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Don’t Get Ripped Off! What You Need to Know About Elder Financial Fraud

Elder financial fraud happens "at an alarming rate" and is often perpetrated by relatives, said Ted Sarenski, CPA, PFS.  Protect against elder financial fraud by safeguarding assets, following scam alerts, and monitoring accounts. To read the full article in The Lifeline Blog, click: Don’t Get Ripped Off!  What You Need to Know About Elder Financial Fraud. ...

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Kitces: Three Strategies for Managing Big Capital Gains

Many long-term investors have amassed substantial capital gains since the market bottomed out in March 2009.  While great-looking on paper, such gains have real tax implications for engaging in even routine investment adjustments. To read the full article in FinancialPlanning, click: Kitces: Three Strategies for Managing Big Capital Gains. ...

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Could this Simple Social Security Strategy Solve the Retirement Crisis?

The key to implementing this suggested strategy is establishing auto-IRA plans to workers who lack a 401(k) option with a preset percentage of wages to be contributed to the plan.  This would create a retirement nest egg that would not be linked to any one employer, but rather would stay with the worker throughout a career. To read the full article in FinancialPlanning, click: Could this Simple Social Secur ...

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The Value of Medicare Surtax Planning

Since 2007, the Medicare Modernization Act of 2003 has required high-income Medicare enrollees to pay an Income-Related Monthly Adjustment Amount surcharge, or IRMAA, on their Medicare Part B premiums.  This lifts the premium from covering just 25% of costs up to as high as 80% of results, and increased Part B premiums by as much as 219% in 2017 alone. To read the full article in FinancialPlanning, click: T ...

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Stay Up on Medicare Enrollment with Annual Reviews

Why Annual Medicare Coverage Reviews Benefit Clients Annual reviews can ensure clients who are Medicare beneficiaries have the coverage they need.  During the Medicare Open Enrollment period, which starts Oct. 15, clients can select different prescription drug coverage, move to a Medicare Advantage plan, or make other changes to their coverage.  PFP/PFS Section members can access over 100 ready-to-go, clien ...

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Social Security: Help Clients Grab Every Last Dollar of Benefits

When helping clients claim Social Security benefits, past planning strategies may act as the best guides.  Over the last several months, we published dozens of stories including insight from advisers and analysts on Social Security planning tips and strategies.  Some of these include insight related to long-term funding issues, clients working abroad, evaluating the impact of taxes as well as tips for deali ...

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How to Address Common Concerns About Retirement

Some American workers are worried about their financial security in retirement, according to a Transamerica survey.  In this article, Todd Campbell looks at five common fears involving retirement and how they can be addressed. To read the full article in The Motley Fool, click: How to Address Common Concerns About Retirement. ...

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You Need to Talk to Your Doctor About How You Want to Die

Why Clients Need to Discuss End-of-Life Care Baby boomers are at the forefront of the conversation around end-of-life planning, which should include discussing end-of-life treatments with family members and physicians, and designating health care proxies.  Elizabeth O’Brien, retirement reporter, also suggests reviewing elder planning tools and resources, which includes a free consumer End of Life Guide. To ...

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The CY 2016 Work Relative Value Units

The Impact on Employed Physician Groups The CMS 2016 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System downwardly revised reimbursement for GI/endoscopy services and reduced by 0.77 percent the Physician Fee Schedule to all services because CMS failed to meet the one percent net reduction target for misvalued codes in 2016. In this article, the author discusses how ...

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The Imperative of Considering the Concept of Highest and Best Use in Healthcare Valuation (Part 1 of 2)

Traditional valuation methodologies have relied upon the analysis of historical accounting and other data as predictive of future performance and value. However, this may not hold true with every economy, industry, or even every enterprise within an industry, over time. For example, the turbulent status of the healthcare industry over the last five decades, since the passage of Medicare in the 1960s, has in ...

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Dissecting the Medical Practice Revenue Stream—Part 2

Four things valuators should know about medical claims and coding In this second installment of his review of medical claims coding, Mr. Moffatt sets forth his final two examples that explain the unique circumstances of the medical practice revenue cycle that affect cash flow and how they relate to the valuation of a medical practice. Part 1 of this article was published on March 4, 2014. ...

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Owned and Operated

How the ACA impacts the valuation of physician-owned hospitals Nick Janiga and David Walline of HealthCare Appraisers, Inc. (HAI) examine how the Affordable Care Act (ACA) affects the valuation of physician-owned hospitals and what the future holds for the 240 such medical institutions across the country. ...

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IRS: Cheapest Obamacare Plan Will Be $20,000 Per Family —IRS Report, HuffPo, Catholic News, Yahoo! Answers, Economonitor. JofA Explains Details.

Details Found in IRS Explanation Issued Wednesday; $20,000 Figure Based on a Family of Four.   In a final regulation issued Wednesday, January 30, 2013, the Internal Revenue Service (IRS) assumed that under Obamacare the cheapest health insurance plan available in 2016 for a family will cost $20,000 for the year.   Under Obamacare, Americans will be required to buy health insurance or pay a penalty to the I ...

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Will “Pay for Performance Work in Healthcare?” Times Editor has Doubts. Here’s Why. —NY Times

Pay-for-Performance Provisions are a "Triumph of Theory Over Experience," Writes Bill Keller in "Carrots for Doctors."    "Pay for performance, or P4P in the jargon, is embraced by right and left. It has long been the favorite egghead prescription for our absurdly overpriced, underperforming health care system. The logic  . . .  If only it worked," writes former New York Times executive editor Bill Keller, ...

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Texas Systems Latest to Launch ACOs —Modern Physician

A Growing Willingness to Adopt a Largely Untested Payment Model Amid Increased Pressure to Curb Spending Melanie Evans at Modern Physician reports that two large Texas health systems with Medicare accountable care contracts are among the latest to enter into commercial ACOs in deals that suggest a growing willingness to adopt the largely untested payment model amid increasing pressure on providers and payer ...

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Why Concierge Medicine Will Get Bigger —CBS Marketwatch

Many Physicians Find Personalized Service is Increasingly Popular Among Patients  Elizabth O'Brien at CBS Marketwatch writes that plenty of baby boomers have done the math on so-called "concierge" medicine (also known as "boutique," "personalized" or "private physician" practices)  and deemed the investment worthy. In the typical concierge experience, a primary-care doctor accepts insurance for routine serv ...

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With New Health Law, Sharp Rise in Premiums—New York Times, 20+ Other Outlets

2013 California Filings:   Aetna: 22 percent.  Anthem Blue Cross: 26 percent.  Blue Shield of California: 20 percent. Reed Abelson at the New York Times reported last week that health insurance companies across the country are seeking and winning double-digit increases in premiums for some customers, even though one of the biggest objectives of the Obama administration’s health care law was to stem the rapi ...

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