DEFINITION: A case study [case model] is an in-depth, detailed examination of a particular situation within a real-world context. For example, case studies in medicine may focus on an individual patient or ailment while case studies in healthcare business might cover a particular strategy or a broader market of real-world problems affecting multiple medical industry stakeholders.
And so, D. E. Marcinko & Associates may assist the following healthcare organizations:
- Hospitals and Health Systems: We help medical providers and administration become more agile and financially resilient to create sustainable margins, fuel growth, and drive better overall health for the communities they serve.
- Life Sciences: We support pharmaceutical, drug and durable medical device organizations facing operational, dispute, compliance and investigative issues to help them grow while mitigating risk.
- Payers: We help commercial insurance, third-party, private and public health plans attain sustainable and differentiated business models that keep people and providers engaged, improve financial resiliency and nurture growth.
- Public Health: Our integrated strategy, crisis and change management analytics, and program transformation experts, help federal, state, public, population and community health agencies achieve their missions with sustainable success.
- State Health: We offer end-to-end waiver development and monitoring, stakeholder engagement, and state plan amendments to help state agencies promote and protect public health.
Hospitals & Health Systems: https://tinyurl.com/bdhvs2xv

However, over the past decade, hospital acquisitions have changed the healthcare market, with transactions leading to hospital consolidation and resulting in larger health systems and fewer hospitals.
CITE: https://www.r2library.com/Resource
A 2024 study conducted by the Public Policy Institute of health insurer Elevance Health (formerly known as Anthem) found that when independent hospitals are acquired by health systems, employers, payors, and consumers are exposed to higher pricing without a similar increase in hospital care access or quality of care.
According to Harvard Business Review, there are seven needless costs to this bureaucracy in clinics, hospitals and healthcare facilities, today:
1. Bloat – Too many managers, administrators and management layers
2. Friction – Too much busywork that slows down decision making
3. Insularity – Too much time spent on internal issues
4. Dis-Empowerment – Constraints on autonomy
5. Risk Aversion – Too many barriers to taking risks 6. Inertia – Too many impediments to proactive change
7. Politics – Too much energy devoted to gaining power and influence
The result is the opposite of “better, faster and cheaper.” That is to say; healthcare bureaucracy causes medical care to become “worse, slower and more expensive.” We can help reduce costs directly by working with you or indirectly through our proprietary D. E. MARCINKO & Associates case study and white paper compendium.
BUSINESS MEDICINE: https://tinyurl.com/2y98bhmh
Our case model management services include the following:
- Strategy and Innovation: We help healthcare organizations develop innovative, market-leading strategies for sustainable growth and performance improvement.
- Financial Management: We leverage our multidisciplinary mindset to help healthcare organizations capitalize on unseen opportunities for collaboration and economies of scale.
- Business Optimization: Amid shrinking margins, workforce shortages, and changing legislation, we help clients control operating costs by enabling agility and resiliency in the face of disruption.
- Revenue Cycle Management: Our revenue cycle outsourcing and consulting solutions are tailored to help clients focus on the future of their organizations and the communities they serve.
- Mission Support: By combining innovative digital transformation, commercial healthcare, and public sector health expertise, we help clients achieve their missions and ensure sustainable success.
- Clinical Transformation: Our experts deliver aligned solutions designed to achieve clinical transformation and excellence in patient, provider, and organizational outcomes.
Hospital Financial Management: https://tinyurl.com/5ducpryr
The formalized D.E. MARCINKO & Associates case study and white-paper compendium is a teaching vehicle that presents potential clients with a critical management issue that serves as a spring board to lively debate in which participants present and defend their analysis and prescriptions. The average case is 2 to 100 pages long (prose, tables, graphs, charts, spread sheets and figures, etc).
CASE MODEL Sample Privatization: https://tinyurl.com/3af5nf7s
Our two main types of cases are actual “field cases” based on onsite research, and “library cases”, written from public reference sources. We also craft and publish D.E. MARCINKO & Associates “armchair cases” based entirely on our general knowledge, experience and subject matter experience.
Oddly and regardless of specialty, most doctors quickly realize there are few case model guidelines available to steer them through the day-to-day management maze. One solution is to discuss best-of-breed practices with leading practitioners in order to discern what successful doctors are doing [coaching concept].
The Problem
Obviously, this is a costly and time consuming process with no criteria for success. Today, some coaches and advisors are even loath to assist as competitive advantage can be lost.
Our Solution
The first solution may be to purchase our D. E. MARCINKO & Associates: Case Models in Healthcare [A Practice Improvement Compendium] to appreciate real-world practice situations and develop personalized approaches for an appropriate course of action. These techniques are so powerful that many leading business schools center their teaching on them. Case Models and Case Studies have been used for one hundred years because of their practical descriptions of actual situations.
Typically, information is presented about a practice’s patients, markets, competition, financial structure, cost and managerial accounting, service volumes, management, employees and other factors affecting success. And, our Case Models in Healthcare [A Practice Improvement Compendium] is suitable for medical practices, clinics, hospitals and other emerging healthcare entities.
We use three different methods to enhance your knowledge and launch your business entity or practice’s success:
- Prepared case-specific questions, with detailed answers, to illustrate underlying practice management concepts.
- Problem-solving analysis, styled after Harvard Business School, to learn intuitive skills for resolving various practice issues.
- A “no-answer” strategic planning approach to develop your ability to analyze a complex situation, generate a variety of possible strategies, and select the “best” from multiple self-generated solutions.

Case Model and Case Study Topics:
Fast and securely delivered right into your email box, our Practice Improvement Compendium gives you more than 25 hospital, clinic, medical practice, out-patient center and healthcare administration case models, case studies and white-papers covering the enterprise wide practice management ecosystem to champion your financial, business and personal success*.
For example, modern pertinent topics include:
- Market, Advertising and Healthcare Sales Competition
- Strategic and Operations Management
- Health Economics [macro and micro]
- Capital Formation
- Cash Flow Management
- Revenue Analysis
- Hybrid Activity Based Costing
- OSHA Compliance Models
- Economic Order Quantity Costing
- USA Patriot Act
- Mixed Costing
- Managerial Accounting
- Cost Volume Profit Analysis
- Insurance Contract Analysis
- Incurred but Not Reported Healthcare Claims
- Accounts Receivable
- Cost Accounting
- Medical Contract Negotiations
- Medical Workplace Violence
- HIPAA and Stark Laws
- Sarbanes-Oxley Act
- Medicare Compliance
- Health Information Technology
- IRS Form 990
- Hospital Valuations
- Health Information Technology and Security
- Medical Practice Start-Up Business Plans
- Investment Policy Statements
- Medical Workplace Sexual Harassment Issues
- Medical Endowment Fund Management; etc.
*Specific other topics may be developed, upon request, for an additional fee.
THREE CASE STUDY EXAMPLES:
- COST VOLUME PROFIT ANALYSIS: https://tinyurl.com/yckcwvnm
2. CAPITATION ECONOMICS: https://tinyurl.com/3b436ys5
3. MCO CONTRACT PROPOSALS: https://tinyurl.com/km379jmx
$99 PURCHASE “CASE MODELS IN HEALTHCARE“: https://tinyurl.com/26ke3n9w
ORDER Email: MarcinkoAdvisoirs@outlook.com

© Copyright: Institute of Medical Business Advisors, Inc. All rights reserved, USA. Present to 2025.
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