Search:
Advanced Search
Posted: Tuesday, April 15, 2008 - 1 comment(s) [ Comment ] - 0 trackback(s) [ Trackback ]
Category: Personal

 

            Health Care:alt

     

(Money Magazine) -- There's a movement afoot to make you directly pay more of the bill for your health care. The theory is that this will make you more choosy and that you'll put more effort into comparing costs and researching doctors and hospitals.

But for that to happen, of course, you'll need good information to work with. It takes five minutes of Web surfing to compare prices and features and to check out customer reviews on, say, a digital camera.

But for health care? "We just haven't evolved to that level," says Jean Chenoweth, a senior vice president at Thomson Healthcare, a division of the giant information services company.

The picture is getting a bit clearer though. The government has pushed to create better data for comparing hospitals. Companies are building online tools to help you sort through what's out there; some of the best sites are run by insurers themselves.

You can find out about a doctor's experience and a hospital's success rates, and even a bit about the murkiest part of health care: what it costs.

Get to know your doctoralt

Before you go online, you'll probably want to start the search for a doctor the way you always have: with a personal recommendation. When you're looking for a pediatrician, for example, a lot of what you really want to know - like whether he answers phone calls at 2 a.m.- are things your friends know more about than any website.

And if you have a family doctor you trust, her word should count for a lot when you ask about a specialist. But once you have some recommendations, use the Web to double-check that advice and to narrow down your choices. So where do you start?

Board certified is best.alt A doctor must pass written and oral exams in her specialty and meet education requirements to call herself board certified. Search for your recommended doctors at abms.org, which keeps the most up-to-date list.

Make sure she's had practice.alt Frequent practice begets quality care, making it a good measure of doctor quality, says Janet Corrigan of the National Quality Forum, a nonprofit that helps set health-care quality standards. Run your list through Vitals.com, which for many states can show how many times a doctor has performed certain procedures in a year. If the information isn't there for your procedure, give the doctor's office a call to ask. You don't want a doc who's getting her feet wet at your expense. Less important: where the doctor went to medical school. Experience beats prestige.

Check for evidence of screwups.altVitals.com will also show whether doctors have a history of sanctions or malpractice claims. Sanctions are a real red flag, but you should keep malpractice claims in context. Some kinds of specialists are more apt to be sued than others, and the number of claims can also vary by region. So compare your doc's stats with those of a few alternatives in your area.

Know the price (as best you can).alt There's no such thing as a manufacturer's suggested retail price in medicine, and not all doctors or even insurers are eager to talk about costs. But if you're paying co-insurance or have a high deductible, it's well worth your time to call your doc and your insurer to get at least a ballpark figure.

And a few big health plans, including Aetna, have launched Web tools that let participants look up the rates they've negotiated with different doctors for office visits and common procedures. Other insurers' websites can at least tell you what the average cost in your area will be. If your insurer doesn't have this, you can buy a medical-cost report from HealthGrades.com for $8.

The right hospitalalt

Performance information for doctors is still pretty thin, but there's more for hospitals. Your health plan's website might be your first and only stop for answers to many questions because it is able to combine government and other data with its own private files. Here's what to look for.

Just like doctors, hospitals get better with experience.alt To find out how many times a hospital has performed a procedure, search your insurer's online tool for your illness and narrow the list to those that have seen the most cases. You can find similar data at revolutionhealth.com.

Does the hospital have high standards?alt The National Quality Forum has teams of health experts who determine which practices are most likely to bring a good outcome for common procedures. If you're having any kind of surgery, for example, getting a dose of antibiotics before incision will greatly reduce the chances of infection. Hospitals report how often they follow those procedures. If your insurer doesn't track this, look up the hospital at hospitalcompare.hhs.gov. The tool will tell you not only the performance of hospitals in the area but how the top U.S. hospitals performed. It might not be reasonable to expect your target hospital to hit the Top Hospitals mark for every measure, but it should beat area averages.

You can also look up your hospital at leapfroggroup.org/cp to see whether it has proper staffing and equipment. (Note that some top hospitals don't participate in its surveys.)

See how well the patients farealt. Your insurer might also track hospitals' mortality and complication rates on your procedure. These numbers are generally adjusted for the condition of the patient, so that a hospital isn't penalized for taking on tougher cases. Make sure your hospital's rates aren't worse than the average of all hospitals.

If your insurer's site doesn't carry the mortality data, you can turn to HealthGrades.com, which awards hospitals ratings for various procedures. These will show you the survival rates for patients while they are in the hospital and for up to six months after they've been discharged. Look for three stars or better.

Brace yourself for the big bill.alt As with doctors, hospital costs aren't easy to find. If you can, start the conversation with your insurer well before you go under the knife. Your plan's website may show you the average cost of a particular surgery in your region - a few have price ranges for specific hospitals - or you can buy a medical-cost report similar to the one you purchased about doctors from HealthGrades.com for $8.

   Need to know Terms:alt

  High-deductible health planalt. An insurance policy that forces you to spend a large amount of money(typically from about 1,000$ to 10,000) before coverage kicks in. Some plans will fully cover some preventive care or drugs regardless of the deductible. In many cases high-deductible plans are linked to tax-free vehicles such as health savings account and health reimbursement arrangments.

   Health Saving Account or HSA.alt If you have a high-deductible plan that meets certain federal requirements, you can open an HSA to help pay your bills. You and your employer can contribute. As with an FSA, Federal Spending Account( Which is When a person, Every year is able to estimate your expected out-of-pocket health expenses and have your employer take that money out of your pay check and put it into an FSA before you pay taxes on it. You can spend it on co-pays, uncovered medical bills and maybe over-the-counter drugs. But if you don't spend what you set aside in certain period, you LOse it.) the money you put in is not taxed. And it isn't taxed when you spend it on qualifying health expenses either. But in HSA, the money is yours to keep until you need it. After you hit 65, there's no penalty for spending it on m=nonmedical expenses; you just have to pay the taxes. 

  Health Reimbursement arrangementalt, or HRA. Similar to an HSA, but only your employer contributes and it isn't yours to keep if you don't spend it.         

               To Our Success, Danard Vincente

  http://www.gibline.com/truegiblove

  Check out my blog Please: http://www.wowzza.com/Dvincible/blog/

My Group GIBBERS!!....to.

And here is a great advertising site: http://myfamilybond.crocads.com

  Contact  Me: 4.2speedster@gmail.com

      Phone#: 310-227-2746

                 altKISSES TO ALL:

      >>>>>>>>>>>>>>>>>Citation>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

        Web Site: http://money.cnn.com/2008/03/24/pf/healthcare_websites.moneymag/index.htm?postversion=2008032609

       Author: Joe Light (Money Mag. Staff Reporter)

  Title: Click Here for the Best Health Care

  First Published: March 25, 2008 4.21 A.M. EDT

  Date found info: April 15, 2008

Posted: Tuesday, April 15, 2008 - 0 comment(s) [ Comment ] - 0 trackback(s) [ Trackback ]
Category: Personal

 

                    

              How to PAY ZERO TAXES How to

              PAY   ZERO

  TAXES

(Money Magazine) -- You've tried staring your computer down, but it's not blinking. No matter how many times you go over the figures, you get the same answer. That number on your screen - what you're paying the IRS this year - is more than your dad earned in his five best years. You can't help thinking, Why am I such a chump when other people must be getting off scot-free?

Brace yourself. Last year 49.2 million U.S. households filed returns that obligated them to pay absolutely no federal income taxes - and they didn't necessarily do anything illegal. Before you start gnashing your teeth at the injustice, however, you should know that there are many reasons to be happy that you're not one of the tax escapees.

For starters, avoiding U.S. income taxes isn't easy. Citizens can't wriggle out of their bills by moving to another country because, almost alone among nations, the U.S. taxes all income, no matter where on earth it's earned. And although the tax code offers plenty of deductions and exemptions, if you take too many you'll be skewered by the alternative minimum tax (AMT).

Almost all the tax shelters of yesteryear disappeared when Congress closed loopholes in 1986. Even running your own business is not the shelter it was when you could deduct yourself down to zero by saddling your company with bills for luxurious travel, cars and meals out.

"Those days are over," says Charles Hayes, a C.P.A. and financial planner in Coronado, Calif. "Expenses have to be necessary and reasonable." If they aren't, the IRS will likely disallow them.

So how do the 49.2 million do it? That's what Money Magazine set out to learn. What we found offers a glimpse into the workings of the immensely complicated U.S. tax system, as well as valuable lessons in the dos and don'ts of cutting your own taxes.

Among them: Do whatever you can to shave income from your 1040 but, perhaps most important, don't cut off your tax nose to spite your financial face. You can find plenty of ways to collect tax-free income, but you'd likely find unacceptable the trade-offs it takes to get all the way to zero.

How we got herealt

From its beginnings in 1913, the income tax system was designed to be progressive; the more you make, the more you pay. The top bracket then was 7%, and it applied only to those who earned above $500,000 a year, which is about $10.6 million in today's dollars. Congress also recognized that some were too poor to pay taxes, so it exempted the first $3,000 in income. In 1913 that exclusion liberated all but 1% of the population from taxes.

Those principles still hold today. "Our tax system still is progressive," says Len Burman, director of the Tax Policy Center in Washington, D.C. In 2005 the 10% of taxpayers with the highest incomes provided 70% of income-tax revenue, which cost them on average 25% of their income, more than any other group, according to the IRS.

That's not to say that many wealthy people don't shelter immense chunks of money, but getting to zero is difficult even for them. Fewer than 2% of earners in the top 20% (average income: $99,500) escape taxes altogether. That comes to about 400,000 filers. (Plus, even those who sidestep federal income taxes may have to pay Social Security and Medicare taxes, state and local levies, property taxes and sales tax.)

The vast majority of the members of the zero-tax club are on the opposite end of the income spectrum. Some 92% of zero-tax filers earn less than $30,000 a year, according to the Tax Foundation, a non-partisan research group in Washington, D.C. That doesn't include another 15 million who earn too little to file in the first place.

Your annual income wouldn't have to be quite as low as you'd imagine for you to be free of the income tax. Because of deductions, credits and exemptions, a family of four can earn about $43,000 and pay nothing. For a single person without kids, that threshold is $10,300.

Over the past decade, Congress has removed more and more people from the tax rolls by increasing the size of those adjustments. The personal exemption, for example, rose from $1,000 in 1980 to $3,400 in 2007. Additionally, low-income families receive a $1,000-per-child credit and a special credit for the working poor.

Few among us would want to settle for a drastically lower income just to avoid taxes. But David Gross did just that. After the 2003 invasion of Iraq, the 39-year-old technical writer decided that he didn't want his tax dollars funding the war. Only by earning less, he realized, could he stay within the law.

At the time his salary came to about $100,000 a year. He asked his employer to pay him far less - some $70,000 less - but was turned down. So he quit and launched a business from his apartment, strictly limiting his earnings.

In 2007 his income was $29,000. He put $2,850 in a health savings account, $4,500 in a simplified employee pension (SEP) and $4,000 in an IRA. Since he works freelance, he can deduct half of his self-employment tax ($1,850) and his health insurance premium ($1,200), leaving him with an adjusted gross income (AGI) of $14,600.

After taking the standard deduction and one exemption, his taxable income neared $6,000 and his tax was $493. Low-income earners like Gross are also entitled to a credit for retirement plan contributions. His came to $500 and - poof! - no tax bill.

Because he's saving so much, Gross has to pinch every penny. But even though he lives in San Francisco, one of the nation's most expensive cities, he says, "it turned out to be a lot easier than I thought." Most places he goes are within walking distance, working at home gives him time to cook, and he and his girlfriend (who does pay taxes) rely on Netflix-rented movies for entertainment.

Gross believes in the government's right to levy taxes - he still pays California taxes - but he's satisfied, he says, that he hasn't been financing what he calls "the hugely bloated military."

Can You Do This? You probably don't want to emulate Gross' ascetic lifestyle. Face it: Earning less is a great plan - unless you like to eat dinner out, go to the movies once in a while and own a car. But don't ignore his example of grabbing every retirement tax break you can find. You can reduce your income and enhance your financial security by funding a 401(k), an IRA, a SEP or a health savings account.alt

 

 Over the past two decades, Congress has eliminated most exotic tax shelters. But you can still find a handful of government-approved ways to collect certain kinds of income-and keep every last cent of it!

Strategiesalt

Invest  in Municipal Bondsalt

>The income is exempt from the federal taxes and sometimes also free of state income taxes; income taxes; most bonds aren’t subject to AMT (alternative minimum tax)

>On the flip side: You wouldn’t have earned 5-7% a year on average in a muni fund over the past 20 years VS. 10.80% for the S&P 500.

Open A 529 College Savings Planalt

>Earnings grow tax-free.

>Withdrawals are tax-free when the money is used for college.

>Anybody, even an adult, can be a beneficiary.

>>On the Flip side: You can’t deduct your contributions on your 1040.

>>You’ll owe a 10% penalty plus taxes if you tap your 529 for anything other than school.

 

Go to your Final Rewardalt

>Leave behind stocks and your heirs owe taxes only on the subsequent gains. If your heirs sell immediately, there’s no tax bill.

>>On the Flip side: You won’t be around to enjoy beating the IRS.

 

Sell your House:alt

>You pay no capital-gains tax on 250,000 of the  profits for singles, 500,000 for married couples.

>>On the Flip Side: Houses aren’t soaring in value right now, ergo, not much tax-free income.

 

Be a Life Insurance Beneficiary: alt

>The proceeds are Tax-free.

>>On the Flip side:  Someone had to die-but at least it’s not you. (No disrespect)

 

Ask Someone to Give you Money:alt

A gift of up to 12,000 a year is Free of Taxes.

Your spouse and each child in the family can collect 12,

>>On the Flip side: There is no flip side. It’s all Good!

 

 

>>>Put your retirement fund in a ROTH! alt                                          >All Withdrawals are tax-Free after age 591/2.                                                               >>On the Flip Side: You had to pay taxes at some point, either when you opened the Roth or when you converted your traditional IRA to a Roth.

               To Our Success, Danard Vincente

  http://www.gibline.com/truegiblove

  Check out my blog Please: http://www.wowzza.com/Dvincible/blog/

My Group GIBBERS!!....to.

And here is a great advertising site: http://myfamilybond.crocads.com

  Contact  Me: 4.2speedster@gmail.com

      Phone#: 310-227-2746

 >>>>>>>>>>>>>>>>>>>>>>>Citation>>>>>>>>>>>>>>>>>>>>>           <<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<         

Magazine Title: Money                                                                                 Subtitle: Smart Moves in a Mean Economy                                               Author: Marlys Harris, (Money Magazine Senior Editor)

 Article Title: How To Pay ZERO TAXES.   Pg(98-104)                                                       Date found information:  April 15, 2008                                                               Published: March 27, 2008 4:37 A.M. EDT