White Coat Investor Podcast

WCI #416: HSAs, FSAs, and Malpractice Insurance

7 snips
Apr 24, 2025
Delve into the world of health savings accounts and flexible spending accounts, from handling contribution errors to managing reimbursements. Explore the intricacies of malpractice insurance, including the impacts of employment structures and crucial contract clauses. Learn how to calculate investment returns effectively with Excel. Discover strategies for healthcare financial planning, emphasizing long-term investments and the wisdom of stock ownership. This episode is packed with insights to help you navigate complex financial landscapes!
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INSIGHT

Understanding the "Lizard Tail" Malpractice Risk

  • Some medical groups use small subsidiaries that can be bankrupted to limit malpractice liability, known as "lizard tail" strategy.
  • Physicians should understand their employer's structure to grasp their potential personal liability exposure.
ADVICE

Check Malpractice Settlement Clauses

  • Review your malpractice insurance contract for veto and hammer clauses affecting settlement decisions.
  • Knowing who controls lawsuit settlements (you or the insurer) is crucial for legal and financial strategies.
ADVICE

How to Calculate Portfolio Returns

  • Use the XIRR function in Excel or Google Sheets to calculate accurate dollar-weighted investment returns.
  • Enter every cash flow date and amount, but exclude reinvested dividends to get precise returns.
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