadlier to older folks than younger ones). However, when it comes to your loved ones, statistics lose their meaning, and you start magnifying tiny probabilities into high-probability outcomes. The coronavirus statistics represent people’s loved ones, but I don’t know how else to write what I am about to write.

I am going to divide this letter into three sections: health and human impact (sometimes a tragic one), economic impact, and investment strategy.

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LINK:

https://contrarianedge.com/the-impact-of-coronavirus-people-economy-your-portfolio/?utm_source=IMA++-+Main+Articles&utm_campaign=9bd771e575-CORONAVIRUS&utm_medium=email&utm_term=0_f1c90406d1-9bd771e575-55139025

Assessment: Your thoughts are appreciated.

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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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Notable Industry Deaths [Dyson and Welch]

R.I.P Jack Welch and Freeman Dyson

By Dr. David E. Marcinko MBA

I studied both these management icons in business and graduate school. Then, I modified their ideas for my own medical practice and related corporate business entities.

Later, I ported their styles into the healthcare industrial complex and continue to stream line them into my academic professional university endeavors. Many thanks to you both! 

Freeman Dyson in his Own Words

LINK: https://www.technologyreview.com/s/615301/freeman-dyson-in-his-own-words/?utm_source=newsletters&utm_medium=email&utm_campaign=the_download.unpaid.engagement

Jack Welch, Legendary CEO of General Electric, Dies at Age 84

LINK: https://www.wsj.com/articles/jack-welch-legendary-ceo-of-general-electric-dies-at-age-84-11583158270

Assessment: Your thoughts are appreciated

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3 Theories on Human Behavior

Modern Corono Virus Thoughts?

By: http://www.CertifiedMedicalPlanner.org

Here are a few theories of human behavior for the healthcare industrial complex that might help explain how sector thoughts may not work correctly; all the time.

WHY: Perhaps they might be considered in light of the CorVid-19epidemic?

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Erkson’s Paradox: Strong correlations can fall apart when combined with a larger population. For example, among motorcycle crash victims wearing helmets are more likely to be seriously injured than those not wearing helmets. But, that’s because most crash victims saved by helmets did not need to become hospital patients, and those without helmets are more likely to die before becoming a hospital patient.

Group Attribution Error: Incorrectly assuming that the views of a group member, like a physician, reflect those of the whole group in a different discipline.

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Baader-Meinhof Phenomenon: Noticing an idea or word everywhere you look as soon as it’s brought to your attention in a way that makes you overestimate its prevalence.

LINK: https://www.bing.com/videos/search?q=BAADER-MEINHOF+PHENOMENON&&view=detail&mid=7DA25E95466C56098E5A7DA25E95466C56098E5A&&FORM=VRDGAR&ru=%2Fvideos%2Fsearch%3Fq%3DBAADER-MEINHOF%2BPHENOMENON%26FORM%3DHDRSC3

The 90-9-1 Rule: In social media networks, 90% of users just read content, 9% of users contribute a little content, and 1% of users contribute almost all the content.

QUERY: Does Social Media give a false impression of what ideas are popular or “average.”

ASSESSMENT: Your thoughts and comments are appreciated.

TEXTS FOR PHYSICIAN EXECUTIVES:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

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The Role of “Pleasure” in Public Health

FEBRUARY 2020 AJPH

By Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

Dear Dr. David Marcinko,

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This month, AJPH has a collection of articles on ending the HIV epidemic, population health and telemedicine services.

New! Enjoy the current issue of AJPH on your mobile device. Download the e-Reader or Kindle version today.

Here are a few of the many articles in the February 2020 issue:

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· February 2020 Podcast “Is pornography the key to the sex education of teenagers?”

·  The Public Health of Pleasure: Going beyond Disease Prevention

·  Should Public Health Professionals Consider Pornography a Public Health Crisis?

· Indicators to Guide and Monitor Climate Change Adaptation in the US Pacific Northwest

· Addressing Health Disparities Through Deliberative Citizens’ Panels for Health Equity

·  Trends in E-Cigarette, Cigarette, Cigar, and Smokeless Tobacco Use Among US Adolescent Cohorts

·  State-Level Changes in Firearm Laws and Workplace Homicide Rates: United States

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Also, don’t miss our just released supplement on Documenting and Addressing the Health Impacts of Carceral Systems. It’s full of timely and insightful articles on mass incarceration and related topics.

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, Spanish and Chinese at ajph.org. The monthly podcasts also are 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.

Thank you and Happy New Year 2020

AJPH

 

Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

@AlfredoMorabia

@AMJPublicHealth

 

Is This a “Minsky Moment”

Of STOCKMARKET Bear Markets

Update Courtesy: http://www.CertifiedMedicalPlanner.org

28,992.41 ▼ -227.57

A Bull market is one of rising stock prices, while a Bear market is the opposite. More specifically, a Bear market is defined as a drop of 20% or more from its high, and can vary in duration and severity. While a Bull market has no such threshold.

Whither the Bear? 

Typically, bear markets are associated with declines in an overall market or index like the S&P 500, but individual securities or commodities can be considered to be in a bear market over a sustained period of time – typically two months or more.

ESSAY: https://medicalexecutivepost.com/2018/12/22/stocks-and-sectors-in-bear-territory/

Now, a Minsky moment is a sudden major collapse of asset values which is part of the credit cycle or business cycle. Such moments occur because long periods of prosperity and increasing value of investments lead to increasing speculation using borrowed money

ESSAY: https://medicalexecutivepost.com/2018/11/16/what-is-a-minsky-moment/

And so, what is a physician-investor to do in a bear market?

9,576.59 ▼ -174.38 -1.79%

ESSAY: https://medicalexecutivepost.com/2016/03/18/doctors-and-bull-and-bear-markets/

mm

MORE: https://realinvestmentadvice.com/the-return-of-the-minsky-moment/

Your thoughts and comments are appreciated.

BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Product DetailsProduct DetailsProduct Details

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Non-Acute Pharmaceutical Spending

Alternate Site Drug Spend Sector Distribution

[By staff reporters]

http://www.MCOL.com

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WHAT IS THE “NUMBER NEEDED TO HARM”?

More on Epidemiology and Health Economics

Courtesy: www.CertifiedMedicalPlanner.org

By Dr. David E. Marcinko MBA

We’ve talked about the “Number Needed to Treat”, before.

NNT: https://medicalexecutivepost.com/2010/10/29/about-the-number-needed-to-treat-nnt-calculation-and-medical-outcomes-website/

QUERY: But, what is the “Number Needed to Harm”?

ANSWER: The number needed to harm (NNH) is an epidemiological measure that indicates how many persons on average need to be exposed to a risk factor over a specific period to cause harm in an average of one person who would not otherwise have been harmed.

Colleague Aaron Carroll MD explains even more.

PODCAST: https://www.youtube.com/watch?v=e_ytF2-4NkI

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MORE: https://www.youtube.com/watch?v=90CWXT5zxjw

Conclusion: Your thoughts are appreciated.

TEXTS FOR PHYSICIAN EXECUTIVES AND HOSPITAL CXOs:

1 – https://lnkd.in/eEf-xEH

2 – https://lnkd.in/e2ZmewQ

THANK YOU

Product DetailsProduct DetailsProduct Details

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On Deductive & Inductive Reasoning; Null Semantics, Syllogisms and Expletive Logic

On “WHAT’S-WHAT” and more!

By Dr. David E. Marcinko MBA

Is there a Difference? – Know the Difference!

DEDUCTIVE reasoning and logic is the process of reasoning from one or more statements (premises) to reach a logically certain conclusion. Deductive reasoning goes in the same direction as the conditionals, and links premises with conclusions. If all premises are true, the terms are clear, and the rules of deductive logic are followed, then the conclusion reached is necessarily true.

INDUCTIVE reasoning is a method in which the premises are viewed as supplying some evidence for the truth of the conclusion. While the conclusion of a deductive argument is certain, the truth of the conclusion of an inductive argument may be probable, based upon the evidence given. Many dictionaries define inductive reasoning as the derivation of general principles from specific observations, though there are many inductive arguments that do not have that form.

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SEMANTICALLY NULL doesn’t mean anything but is grammatically sound. A sentence as a whole can be semantically null because its internal inconsistencies prevent it from developing a meaning; ie., “I know what’s what?

An EXPLETIVE is a word or phrase inserted into a sentence that is not needed to express the basic meaning of the sentence. It is regarded as semantically null or a place holder.

A SYLLOGISM is a form of reasoning in which a conclusion is drawn (whether validly or not) from two given or assumed propositions (premises), each of which shares a term with the conclusion, and shares a common or middle term not present in the conclusion (e.g., all dogs are animals; all animals have four legs; therefore all dogs have four legs). This school of epistemology is highly advanced in syllogism and logical reasoning.

MORE: https://medicalexecutivepost.com/2019/05/14/what-is-epistemic-ambivalence/

MORE: https://medicalexecutivepost.com/2019/12/23/rationalism-versus-empiricism/

Conclusion: Your thoughts are appreciated.

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Need Quality Health Care?

FOR ALL … ALL!

[By staff reporters]

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A SYNOPSIS OF MY ADVISORY FEES & BUSINESS MODEL

A SYNOPSIS OF MY ADVISORY FEES & CONSULTING BUSINESS MODEL

Courtesy: https://lnkd.in/eVGcji5

[Authentic Consulting for Physicians & Medical Colleagues]

My fee is $250 per hour prorated, so you only pay for the time used. This fee covers almost any medical practice management, insurance and risk management, personal financial planning or investment related topic, including document review, phone or Skype® consultation, research and/or written investment strategies.

MODEL: https://lnkd.in/eVWcyaq

IOW: No high water marks, no claw-back fees, sales or commissions, front or back end loads, 12[b]-1 fees or Assets Under Management [AUM] charges; etc. “Pay-as-you-Go”; period! Client Centricity.

TOPICS: https://lnkd.in/e7WrDj9

2nd OPINIONS: https://lnkd.in/dw7FHyP

INVITE: https://lnkd.in/e3-SFmb Your thoughts are appreciated.

CONTACT: Ann Miller RN MHA CMP® PHONE: 770-448-0769

EMAIL: MarcinkoAdvisors@msn.com

BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

Product DetailsProduct Details

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HARD “SELLING” FINANCIAL ADVICE

DOCTOR COLLEAGUES BEWARE = HARD “SELLING” FINANCIAL ADVICE

Courtesy: https://lnkd.in/eBf-4vY

Please Know – It’s all about Sales, Sales and Sales!

Steve Forbes, editor of the well-respected financial publication Forbes Magazine, once said:

“You make more selling advice than following it. It’s one of the things we count on in the magazine business, along with the short memory of our readers.”

ESSAY: https://lnkd.in/ebGmB7W

MORE: https://lnkd.in/er8tQ8y

Assessment: Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

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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DOMESTIC BUSINESS CYCLE REPORT 2019

U.S.A BUSINESS CYCLE REPORT 2019

Courtesy: www.CertifiedMedicalPlanner.org

[Pictographic Presentation for December 2019]

Constructed and presented by Nick Reece CFA of MERK Investments LLC., and Research.

GRAPHIC CHART BOOK: MR

Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1https://lnkd.in/ezkQMfR

2 – https://lnkd.in/ebWtzGg

3 – https://lnkd.in/ewJPTJs

THANK YOU

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™

USA BUSINESS CYCLE REPORT 2019

A Picto-Graphic Presentation

Courtesy: www.CertifiedMedicalPlanner.org

Constructed and presented by Nick Reece CFA of MERK Investments LLC., and Research.

CHART BOOK: 2019-12-18-merk-business-cycle-chart-book

Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1https://lnkd.in/ezkQMfR

2 – https://lnkd.in/ebWtzGg

3 – https://lnkd.in/ewJPTJs

HDS

      Product DetailsProduct DetailsProduct Details

THANK YOU

Rationalism VERSUS Empiricism

PHILOSOPHY – What is Knowledge?

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MORE: https://medicalexecutivepost.com/2019/05/14/what-is-epistemic-ambivalence/

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Boomers VERSUS Gen X VERSUS Millennials

Portfolio Asset Allocations

By PGIM Investments

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Assessment: Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

***

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™

THANK YOU

National Health Care Spending

Sponsor Distribution for 2018

By http://www.MCOL.com

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Conclusion

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

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

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

Product DetailsProduct Details

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Top Group Medicare Advantage Payers

Medicare Part C

By http://www.MCOL.com

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Conclusion

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

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

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

***

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When Will You Retire?

Where Will Your Money Come From?

By Rick Kahler CFP®

The list is fairly short: Social Security, a pension, working, your assets, children, or public assistance.

According to an April 22, 2019 Bloomberg article by Suzanne Woolley, entitled “America’s Elderly Are Twice as Likely to Work Now Than in 1985“, only twenty percent of those age 65 or older are working. The rest either can’t work physically, can’t find work, or don’t want to work. According to the ADA National Network, over 30 percent of people over 65 are disabled in some manner.

According to the Center on Budget and Policy Priorities, Social Security provides the majority of income for most elderly Americans. It provides at least 50% of income for about half of seniors and at least 90% of income for about one-fourth of seniors. The average Social Security retirement benefit isn’t as high as many people think. In June 2019 it was about $1,470 a month, or about $17,640 a year.

And, as per the Pension Rights Center, around 35% of Americans receive a pension or VA benefits. The greatest percentage of pensions are government. This would include retired state and federal workers like teachers, police, firefighters, military, and civil service workers. In 2017 the median state or local government pension benefit was $17,894 a year, the median federal pension was $28,868, and the median military pension was $21,441.

Working provides the highest source of retirement income for the 20 percent of those who are over 65 and are still working. According to SmartAsset.com, Americans aged 65 and older earn an average of $48,685 per year. However, in a NewRetirement.com article dated February 26, 2019, “Average Retirement Income 2019, How Do You Compare“, Kathleen Coxwell cites a figure from AARP that the median retirement income earned from employment is $25,000 a year.

About 3% of retirees receive public assistance.

This leaves around 20% of those over 65 who depend partially or fully for their retirement income on money they set aside during their working years. According to TheStreet.com, “What Is the Average Retirement Savings in 2019“, by Eric Reed, updated on Mar 3, 2019, the average retirement account for those age 65 to 74 totals $358,000. That amount will safely provide around $15,000 a year for most retirees’ lifetime. The median savings is $120,000, which will produce only about $5,000 a year. In order to retire at age 65 with an annual investment income of $30,000 to $40,000, someone would need a retirement nest egg of over $1 million.

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My conclusion from this data is that most Americans are woefully underprepared to live a comfortable lifestyle when they can no longer work. Between Social Security, pensions, and retirement savings, a retiree can expect a median income of $18,000 to a maximum of $52,000 a year. According to data I compiled from NewRetirement.com, the average median retirement income of those over age 65 is around $40,000.

What are some things you can do to increase your chances of enjoying a comfortable retirement income?

If you are under age 50, begin setting aside 15% to 25% of your income for retirement.

If you are over 60, keep working as long as you can. If you retire early, your monthly Social Security benefit is lower for the rest of your life.

Consider ways to stretch your retirement income by downsizing, sharing housing, or relocating to an area of the US or even outside the country with a lower cost of living.

Research what you can reasonably expect from Social Security and other sources of retirement income. Base your retirement expectations on informed planning, not on vaguely optimistic expectations.

Assessment: Your thoughts are appreciated.

Conclusion

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

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

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

***

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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Health Plan Premium Increases

Projections 2020

By http://www.MCOL.com

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Conclusion

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

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

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

Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

 

On the PPMCs of Yester Year and Today

Over Heard in the Doctor’s Lounge

Courtesy: www.CertifiedMedicalPlanner.org

On the PPMCs of Yester Year and Today

PPMC = Physician Practice Management Corporation

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

Reflect on medical colleagues willing to securitize their practices a few years later, and cash out to Wall Street servitude for riches not rightly deserved. Where are firms such as MedPartners, Phycor, FPA, Coastal Healthcare, and a host of others, now?

ESSAY: https://medicalexecutivepost.com/2007/11/27/ppmc-redux/

A survey of the Cain Brothers Physician Practice Management Corporation Index of publicly traded PPMCs revealed a market capital loss of more than 99%, since inception.

UPDATE: https://www.beckershospitalreview.com/hospital-physician-relationships/physician-practice-management-a-new-chapter.html

QUERY: Would niche educated and physician-focused financial advisors [The Certified Medical Planner™ professional designation did not yet exist] have been able to avoid this calamity?

ME-P

TODAY: https://medicalexecutivepost.com/wp-content/uploads/2007/11/ppmc.pdf

Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

An Entrepreneurial Mindset Can Hinder Wealth Building

“Help Wanted: Entrepreneur”

By RICK KAHLER, CFP

You have probably never seen an ad like this, because entrepreneurs are not hired. They hire themselves. Merriam-Webster defines an entrepreneur as “a person who starts a business and is willing to risk loss in order to make money” or “one who organizes, manages, and assumes the risks of a business or enterprise.”

God bless entrepreneurs. Without them our world would look much different. We would probably still be living in caves, hunting with clubs, and eating raw meat. They create companies from scratch. In so doing, they create jobs and take significant monetary risks of a business failure.

They also stand to gain substantial rewards for success, but that success is far from guaranteed. Few people realize that most entrepreneurs fail in their attempts in business. According to Investopedia, 50% of all new businesses fail in 5 years, 66% in 10 years, and 75%  in 15 years.

Given those statistics, the entrepreneurs who succeed must be rich, right? A study by Career Explorer found that the average full-time salary of an entrepreneur is $43,240 a year. To put this into perspective, the average starting salary for a graduating four-year degree student at the South Dakota School of Mines and Technology is $63,354. Maybe there should be a song, “Mamas, don’t let your babies grow up to be entrepreneurs.”

My experience, however, is that it really doesn’t matter what Mama says. The entrepreneurial mindset is somewhat inextinguishable. While there have been some attempts at teaching entrepreneurial skills, it’s hard to teach grit, determination, and perseverance, coupled with a good dose of fantasy thinking and denial. It’s really hard to “tell” an entrepreneur anything.

Fittingly, entrepreneurs love to invest in their own companies. Investment advisors call such holdings “tangible” investments, ones you can see and touch. Tangible investments include start-up businesses, family-owned businesses, and all types of directly owned real estate. They are inherently non-diversified and illiquid. Typically, entrepreneurs have the vast portion of their net worth tied up in their businesses. It’s incredibly rare to find one with a stash of cash or any type of liquid portfolio or retirement plan.

Why? The entrepreneurial mindset. First, entrepreneurs don’t believe in traditional diversification. Why settle for earning an average of 5% a year when you can earn ten times that in your business? Never mind that the chance of losing it all is three to one. Most entrepreneurs firmly believe they are the one guaranteed to succeed even though the deck is stacked against them.

Second is that since 75% of businesses ultimately fail, most entrepreneurs are losing, not making, money. They are perennially cash-poor and need every dollar they can find to fund their negative cash flows. Even those who are making money rarely have any liquid investments because entrepreneurs are always looking for new ventures, which of course, need funding.

One of the most difficult tasks I face is persuading a successful entrepreneur to take some hard-earned “chips” off the table and sock away a low-risk, diversified nest egg to assure a comfortable retirement. The only ones I’ve convinced to do that were older entrepreneurs who had owned their companies for well over 15 years and were under five years from retirement. All the younger entrepreneurs to whom I have given that advice have refused the notion. All have eventually lost 75% to 90% of their net worth and, sadly, the opportunity to secure their future.

The entrepreneurial mindset of determination and perseverance can bring significant financial rewards. Expanding that mindset to include a broader, more diversified view of investing for the future can turn those rewards into long-term financial independence.

Assessment: Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:

1 – https://lnkd.in/ebWtzGg

2 – https://lnkd.in/ezkQMfR

3 – https://lnkd.in/ewJPTJs

THANK YOU

***

INVITE A DOCTOR – FINANCIAL ADVISOR TO YOUR NEXT EVENT

INVITE A PHYSICIAN & TRUSTED FINANCIAL ADVISOR COLLEAGUE TO YOUR NEXT SEMINAR, MEETING OR EVENT

Courtesy: https://lnkd.in/eBf-4vY

Dr. David E. Marcinko MBA CMP®

Your Audience Deserves a Nationally Known Speaker and Colleague.

[Professor Dr. David E. Marcinko MBA CMP® is Now at Your Service]

CONTACT: Ann Miller RN MHA

THANK YOU

avatar-of-dr-marcinko-speaking

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The Cost of Business Embezzlement

Nothing Typical

By Rick Kahler CFP

As a fan of our local ECHL hockey team, the Rapid City Rush, I was sorry to learn recently that the team’s new owners had uncovered evidence of some $500,000 worth of embezzlement over the past several years.

Other embezzlement arrests or convictions in our area in 2019 have included a priest, an accountant for a nonprofit, a former chief of a volunteer fire department, and a former secretary of a tribal office. Amounts stolen ranged from $9,100 to $250,000.

Few things strike more fear and disbelief into the heart of an employer than learning a trusted employee has embezzled thousands of dollars. Employers that have gone through this tell me their feelings range from disbelief, violation, anger both at the employee and at themselves, sadness, and fear over the loss of capital and ensuing financial problems the embezzlement often causes.

The study

According to the 2018 Hiscox Embezzlement Study, most instances of embezzlement are serious, long-term crimes. The average case lasted over two years, and the average loss was $357,650. The vast majority of cases involved more than one person. Nearly a third of employee theft cases persisted for more than five years. The average loss for cases that continued for five years or more was $2.2 million and for cases lasting 10 years or more was $5.4 million.

The study found that there is no “typical” embezzler. However, it did find that the median age of embezzlers is 48, slightly more women than men commit this type of crime, and embezzlers’ most common job functions are finance and accounting.

Embezzlers may target organizations of all sizes and types. Four of the five local cases I cited were non-profits. Large organizations experience fewer instances of embezzlement than small and mid-sized organizations. According to the study, financial services continues to account for the highest number of cases of employee theft of any industry examined.

Many business owners, executive directors, and board members blame themselves for allowing theft to happen under their watch, but in all fairness the warning signs are often subtle.

Hiscox has identified five common characteristics to watch for:

 Intelligence and curiosity: Embezzlers are often eager to know how everything in the office works. Once they learn the processes, they manipulate them for their own gain.

• Extravagance: Watch for employees who are living a lifestyle that is out of proportion to their salary.

 Egotistical risk-taking. Embezzlers often break rules, from traffic laws to company policies to social norms, both at work and in their personal lives.

 Diligence and ambition. Embezzlers may work long hours or refuse to take time off—not out of dedication to the job but in an attempt to avoid being caught.

• Disgruntlement. Employees who feel they are being treated unfairly may be tempted to get even by stealing.

In my experience, most people are honest and trustworthy. But there are some whose past trauma contributes to a pattern of poor financial decisions and behaviors. Embezzlement, which to some degree can be a crime of opportunity, might even seem to be a way to avoid the consequences of previous poor money choices.

The study noted that more than half of the organizations recovered less than a third of what was taken. It also pointed out that embezzlement costs companies far more than money. Business partners may be lost. The damage to an organization’s reputation results in lost customers or donors and difficulty attracting new ones. It can take years to recover. Yet three-quarters of respondents said their current employers did not have insurance to cover embezzlement losses.

Assessment: Embezzlement is a serious crime with serious consequences.

Conclusion

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

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

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

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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NARCAN in BALTIMORE?

NALOXONE SPRAY!

By Anonymous DEA Agent

Naloxone, sold under the brandname Narcan among others, is a medication used to block the effects of opioids, especially decreased breathing in overdose. Naloxone may be combined with an opioid (in the same pill) to decrease the risk of opioid misuse. When given intravenously, naloxone works within two minutes, and when injected into a muscle, it works within five minutes; it may also be sprayed into the nose. The effects of naloxone last about half an hour to an hour. Multiple doses may be required, as the duration of action of most opioids is greater than that of naloxone.

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Conclusion

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

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

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

***

Product DetailsProduct Details

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USA Job Creation 2019

At Nine [9] Months Out = Healthcare Leads

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Conclusion

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

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

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

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™

***

RISK FACTORS FOR PHYSICIANS – TODAY?

SOME COMMON RISK FACTORS FOR PHYSICIANS

Courtesy: https://lnkd.in/eBf-4vY

• Do you and or family members drive a vehicle?

• Do you have employees?

• Do you have professional malpractice exposure?

• Do you protect medical and/or financial data?

• Are you married?

• Do you have assets not protected by a PNA?

• Do you have a current tax obligation?

• Do you have children?

Do you own a business?

• Are you a board member, officer or corporate director?

• Do you engage in activities like hunting, flying, boating, etc?

• Do you have partners who create joint and several liabilities?

• Do you have personal guarantees on other loans?

• Do you have tail liability for professional services in the past?

• Have you made specific legal or financial representations that others have relied upon in a business context?

Assessment

Now – What kind and what dollar amount of insurance and risk management planning have you implemented against these exposures?

TEXT: https://lnkd.in/ebWtzGg

FORWORD: https://lnkd.in/ewthS3b

MORE: https://lnkd.in/esEcDAS

Your thoughts are appreciated.

BUSINESS, RISK MANAGEMENT AND INSURANCE & FINANCIAL PLANNING BOOKS FOR DOCTORS:

1 – https://lnkd.in/ezkQMfR

2 – https://lnkd.in/ewJPTJs

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™

THANK YOU

***

What are False Positive and False Negative Tests?

Binary Test Errors

[By staff reporters]

In medical testing, and more generally in binary classification, a false positive is an error in data reporting in which a test result improperly indicates presence of a condition, such as a disease (the result is positive), when in reality it is not present, while a false negative is an error in which a test result improperly indicates no presence of a condition (the result is negative), when in reality it is present.

Assessment

These are the two kinds of errors in a binary test (and are contrasted with a correct result, either a true positive or a true negative.) They are also known in medicine as a false positive (respectively negative) diagnosis, and in statistical classification as a false positive (respectively negative) error.

A false positive is distinct from overdiagnosis, and is also different from overtesting.

Conclusion: Your thoughts are appreciated.

Product DetailsProduct DetailsProduct Details

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Hospitals to See Big Changes in Reimbursement

In 2020 and 2021

By Health Capital Consultants, LLC

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Hospitals are likely to see some significant changes in the way that Medicare reimburses for inpatient services in the next couple of years, according to the calendar year (CY) 2020.
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The  Inpatient Prospective Payment System (IPPS) final rule that was published on August 16, 2019, and the announcement by the Centers for Medicare & Medicaid Services (CMS) on August 19, 2019, said that it would change the quality “star ratings” system on Hospital Compare, beginning in 2021.
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Announcing the RWJF “Live Pitch” Competition

For  Community, Public and Population Health

[By staff reporters]

A business plan is a formal statement of business goals, reasons they are attainable, and plans for reaching them. It may also contain background information about the organization or team attempting to reach those goals.

But, will investors buy in-to your vision with cash?

DEFINITION: https://www.entrepreneur.com/encyclopedia/business-plan

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UPDATE: https://thehealthcareblog.com/blog/2019/08/26/rwjf-innovation-challenge-finalists-to-compete-live-at-health-2-0/

Assessment: Your thoughts are appreciated.

MORE: https://www.alphagamma.eu/opportunities/best-business-plan-competitions-2018/

Product DetailsProduct Details

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Invite Dr. Marcinko

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WHY MEDICAL CORRELATION IS “STILL” NOT CAUSATION

WHY MEDICAL CORRELATION IS “STILL” NOT CAUSATION!

Courtesy: https://lnkd.in/eBf-4vY

CORRELATION: The degree and relationship between two variables which vary together over time. Correlation can vary from +1 to -1. Values close to +1 indicate a high-degree of positive correlation, and values close to -1 indicate a high degree of negative correlation.

CAUSATION: The”causal relationship between conduct and result”. It connects conduct with effect. Causation, often confused with correlation, indicates the extent to which two variables increase or decrease in parallel. However, correlation by itself does not imply causation. There may be a third factor, for example, responsible for the fluctuations in both variables. LINK: https://lnkd.in/eJNz355

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cc

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Assessment: Now, “correlation does not imply causation” is a phrase to emphasize that correlation between two variables does not imply that one causes the other. But – what about evidence and applications in medicine? Colleague Steve Novella explains.

ESSAY: https://lnkd.in/eEDBMrF Your thoughts are appreciated.

RISK MANAGEMENT & INSURANCE PLANNING FOR DOCTORS:

1 – “Insurance & Risk Management Strategies for Doctors” https://lnkd.in/ebWtzGg

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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On PHYSICIAN OWNED DISTRIBUTORSHIPs

WHAT IS A PHYSICIAN OWNED DISTRIBUTORSHIP [P.O.D]?

By Dr. David E. Marcinko MBA

[More on Medical Ethics]

Back in the day, when I was a young surgeon, I was approached by a group of older colleagues to join a POD. I was flattered, of course. Playing with the “big boys.” But, after leaning what it was, I declined. Although perhaps technically legal, it just felt creepy to me although I sure needed the money at the time.

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DEFINITION: A POD is a group of doctors, usually surgeons, who agree to purchase implanted devices such as joint prostheses or orthopedic hardware (screws, plates and rods), etc. Physicians profit financially by participating in the sale of devices intended for their own patients; thus creating the opportunity for them to profit from self-referrals.

LINK: https://lnkd.in/e9AmEhd

QUERY: But, are PODS ethical? Read what the Association for Medical Ethics [AME] has to say about PODs.

LINK: https://lnkd.in/eV2Smjp

MORE: https://lnkd.in/egtRe9T

Your thoughts are appreciated.

MEDICAL PRACTICE MANAGEMENT TEXTs:

1 – “The Business of Medical Practice 2.0” https://lnkd.in/ewJPTJs

Product DetailsProduct Details

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All About Medical Inflatable Exhibits; Inc.

Introducing Medical Inflatable Exhibits, Inc.

[By Dr. David E. Marcinko MBA]

A regular reader and subscriber to this ME-P alerted us about this company. As a physician executive, health educator and wellness communicator, we decided to immediately post about it. And so, well done Lauren Hill; President and Founder.

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Medical Inflatables is a privately held, woman owned, Texas-based corporation operating out of Houston, home to the largest medical complex in the world, the Texas Medical Center.  They seek to provide high-quality, interactive, educational models of the human anatomy to help teach people about the risks, symptoms, nature, and causes of various diseases. They also hope to shed light on prevention of the diseases depicted and the latest medical treatments to mitigate or cure the diseases.

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Medical Inflatables provides inflatable, portable, larger-than-life models that promote learning. The models engage people of all ages as they walk through the organ replicas. And, they work closely with a team of board-certified medical professionals to ensure the accuracy of our exhibits and the information conveyed.

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LINK: https://www.medicalinflatables.com/about-us/

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VIDEO: https://www.medicalinflatables.com/exhibits/mega-heart/mega-heart-videos/

Assessment: Your thoughts are appreciated.

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“FLAT LAND”

A Romance of Many Dimensions

[By staff reporters]

Flatland is an 1884 satirical novella by Edwin Abbott Abbott.
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A Romance of Many Dimensions is a satirical novella by the English schoolmaster Edwin Abbott Abbott, first published in 1884 by Seeley & Co. of London.
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Written pseudonymously by “A Square”, the book used the fictional two-dimensional world of Flatland to comment on the hierarchy of Victorian culture, but the novella’s more enduring contribution is its examination of dimensions.
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Several films have been made from the story, including the feature film Flatland (2007).
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What is an Euler’s Disk?

A.K.A The Oiler’s Disk

[By staff reporters]

A Euler’s Disk is a scientific educational toy, used to illustrate and study the dynamic system of a spinning disk on a flat surface (such as a spinning coin), and has been the subject of a number of scientific papers.

The apparatus is known for a paradoxical dramatic speed-up in spin rate as the disk loses energy and approaches a stopped condition.

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Potential Energy: In physics, potential energy is the energy that an object has due to its position in a force field or that a system has due to the configuration of its parts.

Kinetic Energy: In physics, potential energy is the energy held by an object because of its position relative to other objects, stresses within itself, its electric charge, or other factors.

Video: http://www.dudeiwantthat.com/entertainment/games/eulers-disk-of-infinite-spin-sound.asp

Assessment: Your thoughts are appreciated.

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

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Contribute to a Roth 401k WHILE Working in a High Tax State?

How and Why?

By Josh @HeritageWealthPlanning.com

I’ve attached a quick / short analysis that pits a Roth retirement approach versus a pre-tax 401 approach. I’m a bit surprised at the outcome.

Here are the assumptions.

1. Married employee in both cases.
2. An employee who is 55 years old invests $25,000 into the company’s retirement account.
a. $19,000 limit, plus
b. $6,000 over 50 catch-up
3. One employee pays the taxes up-front and invests the net of $16,088 into a Roth.
4. Another employee avoids / defers the taxes and invests the entire $25,000 into a 401.
5. Both investments earn the same return.
6. After 10 years the 401 will be converted over to a Roth.
c. This conversion signals the retirement of the individual in a non-income tax state which is one difference between the two approaches. Their working career was in an income taxed state while they both retire in a non-taxed state.
7. The analysis is taxing the 401 at the same tax-rate level minus any state income tax. If you execute your conversions at a lower tax rate, say 12% the results could even be more divergent.(emphasis mine).

d. Also, the reason I’ve taxed the entire Roth amount at 22% Federal is because that is the bracket the employee’s income tops out at. For the retiree when any Roth conversions is likely to take place the taxes would be on a stepped approach topping out at possible 12%.

Assessment

What am I missing here? If this analysis is correct it seems advantageous to invest in the 401 and convert to a Roth when you are either in a lower tax bracket, in a non-income tax state or both.

LINK: https://heritagewealthplanning.com/contribute-to-a-roth-401k-while-working-in-a-high-tax-state/

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Conclusion: Your thoughts are appreciated.

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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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The “Net Promoter Score”

What it is – How it works

[By staff reporters]

According to Wikipedia, the Net Promoter Score (NPS) is a management tool that can be used to gauge the loyalty of a firm’s customer relationships. It serves as an alternative to traditional customer satisfaction research and is claimed to be correlated with revenue growth. NPS has been widely adopted with more than two thirds of Fortune 1000 companies using the metric. The tool aims to measure the loyalty that exists between a provider and a consumer. The provider can be a company, employer or any other entity. The provider is the entity that is asking the questions on the NPS survey.

The consumer is the customer, employee, or respondent to an NPS survey. An NPS can be as low as −100 (every respondent is a “detractor”) or as high as +100 (every respondent is a “promoter”). NPS scores vary across different industries, but a positive NPS (i.e., one that is higher than zero) is generally deemed good, a NPS of +50 is generally deemed excellent, and anything over +70 is exceptional.

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NPS.png

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The metric was developed by (and is a registered trademark of) Fred Reichheld, Bain & Company and Satmetrix. It was introduced by Reichheld in his 2003 Harvard Business Review article “One Number You Need to Grow”.

Credibility?

But, how accurate is the NPS?

MORE: https://labs.openviewpartners.com/big-problems-with-net-promoter-score/#.XN1nFYdYYqQ

Assessment

Your thoughts are appreciated.

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Product DetailsProduct Details

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Celebrate National Nurses Week 2019

CONGRATULATIONS!

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May 6 – 12

National Nurses Week 2019 – What Health

CELEBRATE!

Absolute VERSUS Relative Risk in Medicine

Understanding the Difference

[By staff reporters]

Absolute Risk. The observed or calculated probability of the occurrence of an event, X—e.g., toxic exposure, infection, etc.—in a population relative to its exposure to a specific hazard or pathogen. Absolute risk is risk stated without any context whatsoever.

The relative risk (also called the risk ratio) of something happening is where you compare the odds for two groups against each other. For example, you could have two groups of women: one group has a mother, sister or daughter who has had breast cancer. The other group does not have any close female relatives who have had the disease. The group with close family members who have had the disease are more likely to develop breast cancer (National Cancer Institute). Relative risk is usually reported as a percentage (i.e. 10% more likely) but you’ll also see it written as “x times more likely” (i.e. ten times more likely). Although relative risk does provide some information about risk, it doesn’t say anything about the actual odds of something happening; on the other hand, absolute risk does.

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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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AJPH Showcase Articles on Pubic Health

A SPECIAL FEATURE

Dear Dr. David Marcinko

By Alfredo Morabia MD, PhD

This month, AJPH showcases articles on Public Health WINS, research on texting-while-driving, and twitter and health guidelines.

So, please feel free top visit ajph.org for these and other articles from our May 2019 issue:

The mission of the journal is to advance public health research, policy, practice and education. Toward that goal, the journal also produces monthly podcasts in English, Spanish and Chinese.

Be on the lookout for more timely research from AJPH, and consider subscribing or becoming an APHA member for full access.

Sincerely,

Alfredo Morabia, MD, PhD

Editor-in-chief, AJPH

@AlfredoMorabia

@AMJPublicHealth

***

Inflation is Higher Than You Think

Consumer Price Index

By Forbes Wealth

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cpi

Inflation is Higher Than You Think

Macro-Economics and What the ‘Chained CPI’ Could Mean for Social Security?

MORE: https://forbeswealthblog.ca/2019/01/11/how-high-can-interest-rates-go-2019/

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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™

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

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How to Prepare for a Recession in 2019

Is Canada an Impending Metaphor for the USA?

[By staff reporters]

In economics, a recession is a business cycle contraction which results in a general slowdown in economic activity. Macroeconomic indicators such as GDP (gross domestic product), investment spending, capacity utilization, household income, business profits, and inflation fall, while bankruptcies and the unemployment rate rise.

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

But, what about the USA?

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How to Prepare for a Recession in Canada – 2019

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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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Influenza Vaccination Prevalence

For FY 2018

By http://www.MCOL.com

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Forget Retiring Early, Get Back to Work

Forget Retiring Early, Get Back to Work

[PHYSICIAN FOCUSED FINANCIAL PLANNING AND RISK MANAGEMENT COMPANION TEXTBOOK SET]

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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Assessment

What about doctors? Is this true or not-so-much?

[Dr. Cappiello PhD MBA] *** [Foreword Dr. Krieger MD MBA]

Front Matter with Foreword by Jason Dyken MD MBA

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By Ann Miller RN MHA [Executive Director] MarcinkoAdvisors@msn.com

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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.

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