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    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

    Later, Dr. Marcinko was a vital recruited BOD member of several innovative companies like Physicians Nexus, First Global Financial Advisors and the Physician Services Group Inc; as well as mentor and coach for Deloitte-Touche and other start-up firms in Silicon Valley, CA.

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    Dr. David E. Marcinko’s professional memberships included: ASHE, AHIMA, ACHE, ACME, ACPE, MGMA, FMMA, FPA and HIMSS. He was a MSFT Beta tester, Google Scholar, “H” Index favorite and one of LinkedIn’s “Top Cited Voices”.

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iMBA Inc – Supporting Doctors and their Consulting Advisors

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The ME-P Educational Resource

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We are an emerging online and onground community that connects medical professionals with financial advisors and management consultants. We participate in a variety of insightful educational seminars, teaching conferences and national workshops. We produce journals, textbooks and handbooks, white-papers, CDs and award-winning dictionaries. And, our didactic heritage includes innovative R&D, litigation support, opinions for engaged private clients and media sourcing in the sectors we passionately serve.

Through the balanced collaboration of this rich-media sharing and ranking forum, we have become a leading network at the intersection of healthcare administration, practice management, medical economics, business strategy and financial planning for doctors and their consulting advisors. Even if not seeking our products or services, we hope this knowledge silo is useful to you. Our content creation—including speaking topics, articles and course development—is client-driven.

In the Health 2.0 era of political reform, our goal is to: “bridge the gap between practice mission and financial solidarity for all medical professionals.”  

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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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 BOOK REVIEW

Am I over-insured and thus wasting money? Am I under-insured and thus at risk for a liability or other disaster? I never really had the means of answering these questions; until now.

LLOYD M. KRIEGER; MD, MBA

[Rodeo Drive Plastic Surgery – Beverly Hills, CA]

A Medicare Fraud 2.0 Prediction

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More on Healthcare Fraud and Abuse with Video

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ME-P SPECIAL REPORT

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Medicare Fraud 2.0 Prediction.

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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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Defining Tomorrow’s Doctor [Vote]

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What does the 21st Century Physician look like – Please tell us your vision?

Doctors

We can’t solve problems by using the same kind of thinking we used when we created them.  Tell us your vision or just view the list of visions so far.

Tomorrow’s Doctor

[This is a collective initiative lead by folks like you] 

Assessment

Why Become A Doctor?

Conclusion

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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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Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Hospitals: http://www.crcpress.com/product/isbn/9781439879900

Physician Advisors: www.CertifiedMedicalPlanner.org

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Appreciating Early Results of the Health 2.0 Initiative

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In Population Health and Patient Self Management

Jennifer TomasikBy Jennifer Tomasik MS

By Carey Huntington

By Fabian Poliak

www.CFAR.com

Despite the growth in Health 2.0 interaction over the past few years, we still see Health 2.0 in its infancy relative to the potential it holds for activating patients in managing and being more accountable for their own health. There is further hard evidence that its strategies are already improving patients’ quality of life, expanding providers’ expertise, and helping health systems and payors financially.

On Patient Self Management

And, if Health 2.0 can, as discussed elsewhere on this ME-P, enable people to reduce smoking, become physically fit, and more actively participate with their providers in the management of chronic disease, we posit that these things combine to result in a better sense of health and wellbeing for those involved.

One would logically conclude that these kinds of interventions result in fewer interactions with the healthcare system, an issue that Harrison et al tackled in a study earlier this year that was published in Population Health Management. It looked at the relationship between self-reported individual wellbeing and future healthcare utilization and cost. They found that higher self-reported wellbeing was associated with fewer hospitalizations, visits to the emergency room, and use of medications.

Overall, the authors concluded that improving wellbeing (or what we would refer to as a perceived sense of health) holds tremendous promise in reducing future use of healthcare services and the costs associated with that care[i]. We see Health 2.0 as an effective way to enable people to improve their wellbeing and suggest that its impact will continue to mount over time in terms of better outcomes and reduced cost.

Health 2.0 Offerings

Health 2.0 offerings are looking at a variety of ways to measure their impact beyond cost and quality. The Collaborative Chronic Care Network, for example, is reporting on number of participants, response rates via text, and pilot projects undertaken, but not yet on clinical or financial impact of its patient partnerships. Even well-known companies, like Patients LikeMe, are not currently reporting their specific impact on influencing organizations and institutions in healthcare to drive toward standards of care and other cost-reduction solutions—rather, they are reporting their impact on individual lives, through testimonials on the power of connection. Their vision of results rings true for many components and actors in Health 2.0:

We envision a world where information exchange between patients, doctors, pharmaceutical companies, researchers, and the healthcare industry can be free and open; where, in doing so, people do not have to fear discrimination, stigmatization, or regulation; and where the free flow of information helps everyone. We envision a future where every patient benefits from the collective experience of all, and where the risk and reward of each possible choice is transparent and known.[ii]

This description does not mention economics, but it also does not mention illness. And we know that clients of companies like ShapeUp are working in the background compiling their own estimates of the savings that these programs and other interventions are likely to have on their healthcare costs. This is the kind of data that will “triangulate” out to other organizations and help build momentum for Health 2.0.

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Achievement

From Sickness to Health

As we shift from a system that addresses sickness to one that promotes health, we may experience that the more interesting promise of Health 2.0 is less about economics and more about accelerating a sweeping cultural shift that focuses our collective and individual energy on wellness. We know that tools alone—the supports that can help catalyze behavior change—will not be totally responsible for the change in outlook.

But, the tools and other supports in Health 2.0 will serve as some of the key catalysts, ushering in a new era that foregrounds prevention, wellness, and better management of chronic disease, and works to reduce the economic burden on health systems, governments, and individuals themselves. 

Assessment 

Conclusion

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About the Authors

Jennifer Tomasik is a Principal at CFAR, a boutique management consulting firm specializing in strategy, change and collaboration. Jennifer has worked in the health care sector for nearly 20 years, with expertise in strategic planning, large-scale organizational and cultural change, public health, and clinical quality measurement. She leads CFAR’s Health Care practice. Jennifer has a Master’s in Health Policy and Management from the Harvard School of Public Health. Her clients include some of the most prestigious hospitals, health systems and academic medical centers in the country.

Carey Huntington and Fabian Poliak both work in CFAR’s Health Care practice.

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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[i] Harrison PL, Pope JE, Coberley CF, Rula EY. “Evaluation of the Relationship Between Individual Well-Being and Future Health Care Utilization and Cost.” Population Health Management 2012;15(00).

[ii] “Corporate FAQ – What is the future of healthcare in a PatientsLikeMe world?” PatientsLikeMe. Online. Accessed 12 Oct 2012. <http://www.patientslikeme.com/help/faq/Corporate&gt;

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Seven Goals for Healthcare Disruption

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What’s possible with healthcare and how it might be achieved?

The following infographic created by IOM highlights that despite recent advances in healthcare as the system continues to fall short of its potential.

So, what’s possible for healthcare?

Assessment

These 7 disruptive goals and how they might be achieved by adopting practices that are currently in use in by other industries include:

  1. Use Information Technology More Effectively
  2. Create Systems to Manage Complexity
  3. Make Health Care Safer
  4. Improve Transparency
  5. Promote Teamwork & Communication
  6. Partner With Patients
  7. Decrease Waste & Increase Efficiency

Conclusion

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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

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Hospitals: http://www.crcpress.com/product/isbn/9781439879900

Physician Advisors: www.CertifiedMedicalPlanner.org

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Opinion Poll on the Most Disruptive Health Issue Today?

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A Voting Opinion Poll

Today’s opinion poll for all modern hospital executives, financial advisors, health economists, patients and physician leaders is right on-point.

It was sent in by an astute ME-P subscriber and we are most pleased to oblige.

VOTE HERE

And so, what is the most singular disruptive development that you should be thinking about if you want your medical practice, clinic, hospital, state, local government or healthcare organization to thrive in the coming years?

Conclusion

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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

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Hospitals: http://www.crcpress.com/product/isbn/9781439879900

Physician Advisors: www.CertifiedMedicalPlanner.org

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New Medical Practice Entrepreneurial Business Rules for Young Physicians [circa 2018]

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Go “Out-of-Box” – OR – Go Employee

By Dr. David Edward Marcinko MBA CMP™ www.CertifiedMedicalPlanner.org

There are more than 950,000 physicians in the United States. Yet, the brutal supply and demand, and demographic calculus of the matter is that there are just too many aging patients chasing too few doctors. Compensation and reimbursement is plummeting as Uncle Sam becomes the payer-of-choice for more than 52% of us. More so, going forward with the PP-ACA OR, perhaps not so much after the Trump election.

Furthermore, many large health care corporations, hospitals, and clinical and medical practices have not been market responsive to this change. Some physicians with top-down business models did not recognize the changing health care ecosystem or participatory medicine climate. Change is not inherent in the DNA of traditionalists. These entities and practitioners represented a rigid or “used-to-be” mentality, not a flexible or “want-to-be” mindset.

Yet today’s physicians and emerging Health 2.0 initiatives must possess a market nimbleness that cannot be recreated in a command-controlled or collectivist environment. Going forward, it is not difficult to imagine the following rules for the new virtual medical culture, and young physicians of the modern era.

A. Rule 1

Forget about large office suites, surgery centers, fancy equipment, larger hospitals, and the bricks and mortar that comprised traditional medical practices. One doctor with a great idea, good bedside manners, or competitive advantage can outfox a slew of insurance companies, Certified Public Accountants, or the Associate Management Accountant, while still serving patients and making money. It is now a unit-of-one economy where “ME Inc.,” is the standard. Physicians must maneuver for advantages that boost their standing and credibility among patients, peers, and payers.

Examples include patient satisfaction surveys, outcomes research analysis, evidence-based-medicine, direct reimbursement compensation, physician economic credentialing, and true patient-centric medicine. Physicians should realize the power of networking, vertical integration, and the establishment of virtual offices that come together to treat a patient and then disband when a successful outcome is achieved. Job security is earned with more successful outcomes; not a magnificent office suite or onsite presence.

B. Rule 2

Challenge conventional wisdom, think outside the traditional box, recapture your dreams and ambitions, disregard conventional gurus, and work harder than you have ever worked before. Remember the old saying, “if everyone is thinking alike, then nobody is thinking.” Do traditionalists or collective health care reform advocates react rationally or irrationally?

For example, some health care competition and career thought-leaders, such as Shirley Svorny, PhD, a professor of economics and chair of the Department of Economics at California State University, Northridge, wonder if a medical degree is a barrier—rather than enabler—of affordable health care. An expert on the regulation of health care professionals, including medical professional licensing, she has participated in health policy summits organized by Cato and the Texas Public Policy Foundation. She argues that licensure not only fails to protect consumers from incompetent physicians, but, by raising barriers to entry, makes health care more expensive and less accessible.

Institutional oversight and a sophisticated network of private accrediting and certification organizations, all motivated by the need to protect reputations and avoid legal liability, offer whatever consumer protections exist today.

C. Rule 3

Differentiate yourself among your health care peers. Do or learn something new and unknown by your competitors. Market your accomplishments and let the world know. Be a non-conformist. Conformity is an operational standard and a straitjacket on creativity. Doctors must create and innovate, not blindly follow entrenched medical societies into oblivion.

For example, the establishment of virtual medical schools and hospitals, where students, nurses, and doctors learn and practice their art on cyber entities that look and feel like real patients, can be generated electronically through the wonders of virtual reality units.

D. Rule 4

Realize that the present situation is not necessarily the future. Attempt to see the future and discern your place in it. Master the art of quick change with fast, but informed decision making. Do what you love, disregard what you do not, and let the fates have their way with you.

Assessment

I receive a couple of phone calls each month from young doctors on this topic. I ask them to decide if they are of the philosophical ilk to adhere to the above rules; or become another conformist and go along … to get along? In other words, get fly!

Or, become an employed, or government doctor.  Just remember … the entity that gives you a job, can also take it away.

Sample fly: http://crossoverhealth.com/

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

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

LEXICONS: http://www.springerpub.com/Search/marcinko
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PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
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