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Mobile Trends and their Impact on the [Medical] App Market

Mobile World Congress Review

By Markus Pohl

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Some major trends about the mobile apps market were clearly visible at the Mobile World Congress in Barcelona this week. How will trends like new operating systems, new devices, new technologies, developer migration, etc. affect the global apps market? Here is a quick rundown:

Symbian is dead long live Windows 7

This is probably the biggest single piece of news to emerge from last week’s event. Windows 7 will be used as the primary OS for Nokia’s smartphone portfolio. According to Mr. Elop (Nokia CEO) there will be a two year transition time before all new devices are being shipped with the OS from Microsoft, but from our discussions with Microsoft and Nokia we realize that there is a large amount of pressure to make that period as short as possible, especially as it will become even more difficult to convince developers to develop for Symbian, a dead end platform. The co-existence of Nokia phones running on WindowsPhone 7, Symbian and MeeGo presents a challenge. The future of MeeGo seems to be very uncertain even though Nokia and Intel stated their intent to offer an alternative platform especially for non smartphone devices.  Windows 7 will definitely become a very interesting platform for developers in the future. If it will meet the expectations of those two giants is not clear just yet.

Tablets are everywhere

All major and quite a few smaller OEMs presented their answer to the iPad. They were probably the most touched and intensively tested devices at the MWC. Apple created this new market and sold almost 15 million iPads in only 9 months. Not many analysts forecasted this tremendous success (including us). Samsung unveiled the Galaxy Tab’s successor the Galaxy Tab 10.1 based on Android’s avatar for tablets: Honeycomb. LG, HP, HTC, Motorola, RIM, Lenovo and Toshiba all announced devices at the MWC 2011. RIM plans to release its super Playbook’s WiFi version late in Q1 2011, and HSPA+ and LTE, office software capability, multitasking OS, along with Flash, HTML5 and open internet standards in H2 2011. HP also unveiled Touchpad, a webOS based tablet. ZTE will accelerate its expansion on smart devices by launching lightweight tablets based on Honeycomb, which will be due in Q3 2011. Malata, a smaller Chinese vendor, only showed its portfolio of tablets in Barcelona. What it shows: There will be hundreds of tablets launched by the end of 2011. It is going to be the year of the tablets. Make sure your apps look good on them.

Broad awareness for m-Health and home monitoring

mHealth was clearly the biggest cross industry topic on the conference. Most of the OEM and operators as well as big fishes like Qualcomm and IBM showed some of their solutions which make use of a mobile device to support the treatment of a patient. Interesting that most of the mHealth solutions where not smartphone centered but made use of a specific device. Only smaller players which showed their solutions in the health care pavilion where mainly smartphone focused.  Home monitoring has been another interesting cross industry area which caught a lot of attention during the week. Telco companies used an entire pavilion, the “Embedded House”, to showcase their offerings. It became clear that the Telco industry will compete against the energy industry in that promising market.

Cross platform development is becoming more visible

It is clear that in the following years developers will face increasing challenges in developing apps for multi app platforms. There are some promising cross platform development tools and platforms out there which should gain more attention in the near future. There are a growing number of companies concentrating on those services such as Service2Media, Mobile Distillery, ideas2mobile and Geniem. Another interesting concept that showcased at the event is Kinoma by Marvell. This could be described as an app store within an app store. Marvell claims that apps running in the Kinoma environment must be developed only once and work on Android and Windows 7 operating systems.

Assessment 

Stay updated with our “App Market Monitoring”.

Link to blog post: http://www.research2guidance.com/gsma-mobile-world-congress-in-barcelona-impact-on-the-app-market/

Link to picture: http://www.research2guidance.com/wp-content/uploads/2011/02/2011-02-21-Barcelona.png

Twitter: #Mobile #Trends And Their Impact On The #App #Market – MWC Review: http://bit.ly/eMy2JR

About research2guidance:

research2guidance is a Berlin-based market research company specialized in the mobile industry. The company’s service offerings include comprehensive market studies, as well as bespoke research and consultancy.

Contact:

Markus Pohl

research2guidance

+49 30 609 893 363

markus.pohl@research2guidance.com

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Medical Practice Social Media Marketing Plan Survey

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“We’re considering integrating social media into our medical practice marketing plan,” Dr. Joseph Frank Stankowsy started out saying.

Then he backtracked—“Yet, all we hear about it is what we can’t do from a HIPAA and security compliance perspective.”

And so, do you incorporate social media into your medical practice marketing plan? Please vote and opine here.

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Remember Tax Deadline Day is April 18th 2011

Tax Emancipation Day is April 15th 2011

By Dr. Gary L. Bode MSA, CPA, PC

In the 2011 tax filing season, taxpayers have until Monday, April 18 to file their 2010 tax returns and pay any tax due. Emancipation Day, a holiday observed in the District of Columbia, falls this year on Friday, April 15. By law, District of Columbia holidays impact tax deadlines in the same way that federal holidays do; therefore, all taxpayers will have three extra days to file this year. Taxpayers requesting an extension will have until October 17 to file their 2010 tax returns.

Who Must Wait to File

For most taxpayers, the 2011 tax filing season starts on schedule. However, tax law changes enacted by Congress and signed by President Obama in December mean some people need to wait until mid to late February to file their tax returns in order to give the IRS time to reprogram its processing systems. The IRS recently announced February 14, 2011 as the start date for processing these delayed tax returns.

Some taxpayers, including those who itemize deductions on Form 1040 Schedule A, will need to wait until February 14, 2011 to file. This includes taxpayers impacted by any of three tax provisions that expired at the end of 2009 and were renewed by the Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act of 2010 enacted December 17, 2010. Those who need to wait to file include:

  • Taxpayers Claiming Itemized Deductions on Schedule A. Itemized deductions include mortgage interest, charitable deductions, and medical and dental expenses as well as state and local taxes. In addition, itemized deductions include the state and local general sales tax deduction that was also extended and that primarily benefits people living in areas without state and local income taxes.
  • Taxpayers Claiming the Higher Education Tuition and Fees Deduction. This deduction for parents and students, covering up to $4,000 of tuition and fees paid to a post-secondary institution, is claimed on Form 8917. However, the IRS emphasized that there will be no delays for millions of parents and students who claim other education credits, including the American Opportunity Tax Credit extended last month and the Lifetime Learning Credit.
  • Taxpayers Claiming the Educator Expense Deduction. This deduction is for kindergarten through grade 12 educators with out-of-pocket classroom expenses of up to $250. The educator expense deduction is claimed on Form 1040, Line 23 and Form 1040A, Line 16.

Assessment

In addition to extending those tax deductions for 2010, the Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act also extended those deductions for 2011 and a number of other tax deductions and credits for 2011 and 2012, such as the American Opportunity Tax Credit and the modified Child Tax Credit. The Act also provides various job creation and investment incentives, including 100% expensing and a 2% payroll tax reduction for 2011. Those changes have no effect on the 2011 filing season.

http://www.amazon.com/Financial-Planning-Handbook-Physicians-Advisors/dp/0763745790/ref=sr_1_1?ie=UTF8&s=books&qid=1276795609&sr=1-1

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On eMRs and Disease Management

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One Clinical Area Where Electronic Benefits May Exceed Paper’s Molecules

By Dr. David Edward Marcinko [Publisher-in-Chief]

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One area where technology assessments, clinical guidelines, and especially eMR aggregated data can make a true difference in patient care is in disease management.

The DMAA

The Disease Management Association of America (DMAA) defines disease management as “a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant”. 

Disease management supports the physician-patient relationship and places particular significance on the prevention of exacerbations and complications of chronic diseases using evidence-based clinical guidelines and integrating those recommendations into initiatives to empower patients to be active partners with their physicians in managing their conditions.

Disease Targets

Typically, targets for disease management efforts include chronic conditions such as asthma, diabetes, chronic obstructive pulmonary disease, coronary artery disease, and heart failure, where patients can be active in self-care and where appropriate lifestyle changes can have a significant favorable impact on illness progression.

Link: Front Matter BoMP – 3

Outcomes Measurement

The DMAA also emphasizes the importance of process and outcomes measurement and evaluation, along with using the data to influence management of the condition.

Assessment

Although claims and administrative data can be used to measure and evaluate selected processes and outcomes, eMRs will be needed to capture the full spectrum of data for analyzing illness response to disease management programs and to support necessary changes in care plans to improve both intermediate outcomes (such as lab values), and long-range goals (such as the prevention of illness exacerbations, managing co-orbidities, and halting the progression of complications).

Is this where eMRs can shine far and above traditional ink and paper medical records?

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Why a Physician’s Charitable Contribution was Denied

Setty Gundanna Viralam et ux. v. Commissioner [A Case Model]

By Children’s Home Society of Florida Foundation

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In Setty Gundanna Viralam et ux. v. Commissioner; 136 T.C. No. 8; No. 21355-03 (13 Feb 2011), the Tax Court denied a deduction for a charitable gift to an organization maintaining donor advised funds for doctors. In addition to not receiving the charitable deduction, the doctor was subject to capital gains tax on sale of the stock and an accuracy-related penalty.

Physician Example

Dr. Viralam is a medical practitioner. In 1998, Dr. Viralam sold his 50% interest in a medical practice for $2,262,500, producing a taxable gain of $2,261,750. Dr. Viralam had joined a membership organization of doctors named Xelan. He paid a $975 membership fee for the “Xelan tax reduction plan.”

Xelan Foundation

Based upon promotional materials that promised “a tax reduction” program, Dr. Viralam transferred appreciated stock to the Xelan Foundation (“Foundation”) in 1998. The Foundation indicated that Dr. Viralam could create an account described variously as a “donor advised fund” or “family public charity.” The fund was available for “charitable giving, income tax reduction planning, estate tax reduction, educational funding and future retirement planning.”

The Xelan Foundation had been recognized by the IRS as a public charity and was included in IRS Publication 78. In addition, the Foundation had obtained an opinion letter from the Conner & Winters law firm on deductibility of gifts. In their opinion letter, Conner & Winters suggested that gifts to the Foundation were more likely than not to be deductible. However, the opinion letter declined to issue an opinion on the specific grants or educational programs of the Foundation donor advised funds.

The Gifting Mechanism

Following Dr. Viralam’s gift of stock with fair market value of $262,433 and cost basis of $131,360, the Foundation sold the gifted stock and provided him with a receipt. The receipt included the Sec. 170(f)(8) statement that “no goods or services” were transferred in exchange for the gift.

At the recommendation of Dr. Viralam, the Foundation accountant distributed $15,500 to religious organizations for the next two years. However, his Foundation account also made distributions to the University of Pennsylvania of $70,299. Dr. Viralam’s son Vinay was at that time a student at that university. The IRS audited Dr. Viralam and issued a notice of deficiency for 1998. The IRS denied the charitable deduction, assessed a tax on the sale of the appreciated stock by Xelan Corporation and also accessed an accuracy-related penalty under Sec. 6662.

The Court and IRS Opines

The court noted that under Sec. 170(c)(2), a charitable contribution is permitted if it is given to “a foundation organized and operated exclusively for charitable or educational purposes.”

The IRS claimed that the supposed “student loan” to Vinay showed that Dr. Viralam had “never surrendered dominion and control” over the fund. When Dr. Viralam created the fund in 1998, he anticipated that his three children would receive most of the fund for their college expenses. The initial distributions for the benefit of Vinay were made and “the Foundation’s approval of petitioner’s son as a student loan beneficiary was perfunctory.”
While it was true that the Foundation had been granted exempt status and was listed in Publication 78, the issue of the operation exclusively for the benefit of charitable purposes remained. Even though the purported donor advised fund was supposedly for charitable purposes, the facts indicated that Dr. Viralam had retained dominion and control.

The Sec. 170(f)(8)(A) receipt issued by Xelan Foundation indicated that there were no “goods or services” provided in consideration of the gift. However, the “student loans” were clearly within the regulatory definition of “cash, property, services, benefits and privileges.” Because the student loans were contemplated as part of the fund benefits, the gift failed the “no goods or services” test. Under Sec. 170(f)(8), there is “no deduction” if that test is failed.

Assessment

Because there was no charitable deduction, Dr. Viralam is also taxable on the long-term capital gain produced by sale of the stock in 1998. In addition, the penalty under Sec. 6662 applied. Dr. Viralam pointed to the legal opinion by the law firm Connor & Winters. However, that legal opinion explicitly excepted a potential student loan program. In the view of the court, the arrangement fails the “too good to be true” test. In the view of a reasonable person, a taxpayer should realize that this gift to provide university-level educations for children would not be deductible.

Conclusion

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