REAL-WORLD FINANCE: How Some RNs Can Retire Richer Than Physicians

Posted on November 13, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA MEd

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For generations, the prevailing belief in healthcare has been that physicians [MD, DO and DPM], with their high salaries and prestige, inevitably retire wealthier than nurses. Yet this assumption overlooks the financial realities of different nursing specialties and the long‑term impact of debt, lifestyle, and retirement planning. In fact, some Registered Nurses (RNs)—particularly Certified Registered Nurse Anesthetists (CRNAs), visiting nurses, and those who participate in structured pay programs like the Baylor plan—can retire richer than physicians. The reasons lie in the interplay of education costs, career flexibility, income potential, and disciplined financial planning.

Education Costs and Debt Burden

One of the most decisive factors shaping retirement wealth is the cost of education. Physicians often spend over a decade in training, including undergraduate studies, medical school, and residency. This path not only delays their earning years but also saddles them with substantial student debt. The median medical school debt in the United States exceeds $200,000, and many physicians spend years paying it down.

By contrast, RNs typically complete their training in two to four years, with advanced practice nurses such as CRNAs requiring graduate‑level education. Even so, their debt burden is far lighter, often less than half of what physicians carry. This difference means nurses can begin earning earlier, save for retirement sooner, and avoid the crushing interest payments that erode physicians’ wealth. A CRNA who starts practicing in their late twenties may already be investing in retirement accounts while a physician is still in residency earning a modest stipend.

Income Potential of Specialized Nurses

While physicians generally earn more annually than nurses, the gap is narrower in certain specialties. CRNAs, for example, are among the highest‑paid nursing professionals, with average salaries often exceeding $200,000 per year. This places them in direct competition with some physician specialties, especially primary care doctors, who may earn similar or even lower salaries.

Visiting nurses also benefit from unique financial advantages. Many work on flexible schedules, contract arrangements, or per‑visit compensation models. This allows them to maximize income while minimizing burnout. By avoiding the overhead costs of private practice and the administrative burdens physicians face, visiting nurses can channel more of their earnings directly into savings and investments.

When combined with lower debt and earlier career starts, these income streams can compound into significant retirement wealth.

💰 Highest-Paying Nursing Careers (2025)

Certified Registered Nurse Anesthetist (CRNA) – ~$212,000 annually
Nurse Practitioner (NP) – $120,000–$140,000+ depending on specialty (Family, Acute Care, Psychiatric)
Clinical Nurse Specialist (CNS) – $120,000–$135,000
Nurse Midwife – ~$115,000
Nurse Manager/Administrator – $110,000–$120,000
Informatics Nurse Specialist – ~$115,000
Neonatal ICU Nurse (NICU) – $110,000+
ICU Nurse – $105,000+
Pain Management Nurse – ~$104,000
Oncology Nurse – ~$100,000

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The Baylor Pay Plan Advantage

The Baylor plan, a structured pay program used by some hospitals, allows nurses to work full‑time hours compressed into fewer days—often weekends—while still receiving full‑time pay and benefits. This arrangement provides several financial advantages. First, it enables nurses to earn competitive wages while freeing up weekdays for additional work, education, or entrepreneurial ventures. Second, it reduces commuting and childcare costs, allowing more income to be saved. Third, the plan often includes robust retirement benefits, such as employer‑matched contributions to 401(k) or pension programs.

Nurses who consistently participate in such structured pay plans can accumulate substantial nest eggs, often surpassing physicians who delay retirement savings due to debt repayment or lifestyle inflation. The Baylor plan highlights the importance of systematic investing: by automating contributions and focusing on long‑term growth, nurses can harness the power of compound interest. A nurse who invests steadily for 35 years may accumulate more wealth than a physician who begins saving late and inconsistently, despite earning a higher salary.

Lifestyle and Work‑Life Balance

Another overlooked factor is lifestyle. Physicians often face grueling schedules, high stress, and the temptation to maintain expensive lifestyles commensurate with their social status. Luxury homes, cars, and vacations can erode their financial base. Nurses, while not immune to lifestyle inflation, often maintain more modest spending habits.

Visiting nurses, in particular, enjoy flexibility that allows them to balance work with personal life. This reduces burnout and healthcare costs while enabling consistent employment into later years. By living within their means and prioritizing savings, nurses can accumulate wealth steadily without the financial pitfalls that sometimes accompany physician lifestyles.

Retirement Wealth Beyond Salary

Retirement wealth is not solely determined by annual income. It is shaped by debt management, savings discipline, investment strategies, and lifestyle choices. Nurses who leverage high‑paying specialties like anesthesia, flexible arrangements like visiting nursing, and structured programs like the Baylor plan can outperform physicians in these areas.

Consider two professionals: a physician earning $250,000 annually but burdened by $200,000 in debt and high living expenses, and a CRNA earning $200,000 with minimal debt and disciplined savings. Over decades, the CRNA may accumulate more net wealth, retire earlier, and enjoy greater financial security.

Conclusion

The assumption that physicians always retire richer than nurses is outdated. While physicians command higher salaries, their delayed earnings, heavy debt, and lifestyle pressures often undermine long‑term wealth. Nurses, particularly CRNAs, visiting nurses, and those who participate in structured pay programs like the Baylor plan, can retire wealthier by combining lower debt, earlier savings, competitive incomes, and disciplined financial planning.

Ultimately, retirement wealth is not about prestige but about strategy. Nurses who recognize this truth and act accordingly may find themselves enjoying more financial freedom than the very physicians they once assisted.

COMMENTS APPRECIATED

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit an RFP for speaking engagements: CONTACT: Ann Miller RN MHA at MarcinkoAdvisors@outlook.com -OR- http://www.MarcinkoAssociates.com

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Filed under: "Ask-an-Advisor", finance, Financial Planning, Funding Basics, LifeStyle, Marcinko Associates, Retirement and Benefits | Tagged: Baylor Plan, budgeting, CNS, CRNA, david marcinko, DO, doctors, DPM, finance, Financial Planning, Investing, investments, MD, midwife, NICU, NP, Oncology, personal-finance, physicians, RN, salary reirement | Leave a comment »

BAYLOR PLAN: Nursing Shift Payments

Posted on November 8, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Dr. David Edward Marcinko MBA MEd and Copilot A.I.

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The Baylor method of nurse payments is a scheduling and compensation model that allows nurses to work weekend shifts while receiving full-time pay and benefits, offering flexibility and helping healthcare facilities address staffing shortages.

The Baylor method, also known as the Baylor Plan or Baylor Shift, originated at Baylor University Medical Center in Dallas, Texas, as a strategic response to nurse shortages and burnout. It was designed to retain experienced nurses by offering a more flexible work schedule that still met the demands of patient care. Under this model, nurses typically work two 12-hour shifts on the weekend—Saturday and Sunday—and receive compensation equivalent to a full 40-hour workweek.

This approach has become increasingly popular in hospitals, long-term care facilities, and other healthcare settings. The core idea is simple: by concentrating work hours into the weekend, nurses gain more time off during the week while employers maintain adequate staffing during traditionally hard-to-fill shifts. For many nurses, this arrangement provides a better work-life balance, allowing them to pursue education, spend time with family, or take on additional employment during the week.

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Financially, the Baylor method is attractive to both nurses and employers. Nurses benefit from full-time pay and benefits—including health insurance, retirement contributions, and paid time off—while only working two days per week. Employers, on the other hand, can reduce turnover and improve weekend staffing without increasing overall labor costs. Some facilities even offer Baylor shifts with added incentives, such as shift differentials or bonuses, to further encourage weekend coverage.

However, the Baylor method is not without its challenges. Working two consecutive 12-hour shifts can be physically and emotionally demanding, especially in high-acuity units. Nurses may experience fatigue or burnout if they are not adequately supported. Additionally, because Baylor nurses are paid for 40 hours while only working 24, scheduling extra shifts during the week can complicate overtime calculations. Typically, overtime pay only kicks in after 40 actual hours worked, not hours paid, which can lead to confusion or dissatisfaction if not clearly communicated.

From an operational standpoint, the Baylor method helps facilities maintain consistent staffing levels during weekends, which are often underserved due to lower availability of part-time or weekday-only staff. It also allows for more predictable scheduling and can improve patient outcomes by ensuring continuity of care. Facilities that adopt the Baylor model often report higher nurse satisfaction and retention rates.

In conclusion, the Baylor method of nurse payments is a creative and effective solution to some of the most persistent challenges in healthcare staffing. By offering full-time compensation for weekend work, it provides nurses with flexibility and financial stability while helping facilities maintain high-quality care. As healthcare continues to evolve, models like the Baylor shift demonstrate the importance of innovative scheduling strategies that support both caregivers and patients.

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Filed under: "Doctors Only", Ask a Doctor, Ethics, Glossary Terms, Health Economics, Health Insurance, Healthcare Finance, iMBA, Inc., Retirement and Benefits | Tagged: baylor method, Baylor Plan, Baylor Shift, david marcinko, Health Insurance, nurse, nurse payments, nurses, nursing, payment plan, photography, RN | Leave a comment »

CAPITATION REIMBURSEMENT: A Historical Economic Review

Posted on September 15, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

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By Dr. David Edward Marcinko MBA MEd CMP™

SPONSOR: http://www.CertifiedMedicalPlanner.org

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DEFINITION

Capitation is a type of healthcare payment system in which a physician or hospital is paid a fixed amount of money per patient for a prescribed period by an insurer or physician association. The cost is based on the expected healthcare utilization costs for a group of patients for that year.

With capitation, the physician—otherwise known as the primary care physician— is paid a set amount for each enrolled patient whether a patient seeks care or not. The PCP is usually contracted with an HMO whose role it is to recruit patients.

ACOs: https://medicalexecutivepost.com/2024/12/01/record-breaking-savings-for-acos-in-2023/

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CAPITATION REIMBURSEMENT HISTORY

According to Richard Eskow, CEO of Health Knowledge Systems of Los Angeles, capitated medical reimbursement has been used in one form or another, in every attempt at healthcare reform since the Norman Conquest. Some even say an earlier variant existed in ancient China [personal communication].

Initially, when Henry I assumed the throne of the newly combined kingdoms of England and Normandy, he initiated a sweeping set of healthcare reforms. Historical documents, though muddled, indicate that soon thereafter at least one “physician,” John of Essex, received a flat payment honorarium of one penny per day for his efforts. Historian Edward J. Kealey opined that sum was roughly equal to that paid to a foot-soldier or a blind person. Clearer historical evidence suggests that American doctors in the mid-19th century were receiving capitation-like payments. No less an authoritative figure than Mark Twain, in fact, is on record as saying that during his boyhood in Hannibal, MO his parents paid the local doctor $25/year for taking care of the entire family regardless of their state of health.

Later, Sidney Garfield MD [1905-1984] is noted as one of the great under-appreciated geniuses of 20th century American medicine stood in the shadow cast by his more celebrated partner, Henry J. Kaiser. Garfield was not the first physician to embrace the notion of prepayment capitation, nor was he the first to understand that physicians working together in multi-specialty groups could, through collaboration and continuity of care, outperform their solo practice colleagues in almost every measure of quality and efficiency. The Mayo brothers, of course, had prior claim to that distinction. What Garfield did, was marry prepayment to group practice, providing aligned financial incentives across every physician and specialty in his medical group, as well as a culture of group accountability for the care of every member of the affiliated health plan. He called it “the new economics of medicine,” and at its heart was a fundamentally new paradigm of care that emphasized – prevention before treatment – and health before sickness. Under his model: the fewer the sick – the greater the remuneration. And: the less serious the illness, the better off the patient and the doctors.

VBC: https://medicalexecutivepost.com/2018/12/07/the-state-of-value-based-care-vbc/

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Such ideas were heresy to the reigning fee-for-service, solo practice, ideologues of the mainstream medical establishment of the 1940s and ‘50s, of course. Throughout the period, Garfield and his group physicians were routinely castigated by leaders of the AMA and county medical associations as socialistic and unethical. The local medical associations in Garfield’s expanding service areas – the San Francisco Bay Area, Los Angeles, and Portland, Oregon – blocked group practice physicians from association membership, effectively shutting them out of local hospitals, denying them patient referrals or specialty society accreditation. Twice in the 1940s, formal medical association charges were brought against Garfield personally, at one time temporarily succeeding in suspending his license to practice medicine.

Of course, capitation payments made a comeback in the first cost-cutting managed care era of the 1980-90s because fee-for-service medicine created perverse incentives for physicians by paying more for treating illnesses and injuries than it does for preventing them — or even for diagnosing them early and reducing the need for intensive treatment later. Nevertheless, the modern managed care industry’s experience with capitation wasn’t initially a good one. The 1980-90s saw a number of HMOs attempt to put independent physicians, especially primary care doctors, into a capitation reimbursement model. The result was often negative for patients, who found that their doctors were far less willing to see them — and saw them for briefer visits — when they were receiving no additional income for their effort. Attempts were also made to aggregate various types of health providers — including hospitals and physicians in multiple specialties — into “capitation groups” that were collectively responsible for delivering care to a defined patient group. These included healthcare facilities and medical providers of all types: physicians, osteopaths, podiatrists, dentists, optometrists, pharmacies, physical therapists, hospitals and skilled nursing homes, etc.

However, the healthcare industry isn’t collective by nature, and these efforts tended to be too complicated to succeed. One lesson that these experiments taught is that provider behavior is difficult to change unless the relationship between that behavior and its consequences is fairly direct and easy to understand.

MORE: https://medicalexecutivepost.com/wp-content/uploads/2008/11/capitation-actuarial-medical-econometrics.pdf

Today, the concept of prepayment and medical capitation is to uncouple compensation from the actual number of patients seen, or treatments and interventions performed. This is akin to a fixed price restaurant menu, as opposed to an àla carte eatery.

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Filed under: Ask a Doctor, Career Development, CMP Program, curated experts,, economics, Ethics, Experts Invited, finance, Glossary Terms, Health Economics, Health Law & Policy, Healthcare Finance, Marcinko Associates | Tagged: AMA, capitation, capitation economics, CMP, david marcinko, DDS, DMD, DO, doctor compensation, DPM, exchange-server, Health Economics, Health Insurance, HMO, Managed Care, MD, PCP, physician compensation, powershell, primary care provider, Richard Eskow, RN, Sidney Garfield, system-center | Leave a comment »

OB-GYN V. Obstetrician V. Gynecologist V. Mid-Wife V. Doula

Posted on August 15, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

DEFINITIONS

A.I. and Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

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OB-GYN

An obstetrician-gynecologist, or OB-GYN, has expertise in female reproductive health, pregnancy, and childbirth. Some OB-GYNs offer a wide range of general health services similar to a primary care doctor. Others focus on the medical care of the female reproductive system. OB-GYNs also provide routine medical services and preventive screenings. This type of doctor has studied obstetrics and gynecology. The term “OB-GYN” can refer to the doctor, an obstetrician-gynecologist, or to the sciences that the doctor specializes in, which are obstetrics and gynecology.

Obstetrician

Obstetrics is the branch of medicine related to medical and surgical care before, during, and after a woman gives birth. Obstetrics focuses on caring for and maintaining a woman’s overall health during maternity. This includes:

pregnancy
labor
childbirth
the postpartum period

OB-GYNs can conduct office visits, perform surgery, and assist with labor and delivery. Some OB-GYNs provide services through a solo or private practice. Others do so as part of a larger medical group or hospital.

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Gynecologist

Gynecology is the branch of medicine that focuses on women’s bodies and their reproductive health. It includes the diagnosis, treatment, and care of women’s reproductive system. This includes the:

vagina
uterus
ovaries
fallopian tubes

This branch of medicine also includes screening for and treating issues associated with women’s breasts. Gynecology is the overarching field of women’s health from puberty through adulthood. It represents most of the reproductive care received during a lifetime. If pregnant, one goes to an obstetrician.

Mid-Wife

Midwives are registered nurses who specialize in midwifery. As such, they’re trained healthcare providers who can oversee low-risk pregnancies, labor, and birth. They can provide other obstetric and gynecological services too. They can do exams and help with basic gynecological concerns like sexually transmitted infections, urinary tract infections, or yeast infections. They help support during labor and in the postpartum period with breastfeeding and birth control.

Doula

Doulas aren’t clinical professionals and can’t give medical advice. They can’t prescribe medicines, and they can’t deliver a baby. But they can offer physical and emotional support during labor—and sometimes during and after pregnancy. Doulas can help with breathing techniques, positional changes, and relaxation strategies during labor. Studies show doulas are associated with fewer C-sections and more vaginal births.

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Filed under: Ask a Doctor, Career Development, CMP Program, Ethics, Glossary Terms, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance | Tagged: births, child birth, CMP, DO, doula, Gynecologist, gyno, health, MD, mid-wife, motherhood, ob-gyn, Obstetrician, physician, pregnancy, RN | Leave a comment »

Physician V. Doctor V. Provider V. Prescriber V. Medical Others

Posted on May 22, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

HEALTHCARE DEFINITIONS

By Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

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When you visit health clinic or hospital for a medical appointment, you’ll be seen by a doctor, healthcare provider and/or medical prescriber. But what do these words really mean?

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Doctors / Physicians

Doctor of Medicine (MD), Doctor of Podiatric Medicine (DPM), Doctor of Osteopathy (DO, or Doctor of Dental Surgery (DDS/DMD). Doctors, also known as physicians, have extensive prescription privileges across various specialties. They can diagnose medical conditions, prescribe medication, and oversee the overall management of patient care. Doctors include general practitioners, specialists such as cardiologists or dermatologists, and surgeons. Their prescription authority encompasses a wide range of medications to address acute and chronic health conditions, ranging from antibiotics to specialized treatments for complex diseases.

MORE: https://medicalexecutivepost.com/2023/06/17/the-md-versus-do-degree/

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Medical Providers

A medical provider is a general term that encompasses a wide range of education levels, skill-sets, and specializations. A provider could be a Physician Assistant (PA), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Doctor of Medicine (MD), Doctor of Podiatric Medicine (DPM), Dentist (DDSDMD) or Doctor of Osteopathy (DO).

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Medical Drug Prescribers

Generally, psychologists and therapists do not have prescription privileges. They focus on psychotherapy and counseling rather than medication management. However, some jurisdictions may grant limited prescription rights to psychologists who undergo additional training and certification. Like psychologists, therapists typically do not have prescription privileges. They focus on providing counseling and psychotherapy to address mental health issues and emotional concerns.

PHARMACISTS: https://medicalexecutivepost.com/2025/02/12/pharmd-doctor-of-pharmacy/

Psychiatrists are medical doctors (MD/DO) who specialize in the diagnosis and treatment of mental health disorders. They have full prescription privileges and can prescribe a wide range of medications to manage psychiatric conditions.

In most cases, physical therapists do not have the authority to prescribe medication. They primarily focus on rehabilitation and physical interventions to improve mobility and function.

MORE: https://medicalexecutivepost.com/2025/02/23/doctorate-physical-therapy/

Nurse practitioners are advanced practice nurses with the authority to diagnose, treat, and prescribe medication independently in many states and countries. They undergo extensive education and training, which allows them to provide a wide range of healthcare services, including medication management.

Similar to nurse practitioners, psychiatric nurse practitioners have the authority to prescribe medication for mental health conditions. They specialize in psychiatric and mental health care, offering comprehensive treatment that may include medication management.

Chiropractors primarily focus on diagnosing and treating musculoskeletal disorders through manual adjustments and therapies. They do not have surgical or prescription privileges in most jurisdictions.

Optometrists are trained to diagnose and treat vision problems, including prescribing corrective lenses and medications for certain eye conditions such as infections or inflammation.

Registered nurses typically do not have prescription privileges. They work under the direction of physicians and nurse practitioners, assisting with patient care but not prescribing medication themselves.

Dentists have limited prescription privileges related to dental care, such as antibiotics or pain medications for dental procedures. However, they do not have the authority to prescribe general medications outside of their scope of practice.

Nutritionists typically do not have prescription privileges. They specialize in providing dietary advice and counseling to promote health and well-being through nutrition but do not prescribe medication.

Depending on their scope of practice and legal regulations in their jurisdiction, nurse midwives may have limited prescription privileges for certain medications related to prenatal care, childbirth, and postpartum care.

MORE: http://www.HealthDictionarySeries.org

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NATIONAL NURSES IN BUSINESS ASSOCIATION: Empowering Nurses Through Entrepreneurship

Posted on May 2, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The National Nurses in Business Association (NNBA) is the premier nursing organization for nurse entrepreneurs, and a springboard for nurses transitioning from employees to entrepreneurs and business owners. The NNBA is an invaluable resource for existing nurse business owners seeking to expand, and maximize their business success.

Members’ resumes include thousands of nurse owned businesses, local, national and international awards, and millions of dollars in revenue. The experience, knowledge and impact of the NNBA community is amazing, as well as the support provided to fellow nurse entrepreneurs and aspiring entrepreneurs.

As the forerunner of the nurse entrepreneur movement, the NNBA provides valuable business information customized for nurses on how to start, plan, expand and grow your nurse owned business. They provide expert guidance, marketing and promotional opportunities, and continuing education in professional growth and career development.

MORE: https://nursesbusiness.com/

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The DOCTOR EFFECT

Posted on April 21, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

Dr. David Edward Marcinko; MBA MEd CMP™

Medical Colleagues Beware the Advisors

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SPONSOR: http://www.MarcinkoAssociates.com

Several years ago a group of highly trusted and deeply experienced financial advisors, insurance service professionals and estate planners noted that far too many of their mature retiring physician clients, using traditional stock brokers, management consultants and financial advisors, seemed to be less successful than those who went it alone. These Do-it-Yourselfers [DIYs] had setbacks and made mistakes, for sure. But, the ME Inc doctors seemed to learn from their mistakes and did not incur the high management and service fees demanded from general or retail one-size-fits-all “advisors.”

In fact, an informal inverse related relationship was noted, and dubbed the “Doctor Effect.” In others words, the more consultants an individual doctor retained; the less well they did in all disciplines of the financial planning and medical practice management, continuum.

Of course, the reason for this discrepancy eluded many of them as Wall Street brokerages and wire-houses flooded the media with messages, infomercials, print, radio, TV, texts, tweets, dinners and internet ads to the contrary. Rather than self-learn the basics, the prevailing sentiment seemed to purse the holy grail of finding the “perfect financial advisor.” This realization confirmed the industry culture which seemed to be:

Bread for the advisor – Crumbs for the client!

And so, Marcinko Associates formed a cadre’ of technology focused and highly educated multi-degreed doctors, nurses, financial advisors, attorneys, accountants, psychologists and educational visionaries who decided there must be a better way for their healthcare colleagues to receive financial planning advice, products and related advisory services within a culture of fiduciary responsibility.

We trust you agree with this specific niche knowledge, and collegial consulting philosophy, as illustrated thru our firm and these two books.

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit a RFP for speaking engagements: MarcinkoAdvisors@outlook.com

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CREDIT CARDS: Mistakes All Doctors Must Avoid

Posted on April 13, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Credit Card Mistakes to Avoid

No number has as far-reaching an impact on your money as your credit scores. Here are some credit card obstacles all physicians, nurses and medical professionals should dodge on the road to financial security

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Don’t pay for a credit card repair service.
Don’t miss a payment.
Don’t max out your card.
Don’t take a cash-advance.
Don’t skip using your cards.
Don’t chase interest rates.
Don’t apply for several credit cards all at once.
Don’t co-sign a loan.
Don’t spread our car or mortgage payments.

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Providing Physician Centric [Not Advisor Centric] Holistic Financial Planning Advice

Posted on March 30, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

BY DR. DAVID EDWARD MARCINKO MBA MEd CMP™

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SPONSOR: http://www.MarcinkoAssociates.com

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Selecting a Healthcare Focused Financial Advisory Team

Most retail financial services products are designed to enhance the well-being of the Financial Advisor and vendor at the expense of clients.

The clients get only the leftovers.

Of course, no one tells them that secret.

They have to figure it out for themselves.

As the old line goes, “Where are the customers’ boats?”

Rowland, M: Planning Periscope [Where Advisors are the Clients]. Financial Advisors Magazine; page 36, April 2014.

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit a RFP for speaking engagements: MarcinkoAdvisors@outlook.com

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HEALTH ECONOMICS: Who Should Study and Learn this Dismal Science?

Posted on February 21, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

DR. DAVID EDWARD MARCINKO MBA MEd CPHQ CMP™

By Staff Reporters

SPONSOR: http://www.MarcinkoAssociates.com

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Who should study health economics?

Understanding how economic behavior factors into health and health care decisions can benefit anyone interested in this field. However, the following groups of individuals may benefit most from the study of health economics:

Medical providers: Doctors, nurses, and assistants can evaluate new treatments, technologies, and services to determine ways to deliver value-based care. Medical providers benefit from understanding the economics behind these developments [MD/DO, DPM, DDS/DMD, RN, PA, etc].

Administrators: Health care administrators process insurance co-payments and manage financial metrics for health care providers. Learning the intricacies of health care economics can provide the necessary context as they liaise with insurance providers and use new technologies to process payments.

Policymakers or public health officials: Those who are in charge of policy decisions at the local, state, federal, or international levels benefit from understanding the economic relationship between stakeholders and the general public.

Business leaders: Because many Americans receive private insurance, health care becomes a major expense for employers. Business leaders must understand the health economics outlook to appease their employees, shareholders, and even their customers.

EDUCATION: Books

SPEAKING: Dr. Marcinko will be speaking and lecturing, signing and opining, teaching and preaching, storming and performing at many locations throughout the USA this year! His tour of witty and serious pontifications may be scheduled on a planned or ad-hoc basis; for public or private meetings and gatherings; formally, informally, or over lunch or dinner. All medical societies, financial advisory firms or Broker-Dealers are encouraged to submit a RFP for speaking engagements: MarcinkoAdvisors@outlook.com

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RN versus LPN Licenses

Posted on January 27, 2025 by Dr. David Edward Marcinko MBA MEd CMP™

DEFINITIONS

By Staff Reporters

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Registered Nurse [RN]

RNs must complete an accredited Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) program (or, in rare cases, diploma programs). After that, they become eligible to sit the NCLEX-RN exam and apply for registered nurse licensure in their state.

As a registered nurse, duties include basic patient care but expand to more technical responsibilities like medication administration, performing diagnostic tests, and operating medical equipment. Depending on the role, one may also supervise other healthcare workers like LPNs, certified nursing assistants (CNAs), or even other RNs.

Licensed Practical Nurses [LPN]

LPNs may also be called licensed vocational nurses (LVNs), and like registered nurses, LPNs must also complete an education program before becoming eligible for licensure. LPN programs typically take around one year, and you can find them at community colleges or vocational schools.

Prospective LPNs must then take and pass the NCLEX-PN exam to become licensed. As an LPN, focus is on patient care tasks like monitoring vitals and changing bandages as part of a care team supervised by a physician or RN.

MORE: https://www.nursingprocess.org/lpn-vs-rn.html

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Filed under: "Doctors Only", Career Development, Ethics, Glossary Terms, Quality Initiatives | Tagged: ADN, BSN, certified nursing assistant, CRNA, degrees, education, health, healthcare, licensed practical nurse, LPN, LVN, NCLEX-PN, nurse, nursing, PA, registered nurse, RN | Leave a comment »

PODCAST: Nurse Practitioners VS. Physician Associates

Posted on December 15, 2024 by Dr. David Edward Marcinko MBA MEd CMP™

NPs versus PAs

By Eric Bricker MD

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62% of Nurses Would Consider a Change in Career Paths

Posted on July 16, 2024 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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A recent survey by StaffHealth of 250 RNs, LPNS, and CNAs found the following:

• 86% of respondents say their workload/job responsibility has increased in the last year.
• 54% of the above respondents say that the increase in workload has negatively impacted their mental health.
• 83% of those surveyed agree that an increase in compensation/incentives would alleviate nurse burn out and shortages.
• 62% of nursing professionals would currently consider a change in career paths.
• 66% of respondents say access to mental health resources at work would be beneficial.

Source: StaffHealth via PRNewswire, February 8, 2022

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DAILY UPDATE: National Nurses Week, Multiplan Lawsuit, Rite Aid and Fatburger Down

Posted on May 12, 2024 by Dr. David Edward Marcinko MBA MEd CMP™

MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING

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HAPPY MOTHER’S DAY 2024

Fat Brands is the parent company of Fatburger, Johnny Rockets, and a few other restaurant chains. Last year, former CEO Andy Wiederhorn stepped down after the Los Angeles Times reported that the federal government was investigating him for fraud. He has since stayed on as the company’s chairman, but on Friday the Justice Department charged him with perpetuating a $47 million fraud against his own shareholders.

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

In a recent Becker’s Health Care Newsletter, it is reported that a large multi-state hospital system is suing Multiplan for illegal price fixing and automatic significant price reductions, in particular, for out-of-network providers. The story states that Multiplan, by bombarding healthcare providers with automatic reductions in pricing, has made it impossible for providers to deliver healthcare.

CITE: https://tinyurl.com/2h47urt5

National Nurses Week, which ends today on May 12th, Florence Nightingale’s birthday

Rite Aid has announced that 39 stores are set to close their doors for good, this follows the decision to declare Chapter 11 bankruptcy back in October, 2023.

The strategy? Reduce the total number of stores to 1,600 nationwide.

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DAILY UPDATE: Nurses Strike as Stocks Decline

Posted on March 26, 2024 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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About 1,300 nurses at Staten Island University Hospital (SIUH) will strike on April 2nd if contract negotiations fail, the New York State Nurses Association (NYSNA) announced Thursday. The union, which represents about 42,000 nurses across the state, is looking for higher wages and improved nurse-to-patient ratios for their members—sticking points for Northwell Health, according to NYSNA.

AI RN Replacements: https://gizmodo.com/nvidia-wants-replace-nurses-with-ai-1851347917?utm_campaign=hcb&utm_medium=newsletter&utm_source=morning_brew

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

Here’s where the major benchmarks ended:

The S&P 500 index sank 15.99 points (0.3%) to 5,218.19; the Dow Jones Industrial Average dropped 162.26 points (0.4%) to 39,313.64; the NASDAQ Composite lost 44.35 points (0.3%) to 16,384.47.
The 10-year Treasury note yield (TNX) rose three basis points to 4.25% after a four-day retreat.
The CBOE Volatility Index^® (VIX) edged up 0.14 to 13.20.

The energy sector followed crude oil prices and was the strongest sector Monday. Utilities and materials also saw strength. Weakest sectors included industrials, information technology, and real estate.

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NURSING: Emerging Trends and Innovation

Posted on November 25, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Wayne Gregory talks about Emerging Trends and Innovations to Watch in Nursing | Greenville, South Carolina

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NATIONAL: Nurse Practitioner Week

Posted on November 16, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

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Nurse Practitioner Week takes place annually in the second week of November to recognize these incredible healthcare providers and raise awareness of the powerful role they play in ensuring general health and well-being.

Can you believe that the nurse practitioner profession has been in existence for 56 years now? Nurse practitioners are highly educated and trained medical professionals who are almost like doctors. In addition to their fundamental roles as registered nurses, they can provide primary care, counseling, diagnosis, offer health education, and write prescriptions.

Want to become a nurse? Here are some nursing scholarships to help you.

***

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NURSING HOMES: Federal Minimum Staffing Levels

Posted on September 5, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

A JOE BIDEN PROPOSAL

By Staff Reporters

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WASHINGTON (Reuters) – President Joe Biden’s administration just proposed setting federal minimum staffing levels for nursing homes, a move aimed at addressing longtime complaints about abuse and neglect in the industry that were highlighted during the COVID-19 pandemic.

MORE: https://medicalexecutivepost.com/2019/02/18/government-report-finds-92-percent-of-nursing-homes-employ-convicts/

Biden pledged last year to protect American seniors’ lives and life savings by cracking down on nursing homes that commit fraud or endanger patients’ safety and address the chronic under staffing at long-term care facilities that was exposed during the pandemic.

PODCAST: https://medicalexecutivepost.com/2021/07/24/podcast-nursing-home-care/

USBLS: https://www.bls.gov/iif/factsheets/workplace-violence-healthcare-2018.htm

The nursing home industry takes in nearly $100 billion a year from U.S. taxpayers, yet many under staff their facilities, the White House said. The new rule proposes that facilities have a registered nurse (RN) on site around the clock. It says each resident should receive 2.45 hours (two hours and 27 minutes) of care from a nurse aide every day, plus at least 33 minutes of care from an registered nurse every day.

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

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PHYSICIAN LAYOFFS: Job Eliminations Across 66 Hospitals

Posted on July 23, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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A report published by Becker’s Hospital Review highlights a large number of job elimination efforts that have been announced or already implemented across 66 hospitals, including the following:

As an organizational redesign measure, Oklahoma University (OU) Health has eliminated around 100 positions.
200 healthcare jobs were cut by Oklahoma City-based Integris Health to curb expenses.
ProMedica in Toledo, Ohio, announced plans to lay off 262 employees in March.
337 employees of New York City-based Memorial Sloan Kettering Cancer Center are likely to be laid off shortly.
112 employees of Pikeville Medical Center in Kentucky were laid-off at the end of 2022.
Desert Springs Hospital Medical Center in Las Vegas has already notified its workers that 970 jobs will be lost as it transitions to an emergency department.
California-based Kaweah Health in Visalia is likely to eliminate 94 positions.

These healthcare worker layoffs only reveal a part of the crisis because the complete closure of numerous hospitals is also on the horizon.

While the closure rate is faster for rural hospitals, urban hospitals are not safe either. In November 2022, Atlanta Medical Center (AMC) in Atlanta Georgia, announced its closure, leaving hundreds of workers jobless. This closure also had a severe adverse impact on the availability of trauma care in Atlanta. In 2019, the city council in Washington D.C. voted in favor of closing United Medical Center prior to COVID, leaving a healthcare gap during the pandemic.

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

NOTE: The current trend of hospital closures and healthcare job cuts not only affects the healthcare workers and their families but also poses serious questions about the quality of healthcare in the country. Last year, McKinsey & Company predicted that by the end of 2025, the US healthcare system may face a shortage of up to 450,000 registered nurses [RNs].

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Celebrate National Nurses Week 2019

Posted on May 7, 2019 by Dr. David Edward Marcinko MBA MEd CMP™

CONGRATULATIONS!

***

May 6 – 12

National Nurses Week 2019 – What Health

CELEBRATE!

Filed under: Career Development, iMBA, Inc. | Tagged: nurses week, RN | 1 Comment »

Celebrating International Nurses Day

Posted on May 8, 2016 by Dr. David Edward Marcinko MBA MEd CMP™

Florence Nightingale’s Birthday

[By Staff Reporters]

National Nurses Week

[May 6-12, 2016]

International Nurses Day is celebrated around the world every May 12th, the anniversary of Florence Nightingale’s birth.

The Florence Nightingale International Foundation

According to their website, the FNIF is the International Council of Nurses (ICN) premier foundation. It supports and complements the work and objectives of the ICN. Its history dates back to 1912 when a memorial to Florence Nightingale was first proposed by Mrs. Ethel Bedford Fenwick at an ICN Congress in Cologne. The vision was of an educational foundation for nurses. As the First World War intervened, it was not until 1929 that the memorial was finally activated by the ICN Grand Council in Montreal. Mrs. Bedford Fenwick, the first president of ICN was elected the first chair of the Florence Nightingale Memorial Committee.

History

From 1931, national Florence Nightingale committees were established in countries where ICN had member associations. In 1932 discussions were held between ICN and the League of Red Cross Societies to use their Red Cross international post-graduate courses as an international memorial to Florence Nightingale.

The ICN Grand Council agreed to take over the international courses, and in 1934, established the Florence Nightingale International Foundation (FNIF) as a living memorial to Florence Nightingale. FNIF became an autonomous organization under British law with its own governing body and a mandate to develop and promote nursing education world wide.

Charitable Intent

FNIF is a registered Charity in the United Kingdom and maintains its original purpose; to support the advancement of nursing education, research and services for the public good. Though UK registered, the day-to-day administration is carried out in Geneva through the International Council of Nurses, a federation of 133 national nurses’ associations working to ensure quality care for all and sound health policies globally.

FNIF is a new foundation for a new day! They have a new board, a new program and a new look. The focus is global – as the needs of nurses everywhere are similar but the resources to meet those needs differ around the world.

Link: http://www.fnif.org/aboutfnif.htm

Assessment

As you know, Florence Nightingale is considered to be the founder of modern nursing. She was devoted to health, education and research, and worked tirelessly to raise health care standards.

At the M-P, we are honored to promote her legacy. You can find information about Florence Nightingale on the Florence Nightingale International Foundation (FNIF) web site and the Girl Child Education Fund. On this page you will also find items for purchase and links that will help you plan and celebrate the nursing profession making your special event a success.

Conclusion

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Filed under: Alerts Sign-Up, Breaking News, Career Development | Tagged: Ethel Bedford Fenwick, Florence Nightingale, Florence Nightingale International Foundation, Florence Nightingale Memorial Committee, FNIF, ICN, International Council of Nurses, International Nurses Day, League of Red Cross Societies, nurse, Nurses Day, nursing, RN | 4 Comments »

On the Future of Nursing Practice

Posted on May 22, 2014 by Dr. David Edward Marcinko MBA MEd CMP™

Focus on Scope of Practice

[By Staff Reporters]

Transforming the health care system to meet the demand for safe, quality, and affordable care will require a fundamental rethinking of the roles of many health care professionals, including nurses. The 2010 Affordable Care Act represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs, but nurses are unable to fully participate in the resulting evolution of the U.S. health care system. This is true for nurses at all levels, whether they practice in schools or community and public health centers or acute care settings. A variety of historical, cultural, regulatory, and policy barriers limit nurses’ ability to contribute to widespread and meaningful change.

In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) launched a two-year initiative to respond to the need to assess and transform the nursing profession. The IOM appointed the Committee on the RWJF Initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blueprint for the future of nursing.

As part of its report, the committee considered the obstacles all nurses encounter as they take on new roles in the transformation of health care in the United States. While challenges face nurses at all levels, the committee took particular note of the legal barriers in many states that prohibit advance practice registered nurses (APRNs) from practicing to their full education and training. The committee determined that such constraints will have to be lifted in order for nurses to assume the responsibilities they can and should be taking during this time of great need.

***

The Changing Health Care System

In the 21st century, the health challenges facing the nation have shifted dramatically. The health care system is in the midst of great change as care providers discover new ways to provide patient-centered care; to deliver more primary care as opposed to specialty care; and to deliver more care in the community rather than the acute care setting. Nurses are well poised to meet these needs by virtue of their numbers, scientific knowledge, and adaptive capacity, and health care organizations would benefit from taking advantage of the contributions nurses can make.

Assessment

As the health care system has expanded over the past 40 years, the education and roles of APRNs, in particular, have evolved in such a way that nurses now enter the workplace qualified to provide more services than had been the case previously. Yet while APRNs are educated and trained to do more, some physicians challenge expanding scopes of practice for nurses. The committee stresses that physicians are highly trained and skilled providers and that some services clearly should be provided by physicians, who have received more extensive and specialized education and training than APRNs. However, given the great need for more affordable health care, nurses should be playing a larger role in the health care system, both in delivering care and in decision making about care.

The committee argues that APRNs are not acting as physician extenders or substitutes. They work throughout the entirety of health care, from health promotion and disease prevention to early diagnosis to prevent or limit disability. APRNs sometimes provide services that many people associate with physicians, such as assessing patient conditions or ordering and evaluating tests, but they also incorporate a range of services from other disciplines, including social work, nutrition, and physical therapy.

Conclusion

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The Average Day in the Life of a Nurse

Posted on October 31, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

A Typical Work Day?

By the numbers, a typical work day can be similar for nurses all across the US.

The major difference lies within salaries earned by nurses, which directly correlates to the certification or degree any given nurse may hold. Nurses with a Bachelor of Science in Nursing (BSN) degree earn a higher income than do Registered Nurses (RN). Those who advance their careers with a graduate degree in nursing earn an even higher salary.

Brought to you by Jacksonville University

Assessment

The increased demand for highly qualified nurses is evident by the rising increase of pay earned each year by nurses with advanced degrees. A larger number of degree holding individuals within the industry benefits patients as well as nurses.

Conclusion

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A Nursing License Map

Posted on January 24, 2012 by Dr. David Edward Marcinko MBA MEd CMP™

About Career Management in Nursing

This is a guide for picking a career in nursing. It covers the wide range of different options available to those interested in pursuing health care–someone considering the field for the first time might not know that there are so many different types of nursing degrees and nurse positions!

More info: http://www.onlinedegrees-benedictine.com/nursing/master-in-nursing.asp

The text is clear, the color palette is consistent and not distracting, and the coverage of each potential path is comprehensive.

Critique

What is good is that visualizable data has been included: all of the text in red could be turned into a chart or graph showing the data instead of writing about it. This would give the guide a bit more visual intrigue and lighten it up a bit, too. Being inundated with large amounts of text is not much different from reading a list or manual–infographics make the data fun to read. A few examples of how the text might be visualized:

– The statistic about 78% of NCLEX-RN test-takers passing could be represented by using a thermometer, mock-up medical chart on a clip board, pencil or other related instrument and showing that 78% as a portion out of 100.

– Since there are 2.6 million RNs in the United States, and it’s said that that is the largest population of any health care occupation, it could be fun to see how many dentists, medical doctors, surgeons, etc. there are in comparison. These numbers could together be represented on a line chart as a heart monitor, or perhaps with different colored scrubs representing each occupation (either as a bar chart or having a portion of each of them shaded according to population).

Assessment

As a guide, we’d give this an A, as it’s very informative. But, it would benefit from the addition of more data before we could grade it as an excellent infographic.

Source: http://nursinglicensemap.com/pathways-in-nursing-infographic/

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Conclusion

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Filed under: Career Development | Tagged: careers in nursing, CRNA, LPN, nurses, nursing, Nursing License Map, nursing schools, RN | 2 Comments »

The Unsung Heroes of Medicine

Posted on June 21, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Male Nurses

By onlinenursingschools.com via guyism.com

Though male nurses make up a small minority of the nursing population, they still manage to be the butts of a majority of jokes when it comes to the medical profession.

Assessment

However, that shouldn’t be the case and our buddies over at Online Nursing Schools decided it was time to recognize our unsung heroes of medicine.

Conclusion

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How You Can Investigate Your State’s Oversight of Its Nurses

Posted on April 8, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

Reporting Recipe

By Charles Ornstein and Tracy Weber, ProPublica – March 3, 2010 5:38 pm EDT

Nursing boards – and other agencies that oversee such professionals as pharmacists, dentists and mortgage brokers – do not get nearly enough scrutiny. These boards are charged with protecting consumers from unscrupulous or incompetent professionals, but some provide almost no public information about what they do or how they’re run. They are sometimes led by ill-qualified political appointees and lack sufficient personnel. But should these boring bureaucracies fail, the implications for your health, finances, and home can be dire.

Assessment

We realize that many newsrooms face competing priorities and limited resources, so we’re making our reporting recipe public.

Visit our special site with our complete how-to investigation guide [1], with information on all 50 states.

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Filed under: Ethics, Health Law & Policy, Quality Initiatives, Risk Management | Tagged: Charles Ornstein, dentists, nurse, Nursing boards, pharmacists, ProPublica, RN, Tracy Weber | 3 Comments »

Supply and Demand in Medical Care

Posted on December 19, 2007 by Dr. David Edward Marcinko MBA MEd CMP™

The Imperfect Competitive Medical Marketplace

By Dr. David Edward Marcinko; MBA, CMP™

By Hope Rachel Hetico; RN, MHA, CMP™

The issue is not how to fill or reuse empty beds. In this changing environment, hospitals and health systems must focus on streamlining and simplifying operational processes, facilitating case management, promoting the least costly setting for care delivery, and optimizing resource sharing among departments. When hospitals have addressed these issues, then solutions to the “bed problem” will be obvious.

-Cynthia Hayward, 1996

How and why the current healthcare imbroglio happened is very complex, but here is a brief synopsis of current supply-demand inequalities.

A Definition of Medical Care

Medical care is defined as the finite examination and treatment of patients, for monetary compensation. Among other reasons, changes in patient demand may occur as a result of the absence or presence of health insurance plans or the encouragement of additional treatments by profit maximizing providers.

Health Economics 101

Changes in supply occur as a result of physician shortages or surpluses and a host of other factors. Until recently, a glut of physicians has caused them to become “price takers,” selling a homogenous service.

How else could aggregate HMO fee schedules drop to some percentage below prevailing Medicare or Medicaid rates in some instances? Or, how else could otherwise qualified physicians be de-selected from managed healthcare plans because of large (successful equates with expensive) practices?

The Supply-Demand Curve

A graphical representation of this economic relationship produces the classic downward sloping demand curve and the upward sloping supply curve. At some point in time however, the treatment plan is completed, the patient is satisfied, and additional services are not needed. This is known as market equilibrium.

When an industry becomes more competitive – either by too much supply or too little demand – market equilibrium fees tend to become elastic while patient volume becomes very sensitive to even small changes in price. This may be where we have arrived, right now relative to medical price elasticity.

Medical Price Elasticity

In a managed care environment, every covered service has a low price ceiling and every “non-covered” service has its own price elasticity.

Traditionally, medical services were inelastic to price changes and considered a growth industry since a fee increase would also increase revenues. Now, the marketplace has become resistant to pricing pressure by physician oversupply and managed care.

Generally, a pricing coefficient greater than one is considered elastic, while a coefficient less than one is inelastic.

Interestingly, exact unity prevails when elasticity of supply is exactly equal to one.

In the golden days of medicine, the price elasticity of medical care was greater than 1, now it is about .35 and diminishing

Meaning to Doctors

Financially, all this means that many doctors are “taking what they’re given (by HMOs, CMS, etc), because they’re working for a living”.

Younger doctors under 40 are especially inclined to work for less since they have had little exposure to fee-for-service compensation. Older doctors are retiring. Middle-Agers are frustrated.

Additionally, physicians have an increasingly smaller share of the medical marketplace because of so-called medical care extenders, such as PAs and nurse practitioner’s.

Some health plans have even done away with many true allied healthcare professionals, such as RN’s or CRNAs, in favor of trained, not educated, and less costly technicians.

Conclusion

Despite the financial impact of managed care on doctors, patients may also be hurt physically as the economic cost of medical re-intervention is often much more than the cost of the proposed initial professional care.

For example, a study by Deloitte & Touche a few years ago, reported employee satisfaction was decreasing about 10 percent per year, as healthcare coverage represented a fiscal and economic time bomb on corporate books.

How would you comment on the above in light of the IOM on medical errors and mistakes, findings a few years back?

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Filed under: Health Economics, Health Insurance, Healthcare Finance, Managed Care, Practice Management | Tagged: CMS, competition, CRNA, health competition, Health Economics, HMO, medical supply-demand, non-covered medical care, price elasticity, RN | 10 Comments »

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