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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].

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    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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The Opioid Crisis: Treating Addiction and Saving Lives

An Audio Webinar

By NIHCM

Transforming Health Care Through Evidence and Collaboration

An estimated 2.1 million Americans have an opioid use disorder, according to the latest national data. Opioid overdose takes the lives of 4.6 Americans every hour. With a crisis of this magnitude, it is easy to lose sight of the fact that effective, life-saving treatments are out there. Medication-assisted therapy and the opioid-reversing drug naloxone, for example, are two highly effective interventions for addiction and overdose, but access barriers persist.

In this part of our opioid webinar series, we explored ways to expand the use of evidence-based treatment, including:

  • Strategies to smooth access to key drug therapies through standing orders to dispense and removal of prior authorization requirements
  • Federal and private-sector initiatives to protect the patients from sub-standard or fraudulent addiction treatment
  • A multi-sector collaboration to adopt principles of care for substance abuse treatment and to help practitioners stay abreast of the evidence
  • Ideas for using pharmacy data to identify potential abuse and for deploying telehealth technology to improve access to treatment

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On the Future of Healthcare [video]

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By NIHCM Foundation

This briefing brought together leading health care experts with diverse backgrounds to discuss the future of health care, including potential policy reforms and new ways of thinking about long-term care, the consumer experience and the concept of value in health care.

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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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NIHCM – Small Business Health Insurance Coverage

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In a Post-ACA World

In this Expert Voices essay, Sabrina Corlette examines developments in the small group market since the passage of the ACA and considers the future outlook.

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NIHCM – Small Business Health Insurance Coverage in a Post-ACA World

Conclusion

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

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

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On Valuing Physician Work in Medicare

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Time for a Change?

By Miriam J. Laugesen PhD
[Assistant Professor, Department of Health Policy and Management, Mailman School of Public Health, Columbia University]

via: NIHCM Foundation | 1225 19th Street, NW | Suite 710 | Washington | DC | 20036 www.nihcm.org

The Government Accountability Office (GAO) just released an important review of the way the Relative Value Scale Update Committee (RUC) and CMS value physician services for Medicare. The report finds significant flaws in the data and processes used, echoing a recent Expert Voices essay by RUC researcher Miriam Laugesen.

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Assessment

In this essay, Dr. Laugesen illustrates inaccuracies with work time estimates and the shortcomings of specialty society surveys. She also highlights ways to introduce greater precision and transparency to the process of updating Medicare physician fees. Read more…

EVEN MORE:

Gail Wilensky
The Outlook for Reforming Payments to Graduate Medical Education

John Iglehart
Meeting the Demand for Primary Care: Nurse Practitioners Answer the Call

David Dranove
Federal Antitrust Enforcement in Health Care

Michael L. Millenson
Paradigm, Not Pill: The New Role of Patient-Centered Care

Conclusion

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Spending for Private Health Insurance in the United States

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Health Costs Doubled in the Past Decade

By NIHCM Foundation www.NIHCM.org

The total cost of health care for a typical family with employer-sponsored coverage has more than doubled in the past decade to nearly $21,000 per year, outpacing both inflation and income growth.

Skyrocketing health care costs are already straining budgets and could jeopardize the availability of affordable coverage under the ACA. To shed light on the factors behind increased spending on private insurance, this brief examines

  • trends in premiums and cost-sharing in the group and non-group markets,
  • how premium dollars are spent by insurers,
  • which sectors are driving premiums upward, and
  • the importance of price increases in explaining spending growth.

healthcare costs

Assessment

Read more…

Conclusion

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Community Rating and Guaranteed Issue in the Individual Health Insurance Market

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Expert Voices

[By Staff Reporters]

In this essay Dr. Anthony Lo Sasso provides empirical evidence of the adverse selection that resulted when states adopted community rating and guaranteed issue requirements in their individual health insurance markets but did not implement complementary mechanisms to keep lower risk individuals in the insurance risk pools.

Results of Adverse Selection

Such adverse selection can raise premiums, destabilize markets and even lead to market failure through the following cycle of events:

  • Community rating prohibits differential premiums based on health status, effectively lowering premiums for individuals in poorer health and increasing them for healthier individuals.
  • Guaranteed issue allows people to purchase coverage when they get sick, decreasing the need to maintain insurance coverage.
  • Healthy individuals respond by dropping coverage and entering the market only when they need coverage, thus the pool of enrollees becomes increasingly older and sicker.
  • This adverse selection pushes premiums for all remaining enrollees higher, provoking further departures by those at the healthier end of the spectrum.
  • Premiums increase again to reflect the ever-worsening risk pool of enrollees.
  • The cycles continue, further destabilizing the market and potentially leading to complete market collapse.

Assessment

Dr. Lo Sasso’s findings highlight the importance of providing effective mechanisms to protect the integrity of the risk pool in conjunction with the community rating and guaranteed issue provisions contained in the SCOTUS upheld Patient Protection and Affordable Care Act.

Link: EV-LoSassoFINAL

Conclusion

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