The Financial Services Industry Explained

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Financial Services Sales Professionals   

By: Dr. David E. Marcinko; MBA, CMP™ 

[Publisher-in-Chief]

DEM 2013It has been said that there are more than 95 financial services designations in the business; and most are suspect credentials. A college degree may not even be required for most of them. 

And, the quest to find true guidance is clothed in mystery and subterfuge in the business. 

Why? It’s because the industry promotes a low standard of care, known as “suitability”; when a much higher fiduciary standard – to work on behalf of the client like a physician – should be required. 

If you don’t believe me, just look in the classified ad section of your local newspaper under “sales positions”, for job listings for these folks.  

So, when you select any type adviser, get this fiduciary standard-of-care statement in writing.  Just think of the “golden rule”, as you ponder these traditional credentials. 

What is an Insurance Agent? 

No one, especially doctors, likes to pay life and disability insurance premiums. Inadequate coverage, however, can completely devastate your family or medical practice, by quickly wiping out a lifetime of asset accumulation and business equity.

Buying and maintaining the right amount and type of coverage from solid insurance companies at a reasonable price eliminates these risks in a very efficient manner.  Unfortunately, an essential and relatively simple concept like risk transfer has evolved into an area that makes many doctors downright queasy.

The easiest way to handle this issue is to get consensus agreement from a core team of financial advisors as to the amount and types of coverage.

Once that is accomplished, appropriate insurance agents can be contacted.  The agents should be captive agents with insurance companies with policies known to be good for the coverage in question. Otherwise, independent agents with access to a large number of companies and products can be contacted.

Regardless, in addition to the usual questioning regarding competence and a background check, the agent should be aware that the core team will review all proposals.  Proposals should include what is known as a ledger statement.

A Chartered Life Underwriter (CLU) as granted by the American College, or Chartered Financial Consultant (ChFC), are two valid insurance designations demonstrating a focused expertise in the insurance business.  But, these still are typically commission sales agents who work for their respective firms, or themselves, but not necessarily you. The saying goes “insurance is sold not bought.”

As a reformed insurance agent myself, I sold all sorts of personal and other business insurance, too.  

Some years ago, the American Society of CLU and ChFC, in Bryn Mawr, Pa., reconsidered its own strategy of insurance as the organization changed its name to the Society of Financial Services Professionals to appeal to a broader base of financial practitioners beyond the insurance products it traditionally provided. 

What is a Stock Broker [Registered Representative]? 

A full service retail or discount stock broker, regardless of compensation schedule, is also known as a registered representative. Other names include financial advisor, financial consultant, financial planner, Vice President, etc. Nevertheless, they are still stock-brokers and not fiduciaries. 

Typically, the national test known as a Series #7 (General Securities License) examination and state specific Series #63 license is needed, along with Securities Exchange Commission (SEC) registration through the National Association of Securities Dealers (NASD) to become a stockbroker.  The industry touts them as rigorous; they are not as I passed mine after studying for a weekend. Since a commission may be involved – and performance based incentives are allowed – always be aware of costs.  

Again, regardless, of nomenclature derivative, the goal of these folks is to sell financial products; and earn a commission or fee. You also typically sign away your right to litigate when you enter into a brokerage contract. 

What is a Registered Investment Advisor?

This securities license, obtained after passing the easy Series # 65 examination, allows the designee to charge for giving unbiased securities advice on retirement plans and portfolio management, although not necessarily sell securities or insurance products. 

An RIA, or RIA representative, is usually a fiduciary, and should work for the interest of the client. A registered-representative, financial consultant, Certified Financial Planner™, or stockbroker does not necessarily have to be. 

What is a Certified Financial Planner™? 

Some believe that the premier personal financial planning designation of choice for the Financial Planning Association (FPA) – originally located in Atlanta, then Denver and now Washington, DC and founded in 1969 – is board Certification in Financial Planning.  This independent, designation represents a person who has completed a 24 month course of study at an accredited institution and passed the two day, comprehensive Certified Financial Planner Board of Standards Examination. This test encompasses all aspects of the financial planning process, including insurance, economic principles, taxation, investments and retirement benefits planning. 

An ethics, continuing education and confidentiality requirement is also mandated for this designation [www.FPANet.org].  But, be warned however, a CFP is not necessarily a fiduciary and does not have to act on your behalf, or with your best interests in mind.  

And, conflicts of interest do not necessarily have to be disclosed. There is much dissention in the industry regarding this situation, as I remain a former-reformed Certified Financial Planner™.

Still, the association’s marketing clout is powerful.

What is a Chartered Financial Analyst™? 

A Chartered Financial Analysis™ will usually work for a brokerage house and follow one or a few publicly traded companies. CFA analysts may manage institutional money or run a mutual fund and have ethics requirements.  This is a tough standard. I experienced it first-hand in business school. 

Unfortunately, the previously unbiased nature of some Wall Street experts has been questioned lately with the collapse of such stocks as HealthSouth and others.  Some authorities now feel that analysts have become merely promoters of the followed company, since sell recommendations are rarely made and CFAs or non-CFAs may cozy up to insiders and corporate executives as they curry their favor.

Contact the Association for Investment Management and Research (www.AIMR.org); now [www.CFAInstitute.org]. 

Q: Why is knowledge of the above important to physician-investors?

A: To avoid being ripped off!

Don’t believe me? Recall the tale of Dr. Debasis Kanjilal, a pediatrician from New York who put more than $500,000 into the dot.com company, InfoSpace, a few years ago, upon the advice of Merrill Lynch’s star analyst Henry Bloget. Is it any wonder that when the company crashed, the analyst was sued, and Merrill settled out of court? Other analysts, such as Mary Meeker of Morgan Stanley, Dean Witter and Jack Grubman from Salomon Smith Barney, are involved in similar fiascos.  Remember; forewarned is forearmed

8 Things your Financial Planner Won’t Tell You: http://articles.moneycentral.msn.com/RetirementandWills/CreateaPlan/8ThingsYourFinancialPlannerWontTellYou

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One Health Insurance Policy Solution

A Real Insurance Solution 

By Dr. David Edward Marcinko; MBA, CMP™

Publisher-in-Chief

Market Driven Health Insurance Alternatives

 

According to Michael K. Evans, former chief economist for the American Economics Group, Washington, DC, a real market driven insurance model may be a solution to the current health insurance coverage crisis.

It would work like a Medical Savings Account [MSA], or Health Savings Account [HSA] or any other insurance plan; by self-payment for routine visits and medications and using the insurance only for catastrophic illness.

Ironically, this was the plan in the original Medicare legislation and the reason prescription drug costs were not covered until the adoption of Medicare Part D, a few years ago.  

However, many older or sickly patients claim that the cost of doctors, hospitals and medications has risen so much that they are often forced to choose between food and medical care, since the CPI grossly understates the cost of living for the elderly. And, some experts therefore believe a one-time adjustment is needed to put those payments back where they actually cover the average market basket of goods and services they buy. 

But, with adjustments must come an ironclad agreement that government aid for medical care should be used only for major costs associated with catastrophic illness, not routine care.

Furthermore, we believe that when drug companies, hospitals and physicians find that consumers are spending their own money, they will then work out more reasonable price schedules — or they won’t get paid.  

Just, as not everyone can live in the most expensive neighborhood, not everyone can afford to see the most expensive doctor.  As lower prices work their way through the system, employers who offer health-care benefits will find their financial situation also will benefit because costs incurred by employees will rise less rapidly.  

In the long run, even though the initial effect will be to boost government spending, the net result will be lower medical-care costs, more covered recipients, less bureaucracy, more competent physicians, smaller government outlays and a greater chance that some medical manufacturing firms, or big pharma companies, will remain in the U.S. instead of outsourcing to countries where labor costs are much lower. 

Your thoughts are appreciated – but it sure sounds like a HDHCP to me?  

THE “MEDICAL EXECUTIVE-POST” MAST HEAD

MEDICAL EXECUTIVE-POST 

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Back to Medical School – Not

Certified Medical Planner

Physician Education and Re-engineering 

By Dr. David Edward Marcinko; MBA, CMP™

[Publisher-in-Chief]dem2

The Times … are a Changing 

Absent significant health reforms, it is important for healthcare providers to stay informed and current as to the volatile direction that health care is taking in this country. And, it is vital for every physician to learn as much about medically related business and financial topics as possible.  

In fact, several medical schools have even initiated business certification and degree programs, and other medical colleges along with the private sector will do the same going forward. This will allow the Profession to make the transition from a supply based medical system, to a demand driven one. It will also ensure that practices are operated as a Strategic Business Unit (SBU), and not like the “home office” medical practices of the past.

The Trend

Surprisingly, the trend in managed care now appears to be moving toward giving control back to informed physician-executives, who “stay the course” and continue to practice medicine.  

However, many physicians, nurses and healthcare workers don’t see it this way and become depressed. Pragmatically, the future healthcare industrial complex will offer great opportunities to change medicine for the better.

One way to accomplish this goal is to run your practice like a business and integrate management concepts with tem of trusted team of advisors, or formally re-educate yourself.  

Online master’s degree programs, for medical professionals, like those offered at Regis University (303) 964-5447, the University of Tennessee (423) 974-1768, Washington University (Olin) in St. Louis (888-273-6820), and the University of Wisconsin (608) 263-4889, may also help.

Example:

To illustrate this education premium, total compensation for a full time and experienced Chief Medical Officer (CMO) increased 8% annually the last few years, and more than half were working toward an advanced management degree.

But, CMO turnover is becoming alarmingly high of late; and may not be the great career move it once was. 

Still, since an MBA is a huge time, and money investment ($30-90,000), it is not for everyone. And, do not expect increased earnings or an automatic managerial position without experience.  

telehealth

Assessment

So instead, consider earning the professional fiduciary designation Certified Medical Planner [CMP™], which integrates personal financial planning principles with medical practice management acumen http://www.CertifiedMedicalPlanner.org

For more information: Professor Hope R. Hetico; RN, MHA, CMP™ MarcinkoAdvisors@msn.com or [770.448.0769 ph]

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Physicians “Stay the Course”

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“Don’t give up Medical Practice, Yet!”

By Dr. David Edward Marcinko; MBA, CMP™dr-david-marcinko 

Practicing Medicine … is Hard to Do 

Is practicing medicine today, really that tough? Increasingly, the answer is “Yes”, according to our doctor clients and the docs we interviewed for this post.  

And, it’s no wonder that Dr. Regina E. Herzlinger – the Nancy R. McPherson professor of business administration and chair at Harvard Business School and author of the books Creating New Healthcare Ventures and Market Term in Healthcare – says that many medical professionals have become depressed and want to give up their careers, entirely. 

For example, Gigi Hirsch, MD, a former ER physician and instructor at Harvard Medical School grew so disenchanted with clinical medicine, that she ditched her career and started her own business, MD IntelliNet, in Brookline, Mass. The company places doctors in non-traditional jobs by pairing them with venture capitalists and other businesses seeking physicians [personal communication].  

In the same light, Michael Burry, MD, a promising young neurologist from Stanford and Vanderbilt, rejected his medical career to become a private portfolio manager for Scion Capital Management, as did Harvard trained radiologist, Faraz Naqvi, MD, the former fund manager for Dresdner RCM Biotechnology Fund [personal communication]. 

Other notables include Dr. Dimitri Sogoloff, MBA of Alexandra Investment Management, LLC, and Dr. Ken Shuben-Stein, CFA©, formerly of Promethean Investing, a hedge fund in New York City [personal communication].   

In a final example, Dr. Laura Eackloff, 45 was a podiatrist for 10 years and thoroughly enjoyed treating patients, but she hated spending more time on the phone negotiating with health insurance companies than examining her patients. “Honestly, health care is a business, and I didn’t like the business of medicine,” said Eackloff, who shut down her practice and opened Gotta Knit, a yarn store in New York City’s Greenwich Village. Her friends and family were extremely supportive of her decision to help people with their hands instead of their feet.

Source: Geoff Williams, Entrepreneur.com [11/27/07]

Assessment

But, Herzlinger implores in her book, Market Driven Healthcare, “don’t give up practice, yet.”  

So, will you stay the course – or abandon ship – and what are your alternatives?

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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