2024: Healthcare Industry Future Outlook

Posted on January 30, 2024 by Dr. David Edward Marcinko MBA

By Health Capital Consultants, LLC

***

2024 Healthcare Industry Outlook

Nearly one year removed from the end of the COVID-19 public health emergency, the healthcare industry expects a number of new opportunities in 2024, despite lingering challenges exposed by the pandemic. For example, healthcare organizations anticipate issues related to workforce shortages and legislative challenges; however, the industry also expects that opportunities emanating from technological advancements will allow them to grow and transform.

This Health Capital Topics article reviews anticipated U.S. healthcare industry activity for 2024 as well as trends that may drive change in the industry. (Read more…)

COMMENTS APPRECIATED

Thank You
***

***

Filed under: "Ask-an-Advisor", "Doctors Only", Career Development, Experts Invited, Health Insurance, Health Law & Policy, Healthcare Finance, Monthly Reports | Tagged: , , , , , , | Leave a comment »

Generative AI Disruption in the Healthcare Industry

Posted on August 17, 2023 by Dr. David Edward Marcinko MBA

By Health Capital Consultants, LLC

***

***

Generative artificial intelligence (AI) is the utilization of algorithms to create content such as text, code, imagery, videos, and even simulations in mere seconds. The goal of AI generally is to mimic the intelligence of humans to perform tasks, with generative AI (a type of AI) aiming to learn from data without the assistance of humans. While today’s generative AI bots are not yet prepared for widespread utilization in patient care settings, AI is garnering significant interest in the healthcare industry as providers begin to test the capabilities of AI in clinics and offices.

This Health Capital Topics article will review the role that generative AI is beginning to play in the U.S. healthcare system, the potential of AI in healthcare, and concerns related to the technology. (Read more…)

***

COMMENTS APPRECIATED

Thank You

***

***

Filed under: Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Information Technology, LifeStyle | Tagged: , , , , , | Leave a comment »

Valuation of Accountable Care Organizations: Competitive Environment

Posted on July 31, 2023 by Dr. David Edward Marcinko MBA

By Health Capital Consultants, LLC

***

***

As of the first quarter of 2022, 1,010 accountable care organizations (ACOs), comprising 1,760 private and public ACO contracts that covered 32 million beneficiaries, operated across the U.S. And, the majority of these ACOs were physician-led (41%), rather than hospital-led (26%) or jointly-led (27%) ACOs.

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

While the number of ACOs have steadily increased over the past several years, ACO growth has slowed, and even slightly decreased, in the past couple of years; this may be explained by shifts in federal government programs that are pushing all ACOs to take on downside risk at a faster pace. (Read more…) 

***

COMMENTS APPRECIATED

Thank You

***

***

***

Filed under: iMBA, Inc. | Tagged: , , , , , , , , | Leave a comment »

Coordinated Actions Indicate Growing Scrutiny of Tele-Medicine

Posted on April 12, 2023 by Dr. David Edward Marcinko MBA

By Health Capital Consultants, LLC

***

***

GROWING SCRUTINY OF TELE-MEDICINE

On July 20, 2022, the Office of Inspector General (OIG) of the U.S. Department of Health & Human Services (HHS) released a Special Fraud Alert on telemedicine. On the same day, the U.S. Department of Justice (DOJ) announced a “nationwide coordinated law enforcement action” against 36 defendants, and the Centers for Medicare & Medicaid Services (CMS) Center for Program Integrity announced administrative actions against 52 providers, related to alleged telemedicine arrangements. These coordinated actions indicate a growing scrutiny of telemedicine arrangements by federal government regulators. (Read more...) 

***

***

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

***

COMMENTS APPRECIATED

Thank You

***

Filed under: "Ask-an-Advisor", Accounting, Career Development, Ethics, Experts Invited, Health Insurance, Health Law & Policy, Taxation | Tagged: , , , , , | Leave a comment »

MEDICAL PRIOR AUTHORIZATION: Proposed Modernization from CMS

Posted on December 30, 2022 by Dr. David Edward Marcinko MBA

By Health Capital Consultants, LLC

***

***

CMS Proposes Modernizing Prior Authorizations

On December 6, 2022, the Centers for Medicare & Medicaid Services (CMS) proposed a modernization of the prior authorization process for health insurance. The proposed rule seeks to require certain insurers to implement electronic prior authorization, shorten decision timeframes, and make the process more transparent and efficient.

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

The rule includes “five key provisions and five Requests for Information,” aiming to “improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.” This Health Capital Topics article will review those provisions and requests for information, as well as stakeholder responses to the proposals. (Read more…)

***

COMMENTS APPRECIATED

Thank You

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

Filed under: "Doctors Only", Ethics, Experts Invited, Glossary Terms, Health Economics, Health Law & Policy | Tagged: , , , , | Leave a comment »

CMS Issues 2023 Physician Fee Schedule Proposed Rule

Posted on August 5, 2022 by Dr. David Edward Marcinko MBA
PHYSICIAN REIMBURSEMENT

CMS Issues 2023 Physician Fee Schedule Proposed Rule

On July 7, 2022, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023. Arguably the most noteworthy provision in the proposed rule is the agency’s suggested cut to physician payments. However, the rule also includes a number of other policy proposals, including changes to Medicare accountable care organizations (ACOs), behavioral health care, cancer screening, and dental care. (Read more…)

***

***
COMMENTS APPRECIATED

Thank You
***

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

Filed under: "Doctors Only", Accounting, Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Health Law & Policy | Tagged: , , , , , | Leave a comment »

Next-Generation ACO Model to End in 2021

Posted on July 1, 2021 by Dr. David Edward Marcinko MBA

Next Generation ACO Model to End in 2021

Health Capital Consultants - Healthcare Valuation

Many accountable care organizations (ACOs) received disappointing news on May 21, 2021, when the Centers for Medicare & Medicare Services (CMS) announced that it would not be extending the Next Generation ACO (NGACO) model for 2022.

After five years and a dwindling number of participating ACOs, experts were split on whether or not CMS should keep the model in place for another year. On one hand, stakeholders have argued for the NGACO model’s extension until it can be replaced with or integrated into another program; howowever, others asserted that resources could not be properly invested with only one more year left in the program. (Read more…)

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

ASSESSMENT: Your thoughts are appreciated.

THANK YOU

***

Filed under: Experts Invited, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: , , , , | Leave a comment »

COVID-19 Financial Resources for Physicians

Posted on June 11, 2021 by Dr. David Edward Marcinko MBA

Bhagwan Satiani, MD, MBA, DFSVS, FACHE, FACS

Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA

Jessica L. Bailey-Wheaton, JD

ABSTRACT

The appropriate focus in managing the COVID-19 pandemic in the United States has been addressing access and delivery of care to the population affected by the outbreak. All sectors of the U.S. economy have been significantly affected,including physicians. Physician groups of all specialties and sizes have experienced the financial effects of the pandemic.Hospitals have received billions of dollars to support and enable them to manage emergencies and cover the costs of the disruption.

However, many vascular surgeons are under great financial pressure because of the postponement of all non-emergency procedures. The federal government has announced a myriad of programs in the form of grants and loans to reimburse physicians for some of their expenses and loss of revenue. It is more than likely that unless the public health emergency subsides significantly, many practices will experience dire consequences without additional financial assistance.

The authors have attempted to provide a concise listing of such programs and resources available to assist vascular surgeons who are small businesses in accessing these opportunities.

Health Capital Consultants - Healthcare Valuation

WHITE PAPER: https://www.healthcapital.com/researchmaterialdocuments/publishedarticles/Journal%20of%20Vascular%20Surgery%205.8.20.pdf

Your comments are appreciated.

THANK YOU

***

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

****

Filed under: Accounting, Breaking News, Career Development, Experts Invited, Health Economics, Health Law & Policy, Healthcare Finance, Managed Care, Practice Management | Tagged: , , , , , | Leave a comment »

The Future of Health Care Under President Joe Biden?

Posted on May 9, 2021 by Dr. David Edward Marcinko MBA

A look at the President’s expressed priorities and actions to date

Todd Zigrang

By Todd Zigrang, MBA, MHA, FACHE, CVA, ASA

Jessica L. Bailey-Wheaton

By Jessica Bailey-Wheaton, Esq.

Health Capital Consultants, LLC

On January 20, 2021, Joseph R. Biden, Jr. was inaugurated as the 46th president of the United States. Due to the COVID-19 pandemic, among other concerns and long-standing issues, health care has become a central political issue and was hotly contested during the 2020 presidential debates.

A look at President Biden’s expressed priorities, signed executive orders, cabinet nominations and agency appointments during his first months in office provides indications as to the future—at least the short-term future—of U.S. health care.

Health Capital Consultants | LinkedIn

LINK: https://www.healthcapital.com/researchmaterialdocuments/publishedarticles/SLMM_April_2021-Biden.pdf

Your thoughts are appreciated.

THANK YOU

***

Filed under: Breaking News, Career Development, Health Economics, Health Insurance | Tagged: , , , , , | Leave a comment »