Establishing Fair Market Value of Compensation Arrangements
Since 2000, we have provided thousands of FMV and commercial reasonableness opinions for a variety of healthcare compensation transactions. Our compensation valuation experts are certified in the valuation field and credentialed through numerous professional valuation associations, including the National Association of Certified Valuators and Analysts, and the American Society of Appraisers. Utilizing a variety of resources, including proprietary valuation methodologies that take into consideration relevant guidance provided by the OIG, CMS commentary, and case law, we carefully consider the particularities of each compensation arrangement and understand the nuanced Stark Law and Anti-Kickback concerns that may be implicated.
With our exclusive commitment to the healthcare industry, we provide objective, independent, and defensible FMV opinions that cover nearly every type of compensation arrangement, for clients in every state.
Telemedicine (or telehealth) represents a new treatment modality that is transforming the delivery of healthcare services. In recent years, due to technological advances, telemedicine has become a viable patient care option, allowing physicians of various specialties to provide high quality, affordable healthcare services to patients in remote areas.
With this ability to improve access to care, enhance the quality of value-based care and patient interaction, as well as offer substantial cost and time savings, many hospitals, health systems, physician practices, and outpatient facilities enter into telemedicine services arrangements as a means to secure affordable coverage or supplement existing coverage. As the number of telemedicine services arrangements continues to increase, so, too, does the need for reliable, defensible FMV opinions to ensure that the arrangements are in compliance with applicable state and federal laws.
As a relatively new healthcare delivery model, valuing telemedicine services arrangements presents distinct challenges. HealthCare Appraisers’ team of valuators possess the knowledge and experience to navigate these challenges, understanding not only the legal and regulatory issues surrounding telemedicine arrangements, but also the key service components associated with these arrangements, such as telemedicine equipment and software, telemedicine program start-up costs, and reimbursement considerations.
As hospitals and health systems continue to purchase independent practices and organically grow their workforce, the trend of hospital- and health system-employed physicians is becoming more prevalent. The resulting employment arrangements frequently implicate numerous healthcare fraud and abuse laws, including the Stark Law and Anti-Kickback Statute, and therefore benefit from review by a knowledgeable, unbiased valuation expert. Our team of compensation valuation professionals draw from hundreds of years of combined experience to produce FMV support for all types of employment arrangements. From FMV opinions for standard, single provider arrangements, to those for complex employment transactions involving multiple providers, varying payment mechanisms, and diverse service offerings, we can assist with any type of employment valuation need.
Upon recognizing the need for healthcare executives to operate more quickly than the valuation industry could allow, HealthCare Appraisers developed an easy-to-use, web-based FMV solution known as the Physician Employment Calculator™. This Calculator generates customized FMV opinions to aid in physician recruitment and retention and provide defensible support for a wide range of employment transactions.
Learn more about the Physician Employment Calculator™.
For more than 15 years, HealthCare Appraisers has utilized a proprietary methodology to value on-call arrangements, through which we consider a variety of factors that we believe have an impact on the burden to the provider performing the call coverage. In numerous Advisory Opinions since our proprietary methodology was developed and implemented, the Office of Inspector General (OIG) has cited to a similar set of factors, effectively confirming the validity and relevance of our proprietary methodology.
Our proprietary methodology has been refined over time, ensuring we continually produce objective and defensible FMV opinions for the hundreds of on-call coverage arrangements we value each year. For a customized call coverage application that utilizes our proprietary methodology and delivers almost immediate conclusions, we offer an easy-to-use, web-based solution referred to as the On-Call Calculator™.
Learn more about the On-call Calculator™ here.
Your Compensation Valuation expertise is here.
Our compensation valuation experts are available to speak with you at your convenience. With an exclusive focus on healthcare valuation and transactions, we offer highly specialized and targeted insight into each engagement, and we utilize the latest valuation guidance and industry trends in performing our work.
Author: Berta Narohna and Adam S. Polsky, MBA, CVA Download the PDFOn-call coverage for hospital emergency departments and unassigned inpatients has historically been provided mostly or exclusively by physicians. Increasingly, call coverage now involves use of...
Author: Andrea M. Ferrari, JD, MPH and Jamie McIntyre, JD Originally published by the American Health Lawyers Association in the October 2019 Journal of Health & Life Sciences Law. ABSTRACT: In 21st century health care, the nature and terms of contracts...
Author: Robert Kurtz with Commentary from Matthew J. Muller, ASA. Published by The ASCA Journal October 2019. The ASC industry is a hotbed of transaction activity. That activity is helping to drive up the value of facilities and likely spurring the development...
Authors: Fred Lara, CFA, ASA, CVA, Kristina Kheyfets and David W. Sands, CVA Download the PDF A recent ruling by the U.S. Court of Appeals for the Eleventh Circuit may put new focus on the importance of documenting fair market value (“FMV”) in transactions between...
Authors: C.J. Laird, MEd and Brandon J. Billeaudeau, MPA Download the PDF On October 9, 2019, the Department of Health and Human Services (“HHS”) issued preliminary proposed changes to the Physician Self-Referral Law (“Stark Law”) and the Federal Anti-Kickback...
Jan 23 | Webinar: Structuring Healthcare Management Arrangements: Corporate Practice of Medicine, Regulatory Compliance
A live 90-minute CLE webinar with interactive Q&A featuring HealthCare Appraisers’ Nicholas A. Newsad, MHSA. Thursday, January 23, 2020 1:00pm-2:30pm EST, 10:00am-11:30am PST This CLE webinar will provide guidance to counsel involved in structuring healthcare...