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    As a former Dean and appointed Distinguished University Professor and Endowed Department Chair, Dr. David Edward Marcinko MBA was a NYSE broker and investment banker for a decade who was respected for his unique perspectives, balanced contrarian thinking and measured judgment to influence key decision makers in strategic education, health economics, finance, investing and public policy management.

    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.

    As a state licensed life, P&C and health insurance agent; and dual SEC registered investment advisor and representative, Marcinko was Founding Dean of the fiduciary and niche focused CERTIFIED MEDICAL PLANNER® chartered professional designation education program; as well as Chief Editor of the three print format HEALTH DICTIONARY SERIES® and online Wiki Project.

    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”.

    Marcinko is “ex-officio” and R&D Scholar-on-Sabbatical for iMBA, Inc. who was recently appointed to the MedBlob® [military encrypted medical data warehouse and health information exchange] Advisory Board.



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Brian Kelly [KMOX News-Radio] Interviews Dr. Marcinko on Hospital Merger

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Forest Park – St. Alexius Hospital Merger Contentious

By Hope R. Hetico; RN, MHA

[Managing Editor]

Our own Dr. David E. Marcinko was interviewed on February 10th 2010, at 8:45 pm EST, by Brian Kelly of KMOX News Radio, in St. Louis MO.

As most of us were saying good-night, Dave was discussing a recently announced local hospital closure, with associated hospital merger.

Link: http://www.kmox.com/Brian-Kelly/5386938

The Closure-Merger

According to media sources, hundreds of people lost their jobs at a St. Louis hospital in existence for more than a century. And, up to 300 people who worked at Forest Park Hospital were notified of termination this spring. Success Healthcare, of Boca Raton Florida, the company that owns Forest Park Hospital also owns St. Alexius Hospital in South City.

Link: http://www.successhealthcare.com

St. Alexius will take over some of Forest Park’s services, following the merger expected to take effect April 11, 2010.

Video Link: http://www.fox2now.com/news/ktvi-forest-park-st-alexius-hospital-merger-021010,0,4625691.story

Financial Cause and Effects

A major cause of closure was cited as lost-revenue sources, in the amount of $24 million, from various government payers for the next two years, along with an increase in uncompensated care losses.

Typically, such federal and state governmental payers include Medicare, Medicaid, Indian Health Services, the Prison Health System and related low-income child health care state services [SCHIPs]. Exact payer break-down or financial performance data was not released at the time of the interview.

Link: http://www.kmox.com/pages/6331817.php?contentType=4&contentId=5561698

Mergers and Acquisitions

According to Dr. Marcinko, any merger and acquisition situation has the possibility for business duality; success or failure.

The first thing to consider is the potential for redundant or complimentary services. Redundancy is usually a job killer in the short-term, while complimentary services may jump start job growth in the long-term.

Moreover, acute care as delivered in the ER and OR is usually a revenue-center, while other chronic-need hospital services may be cost-drivers.

Success or failure then, may very well depend on the extent such service-line integration and synergy has been considered by management; and if such projections ultimately prove accurate”.    

Hospitals and Recessionary Best Practices

A related interview with Dr. Marcinko:

Link: http://www.arkansasmedicalnews.com/best-practices-stimulus-can-help-hospitals-in-recession-cms-738


Declines in hospital based diagnosis-related-group [DRG] payments, and CPT® code payments for providers via SGR projections, are affecting healthcare institutions and doctors nationally.

Link: https://healthcarefinancials.wordpress.com/2009/09/17/understanding-the-medicare-prospective-payment-system/

Link: https://healthcarefinancials.wordpress.com/2009/03/27/obama-on-the-sgr-physician-payment-formula/

Why are many hospitals financially struggling today and how will healthcare reform affect the situation; good or bad? What about the growing and aging population, and advances in IT and genomics; all considered cost drivers.

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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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