Docs and FAs Stressed Out Over Fee Disclosures?

Financial Services and Healthcare Industry Affected

By Dr. David Edward Marcinko MBA CMP™

[Publisher-in-Chief]

Starting April 1, 2012, financial advisors [FAs] are going to have to disclose fees for their services to retirement plan sponsors, according to changes to the ERISA rules.

But, as you may not know, advisor fees to retirement plan fiduciaries have gone unnoticed for decades because their compensation comes out of the service providers’ compensation.

Link: http://blog.registeredrep.com/yield_of_dreams/2011/08/12/stressed-over-fee-disclosure-look-to-service-providers-for-templates/

Are Medicine and the Financial Services Sector Similar?

Recently, while visiting the Wharton School at the University of Pennsylvania, and discussing same with several colleagues, I realized that this is not unlike medical provider fees which are typically paid for by a private or public third party insurance-like carrier. Historically, relatively covert to patients, but not so much today!

For example, in 2007, federal and state legislatures called for hospitals across the country to make their prices “transparent.” The term was defined as the full, accurate, and timely disclosure of hospital charges to consumers of healthcare, as well as the process employed to arrive at those fees.

Moreover, transparency does not merely involve publishing a list of prices and fees.  Essentially, hospital CXOs must be able to present their prices in a manner that is understandable to the general public and they must be prepared to explain the rationale behind their charges.

And, for the solo or small group medical practitioner, dentist, retail or direct care practice, is this a trend that is growing or declining?  

Assessment

So, where are fees for FAs, under the above scenario, headed. We know the answer for doctors, of course, buy why are the FAs so fretful? Is it because they fear a healthcare-like meltdown disaster?

And, why would any vendor [doc or FA] fear letting the customer / patient  know the price of his products or services? Aren’t there many companies who are a huge success, following just this business model; retail / wholesale anyone? Why fear telling folks what you charge?

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.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Our Other Print Books and Related Information Sources:

Health Dictionary Series: http://www.springerpub.com/Search/marcinko

Practice Management: http://www.springerpub.com/product/9780826105752

Physician Financial Planning: http://www.jbpub.com/catalog/0763745790

Medical Risk Management: http://www.jbpub.com/catalog/9780763733421

Healthcare Organizations: www.HealthcareFinancials.com

Physician Advisors: www.CertifiedMedicalPlanner.com

Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to get the latest ME-Ps delivered to your email box each morning? Just subscribe using the link below. You can unsubscribe at any time. Security is assured.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

Sponsors Welcomed: And, credible sponsors and like-minded advertisers are always welcomed.

Link: https://healthcarefinancials.wordpress.com/2007/11/11/advertise

Product DetailsProduct DetailsProduct Details       

Product Details  Product Details

   Product Details 

6 Responses

  1. 1 MORE: The quest for price transparency

    http://thehealthcareblog.com/blog/2011/05/07/the-quest-for-price-transparency/

    Dr. David Edward Marcinko MBA
    [Editor-in-Chief]
    http://www.BusinessofMedicalPractice.com

    Like

  2. Docs Stressed Out Over Lab Result Disclosures Going To Patients

    Health and Human Services’ proposed rule to let patients directly access their lab test results electronically may do more harm than good, according to physician leaders.

    http://www.informationweek.com/news/healthcare/policy/231601421

    What do you think?

    Julius

    Like

  3. Financial Advisers who are fee-based feel handcuffed

    Flat market returns, and sinking AUM fees, create income pressure to change business model, but few FAs are brave enough to do so.

    http://www.investmentnews.com/article/20111211/REG/312119991

    Too bad, guys and gals, you can’t have it both ways!

    Dr. Randy

    Like

  4. FA Fee Compression

    Fearful investors and economic uncertainty are expected to put Financial Advisory fees and wealth management revenues and profits under pressure this year, resulting in a re-evaluation of fees and pricing strategies, according to top executives and industry experts.

    http://registeredrep.com/newsletters/wealthmanagement/2012_wealth_management_preview_fear_and_uncertainty_forcing_rethink_of_fees_and_pricing_0103/

    Of course, this is bad news for FAs and FPs but good news for retail investors, like doctors and medical professionals.

    Dr. David E. Marcinko MBA CMP™
    http://www.CertifiedMedicalPlanner.com

    Like

  5. Deduct Them Or Not, But Don’t Capitalize Investment Management Fees

    While the tax code offers a deduction for investment management fees paid by an investor, it is a less than ideal tax deduction. Characterized as a miscellaneous itemized deduction subject to the 2%-of-AGI floor, in practice it is not deductible unless the taxpayer both itemizes deductions in the first place, and has enough miscellaneous itemized deductions in total to exceed the required threshold ….

    …. To avoid this tax result, some clients and their accountants have been going an alternate route: capitalizing the investment management fee into the cost basis of the assets being managed, which at least provides some tax benefit, by increasing the cost basis and reducing future capital gains (or increasing the losses).

    Unfortunately though, the IRS has already responded to the strategy: Just Don’t Do It, at least according to this essay by colleague Mike Kitces.

    http://www.kitces.com/blog/archives/229-Deduct-Them-Or-Not,-But-Dont-Capitalize-Investment-Management-Fees.html

    Dr. David E. Marcinko MBA CMP
    http://www.CertifiedMedicalPlanner.com

    Like

  6. Hospitals stressed too – as COs object to transparency proposal

    The Colorado Legislature is lurching slowly toward requiring transparency on medical bills, but the state’s hospital industry is pushing back on the issue.

    http://www.denverpost.com/breakingnews/ci_19984126

    Peter

    Like

Leave a comment