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ONE SIGN SAYS IT ALL
[By staff reporters]
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Filed under: Drugs and Pharma | Tagged: drug prices, narcan | Leave a comment »
A Medicare Shared-Savings Program Snapshot
Posted on January 30, 2020 by Editor-in-Chief
CIRCA: ACOs 2020
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Filed under: Health Economics, Health Insurance | Tagged: ACOs, Medicare Shared Savings program, Value Care | 2 Comments »
Need Quality Health Care?
Posted on January 29, 2020 by Editor-in-Chief
FOR ALL … ALL!
[By staff reporters]
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Market Risk & The All-Terrain Portfolio
Posted on January 28, 2020 by Editor-in-Chief
Interview by RealVision (In case you missed it)
By Vitaliy Katsenelson CFA
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DEAR ANN AND ME-P READERS: I wanted to share with you a recent interview I did with RealVision TV.
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If you haven’t heard of them, RealVision is an internet-based video platform that features serious, long-form interviews with leading financial thinkers – think of it as “CNBC for grown-ups.” I’ve personally watched a bunch of their interviews, and always find them challenging and enjoyable.
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When I was recently in New York, I sat down with Tony Greer of TG Macro to discuss IMA’s All-Terrain Portfolio, Tesla, Bitcoin, oil, the dollar, value investing, and more – all the usual suspects.
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LINK:
If you’re interested, you can check out the interview above or read a transcript of it here.
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Assessment: Your thoughts are appreciated.
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BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Experts Invited, Investing, Videos | Tagged: Market Risk & The All-Terrain Portfolio, Risk Adjusted Rate Return, Vitaliy Katsenelson CFA | Leave a comment »
On Prior Authorization [PA]
Posted on January 27, 2020 by Editor-in-Chief
A Physician Survey CIRCA: 2018
[By AMA]
DEFINITION: Prior authorization is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost-saving measure although it has received criticism from physicians for being costly and time-consuming.
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The “KUZNETS” Curve
Posted on January 26, 2020 by Editor-in-Chief
The “KUZNETS” Curve
Courtesy: www.CertifiedMedicalPlanner.org
In economics, a Kuznets curve (/ˈkʌznɛts/) graphs the hypothesis that as an economy develops, market forces first increase and then decrease economic inequality.
The hypothesis was first advanced by economist Simon Kuznets in the 1950s and 1960s.
Assessment: Your thoughts are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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THE EMERGENCY FUND FOR PHYSICIANS – IT’S HUGE!
Posted on January 25, 2020 by Editor-in-Chief
THE EMERGENCY FUND FOR PHYSICIANS – Post Pandemic
Courtesy: https://lnkd.in/eBf-4vY
NOW NOT SO “BORING”
Forget a 6 Month Reserve – Cash is More Vital Than Ever!
I was speaking at a medical conference recently and learned that this basic question is again generating much collegial speculation, of late.
CRISIS MANAGEMENT: https://lnkd.in/epnGqkq
MORE TOPICS: https://lnkd.in/e7WrDj9
Previously considered so mundane – as to be dismissed by some haughty physicians – it has acquired increased urgency a decade after the PP-ACA, current stock-market run-up, and future political specter of M4A, etc. And so; perhaps it is not so “boring” after all!
ESSAY: https://lnkd.in/eM7M6au
ESSAY: https://lnkd.in/eM7M6au
Assessment: Your thoughts and comments are appreciated.
BUSINESS, FINANCE & INSURANCE TEXTS FOR DOCTORS:
THANK YOU
8
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Filed under: Investing | Tagged: emergency funds | 1 Comment »
PP-ACA Silver Plan Premiums
Posted on January 24, 2020 by Editor-in-Chief
CIRCA – 20290
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Filed under: Health Insurance, Health Law & Policy | Tagged: ACA, ACA Silver Plan Premiums, PP-ACA | Leave a comment »
On Investing: “RISK ADJUSTED RATE OF RETURN”
Posted on January 23, 2020 by Editor-in-Chief
WHY DOCTORS MUST APPRECIATE “RISK ADJUSTED RATE OF RETURN”
Courtesy: https://lnkd.in/eBf-4vY
[Understanding Vital Investing and Financial Calculations]
Performance measurement, like an annual physical examination, is a vital feedback loop to monitor progress toward the goals of any investment program.
DEFINITIONS: https://lnkd.in/eJNz355
Performance comparisons to market indices and / or peer groups are a useful part of this feedback loop, as long as they are considered in the context of the market environment; and with the limitations of a market index and/or manager data base construction, ie., risk.
QUERY: How can physician investors, eliminate biases of the market environment by adjusting performance for the risk assumed by their portfolios?
ANSWER: Colleagues Timothy J. McIntosh MBA CFP®MPH and Jeffery S. Coons PhD CFA explain further.
ESSAY: https://lnkd.in/evKA6BP
Assessment: Your thoughts and comments are appreciated.
BUSINESS, FINANCE AND INVESTING TEXTS FOR DOCTORS:
THANK YOU
8
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Twenty [20] Habits of “Eventual” Millionaires
Posted on January 22, 2020 by Editor-in-Chief
But, Maybe NOT … Doctors!
By staff reporters
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2020: Stock Markets Party Like It’s 1999?
Posted on January 21, 2020 by Editor-in-Chief
By Vitaliy Katsenelson CFA
The stock market marched higher for the year even though US companies as a whole did not become more valuable, just more expensive, as earnings failed to grow from 2018 to 2019. Earnings are estimated to be up about 5% for 2020 (though these estimates are usually revised down as the year progresses).
If you look at the quality of this non-growth, then the rose-tinted glasses of the average stock market investor quickly prove inadequate. Corporate debt is up 5% in 2019, and a good chunk of the increase went into stock buybacks. As stocks become expensive their benefit from earnings per share growth diminishes.
Assessment: Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
THANK YOU
8
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Filed under: Experts Invited, Investing | Tagged: finance, Investing, Vitaliy Katsenelson CFA | Leave a comment »
CREATING A MEDICAL PRACTICE BUSINESS PLAN IN 2020
Posted on January 20, 2020 by Editor-in-Chief
CREATING A MEDICAL PRACTICE BUSINESS PLAN IN 2020
Courtesy: https://lnkd.in/eBf-4vY
[A Written Transcript on Launching Your New Business]
I was asked by medical colleagues – and their bankers, CPAs and advisors – to speak about this topic several times last year.
Now, with the specter of M-4-A etc; it certainly is a vital concern to all young doctors & medical professionals whether live, audio recorded or in podcast form. And so, here is a written transcript of a recent presentation for your review.
NOTE: As a teacher, writer, editor and publisher, I’ve found that the written word often surpasses oral presentations, in the long run, when it comes to granular understanding and practical knowledge.
TRANSCRIPT: https://lnkd.in/ezukUVB
Assessment: Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:
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SOCIAL IMPACT INVESTING AND THE MSFT CORPORATION?
Posted on January 19, 2020 by Editor-in-Chief
SOCIAL IMPACT INVESTING & THE MODERN CORPORATION?
Courtesy: https://lnkd.in/eBf-4vY
Microsoft to Erase its Carbon Footprint by 2030?
Microsoft Corporation [MSFT] just said it aims to remove more carbon from the atmosphere than it emits by 2030 and that by 2050, it hopes to have taken out enough to account for all the direct emissions the company has ever made.
QUERY: So, what is the purpose of a modern corporation today? Has it changed and who does it serve – Shareholders -OR- Stakeholders?
ESSAY: https://lnkd.in/ehwyC22
Assessment: Your thoughts and comments are appreciated.
BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Ethics | Tagged: corporation, impact investing, MSFT, Socially Responsible Investing, SRI | Leave a comment »
A SYNOPSIS OF MY ADVISORY FEES & BUSINESS MODEL
Posted on January 18, 2020 by Editor-in-Chief
A SYNOPSIS OF MY ADVISORY FEES & CONSULTING BUSINESS MODEL
Courtesy: https://lnkd.in/eVGcji5
[Authentic Consulting for Physicians & Medical Colleagues]
My fee is $250 per hour prorated, so you only pay for the time used. This fee covers almost any medical practice management, insurance and risk management, personal financial planning or investment related topic, including document review, phone or Skype® consultation, research and/or written investment strategies.
MODEL: https://lnkd.in/eVWcyaq
IOW: No high water marks, no claw-back fees, sales or commissions, front or back end loads, 12[b]-1 fees or Assets Under Management [AUM] charges; etc. “Pay-as-you-Go”; period! Client Centricity.
TOPICS: https://lnkd.in/e7WrDj9
2nd OPINIONS: https://lnkd.in/dw7FHyP
INVITE: https://lnkd.in/e3-SFmb Your thoughts are appreciated.
CONTACT: Ann Miller RN MHA CMP® PHONE: 770-448-0769
EMAIL: MarcinkoAdvisors@msn.com
BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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More on Physician “Burn-Out”
Posted on January 17, 2020 by Editor-in-Chief
MORE ON PHYSICIAN “BURNOUT” TODAY
Courtesy: https://lnkd.in/eBf-4vY
Does it Really Exist? – Maybe Not!
According to the World Health Organization, occupational burnout is a syndrome linked to long-term, unresolved, work-related stress.
Since May 2019, the WHO stipulated that burnout must be understood as being specifically work-related; and result in symptoms such as “feelings of energy depletion or exhaustion; increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job; and reduced professional efficacy.”
LINK: https://lnkd.in/e9AmEhd
While burnout influences health and may be a reason for people contacting health services, it is not itself classified by the WHO as a valid medical condition.
QUERY: So, what about physician “burnout”? Real -OR- perceived?
ESSAY: https://lnkd.in/d7qcT-m
MORE: https://lnkd.in/eVkV83T
PODCAST: https://lnkd.in/en7KGh3
Assessment: Your thoughts are appreciated.
BUSINESS, FINANCE & INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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Filed under: Ethics, Practice Management | Tagged: Physiciab Burn-Out | 1 Comment »
HARD “SELLING” FINANCIAL ADVICE
Posted on January 16, 2020 by Editor-in-Chief
DOCTOR COLLEAGUES BEWARE = HARD “SELLING” FINANCIAL ADVICE
Courtesy: https://lnkd.in/eBf-4vY
Please Know – It’s all about Sales, Sales and Sales!
Steve Forbes, editor of the well-respected financial publication Forbes Magazine, once said:
“You make more selling advice than following it. It’s one of the things we count on in the magazine business, along with the short memory of our readers.”
ESSAY: https://lnkd.in/ebGmB7W
MORE: https://lnkd.in/er8tQ8y
Assessment: Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:
THANK YOU
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How to become a board CERTIFIED MEDICAL PLANNER®
Posted on January 14, 2020 by Editor-in-Chief
HOW TO BECOME A BOARD
CERTIFIED MEDICAL PLANNER®
[Two Program Matriculation Options Available]
http://www.CertifiedMedicalPlanner.org
CURRICULUM: Enter CPMs
[PHYSICIAN FOCUSED FINANCIAL PLANNING AND RISK MANAGEMENT COMPANION TEXTBOOK SET]
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MEDICAL PRACTICE VALUATION BLUNDERS
Posted on January 12, 2020 by Editor-in-Chief
COMMON MEDICAL PRACTICE VALUATION BLUNDERS TO AVOID?
Courtesy: www.CertifiedMedicalPlanner.org
A Medical Practice business valuation is a set of procedures to estimate the economic value of a physician owner’s interests. Valuation is used to determine the price they are willing to pay or receive to affect a sale of the practice.
The same valuation tools are often used to resolve disputes related to estate and gift taxation, divorce litigation, allocated purchase price among business assets, establish a formula for estimating the value of partners’ ownership interest for buy-sell agreements, and other business and legal purposes.
QUERY: But, what are the most common medical practice valuation blunders to avoid? Written over a decade ago, this white paper highlights the most common mistake still seen today.
WHITE PAPER: https://healthcarefinancials.files.wordpress.com/2011/12/medical-practice-valuation-blunders1.pdf
Your thoughts are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
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Filed under: Health Economics, iMBA, Inc., Practice Management | Tagged: MEDICAL PRACTICE VALUATION BLUNDERS | Leave a comment »
What is a BOLLINGER BAND?
Posted on January 11, 2020 by Editor-in-Chief
What Is a Bollinger Band®?
Courtesy: www.CertifiedMedicalPlanner.org
More on Technical Analysis
A Bollinger Band® is a technical analysis tool defined by a set of lines plotted two standard deviations (positively and negatively) away from a simple moving average of the security’s price, but can be adjusted to user preferences.
Bollinger Bands® were developed and copyrighted by the famous technical trader John Bollinger.
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PODCAST: https://www.youtube.com/watch?v=13oogPJwWAM
Your thoughts are appreciated.
BUSINESS, FINANCE AND INSURANCE TEXTS FOR DOCTORS:
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“Big-Tech” Market Capitalization Round-Up
Posted on January 10, 2020 by Editor-in-Chief
Round-UpCIRCA 2010 – 2019
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The World as “100 People”
Posted on January 9, 2020 by Editor-in-Chief
Over the Last Two Centuries
By staff reporters
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***MORE: https://www.100people.org/statistics_100stats.php?section=statistics
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The Price of Bitcoin Round-Up
Posted on January 8, 2020 by Editor-in-Chief
CIRCA: 2013 – 2019
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[Dr. Cappiello PhD MBA] *** [Foreword Dr. Krieger MD MBA]
Front Matter with Foreword by Jason Dyken MD MBA
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Filed under: Investing | Tagged: Bitcoin | 1 Comment »
The SECURE Act?
Posted on January 7, 2020 by Editor-in-Chief
Maybe Not!
By Rick Kahler CFP
The Grinch who stole Christmas is alive and well this year—in the US Congress. Our Representatives and Senators passed a bill that negatively affects the middle and working class by changing the rules of passing on an IRA. Now adult children who inherit IRAs will be required to drain them within 10 years and pay all the taxes on the distributions and future earnings.
The Setting Every Community Up for Retirement Enhancement (SECURE) Act, which changes many of the rules of US retirement laws, was approved almost unanimously (417-3) by the House of Representatives and the Senate (81-11). South Dakota’s Representatives Dusty Johnson and Senators John Thune and Mike Rounds all voted for the bill. Despite its name, many of the new law’s provisions are anything but retirement “enhancements.”
I wrote about the SECURE Act in June, as did other financial journalists, but it hasn’t received widespread attention. Despite its heavy bipartisan support, it isn’t necessarily a retirement boost for middle and working class savers.
This revision of long-standing IRA rules is especially unfair to parents who banked on the reliability of those rules. Many of them did Roth conversions and paid the tax due on a traditional IRA, with the intention of leaving the portion of the IRA they did not use themselves as a tax-free gift that could grow over the years and support their children’s retirement.
The amount of taxes raised by forcing inheritors to liquidate IRAs early is estimated at $15.7 billion over 10 years. The main trade-offs for this tax grab were (drum roll) extending by 18 months the age at which an IRA owner must begin taking distributions, increasing incentives to employers who set up 401(k)s, and allowing people over age 70 ½ who are working to contribute to an IRA (mic drop).
New strategies will need to address how an inheritor distributes the IRA to minimize the tax hit. Taking all of an IRA in one year could result in an heir in the peak of their earning years paying 50% of it in taxes.
If you counted on passing on an IRA to your children, you need to reexamine your estate planning. It may be better to name a spouse as a beneficiary rather than children, as a spouse still can inherit the IRA without being forced to liquidate it over 10 years.
The strategy of letting IRA assets accumulate and spending down taxable accounts may change completely. You now may want to spend down IRA accounts, with any balance going to charities, and pass on the accumulated taxable assets to children who will get a step-up in basis (tax free).
If you have made the beneficiary of your IRAs a trust, often created at death in your will, that whole strategy needs reconsidering. “Some types of IRA trusts make no sense under the new law,” says Natalie Choate in a December 21, 2019, Wall Street Journal article, “Inheriting IRAs Just Got Complicated.”
The new law gives a great boost to favoring life insurance over IRAs as a tax-efficient way to move assets to heirs. It also paves the way for high fee and commission annuities to be sold to sponsors of 401(k) plans.
Why did Congress vote so overwhelmingly to penalize IRA inheritors and open up investors’ 401(k) plans to insurance products?
Perhaps many of them didn’t fully understand what they were voting on. Or perhaps the insurance lobby did their normal amazing job of selling the alleged benefits of insurance and annuities.
Assessment
In any case, don’t assume the SECURE Act is a gift that will enhance your retirement security.
Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS FOR DOCTORS:
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Filed under: Retirement and Benefits | Tagged: SECURE Act | 2 Comments »
The Healthcare Data Eco-System
Posted on January 6, 2020 by Editor-in-Chief
Ever Expanding
[By staff reporters]
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[click to enlarge]
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DOMESTIC BUSINESS CYCLE REPORT 2019
Posted on January 5, 2020 by Editor-in-Chief
U.S.A BUSINESS CYCLE REPORT 2019
Courtesy: www.CertifiedMedicalPlanner.org
[Pictographic Presentation for December 2019]
Constructed and presented by Nick Reece CFA of MERK Investments LLC., and Research.
GRAPHIC CHART BOOK: MR
Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
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USA BUSINESS CYCLE REPORT 2019
Posted on January 4, 2020 by Editor-in-Chief
A Picto-Graphic Presentation
Courtesy: www.CertifiedMedicalPlanner.org
Constructed and presented by Nick Reece CFA of MERK Investments LLC., and Research.
CHART BOOK: 2019-12-18-merk-business-cycle-chart-book
Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
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A Decade of Corporate Profit VERSUS Tax Receipts
Posted on January 3, 2020 by Editor-in-Chief
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A Decade of US Private Equity Deals
Posted on January 2, 2020 by Editor-in-Chief
Circa 2010-2019
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Assessment: Your thoughts are appreciated.
BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
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A Decade of Stock Market and Financial Asset[s] Performance
Posted on January 1, 2020 by Editor-in-Chief
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