THOUGHT LEADERSHIP FOR MORE THAN 20 YEARS
We regularly offer our unique perspective on key topics within the industry. Our insights include published articles, surveys, presentations, and more.
TOPICS
TOPICS
Medicare Shared Savings Program Results for Performance Year 2022
Authors: Matthew J. Muller, ASA, and Nicholas J. Janiga, ASA Download the PDFIn August 2023, the Centers for Medicare & Medicaid Services (CMS) released 2022 Performance Year Financial and Quality Results data related to the Medicare Shared Savings Program...
Medicare Shared Savings Program Results for Performance Year 2022
Authors: Matthew J. Muller, ASA, and Nicholas J. Janiga, ASA Download the PDFIn August 2023, the Centers for Medicare & Medicaid Services (CMS) released 2022 Performance Year Financial and Quality Results data related to the Medicare Shared Savings Program...
Dangerous Waters: When Median Benchmarks are Not a Safe Harbor – Part Three
Authors: Stephanie Tafoya and Luis A. Argueso Download the PDFAs discussed in parts one and two, both of which are hyperlinked below, median benchmarks are not an automatic safe harbor for establishing compensation that is consistent with FMV. It is important to...
Disaster Preparedness and Response: Health Care Lawyers Face Unique Questions When Disaster Strikes – 4 Focus Areas and Tips
Authors: Ellie Bane (Texas), Miglisa Capo (Puerto Rico), Andrea M. Ferrari, JD, MPH (Florida) and Gena Peyton (California)This article was originally published by American Health Lawyers Association in the September 14 edition of AHLA Weekly. The referenced AHLA...
Pathways to Success: Proposed Changes to the Medicare Shared Savings Program May Impact ACO Enterprise Valuations
Author: Hunter Outcalt, MTX, CPA and Jarrod Barraza, MSF On August 9, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule, referred to as “Pathways to Success,” with several proposed changes to the Medicare Shared Savings Program...
Avoid Cost Landmines: Assessing Trends in Payments for Hospital-Based Physician Services
Author: Luis Argueso A glance at new data reveals interesting trends regarding payments for hospital-based professional service lines. MD Ranger, Inc. publishes benchmark data related to total annual payments made by facilities to independent contractor physician...
Recent Trends Affecting the Values of ASCs
Author: Matthew J. Muller, ASA and Nicholas J. Janiga, ASA Originally published in the Ambulatory Surgery Center Association’s ASC Physician Focus, Summer/Fall 2018, Vol. 2, No. 2. The health care sector is continually clouded by uncertainty from government...
2018 Medical Office Building Fundamentals Report
HealthCare Appraisers, Inc. (“HAI”) is pleased to present its inaugural Medical Office Fundamentals Report. In compiling this report, HAI communicated with lenders, real estate brokers, investment bankers and various other investors of medical office product, asking...
2018 Physician-Owned Hospital Valuation Survey
We are pleased to release the results of the 2018 Physician-Owned Hospital (“POH”) Valuation Survey. In cooperation with Physician Hospitals of America, HealthCare Appraisers, Inc. (“HAI”) surveyed POH market participants to determine trends in the value of POHs,...
2018 ASC Valuation Survey
We are pleased to announce the results of HealthCare Appraisers’ 2018 ASC Valuation Survey. Since 2003, HealthCare Appraisers, Inc. has surveyed the ambulatory surgery center (ASC) industry to determine trends in the value and characteristics of ASC ownership...
Hospital/Physician Alignment: A Continuum of Opportunities
As hospitals and health systems grapple with the challenges of increasing costs, regulatory uncertainty, expanding competition, and value-based payment models that require improvement in both quality and outcomes, hospital/physician alignment strategies continue to be...
Impact of Proposed CMS Changes to Telemedicine Reimbursement
Author: Luis Argueso The primary barrier to adoption of telemedicine as a universal tool for providing medicine has been the lack of reimbursement for telemedicine services.[1] On July 21, 2018, the Centers for Medicare & Medicaid Services (CMS) took a major step...
Quarterly Insight: Q1 2018
Monitoring Industry Activity from Quarter 1 of 2018 As part of our ongoing research into the healthcare industry, HealthCare Appraisers, Inc. follows the commentary of publicly-traded health systems, physician services providers and ambulatory surgical center...
Dangerous Waters: When Median Benchmarks Are Not A Safe Harbor – Part Two
Authors: Stephanie Tafoya and Luis A. Argueso Download the PDFAs discussed in a prior article, HAI examined the pitfalls of blindly relying on median benchmarks from compensation surveys. It is worth reiterating that numerous whistleblower complaints resulting in...
Dangerous Waters: When Median Benchmarks are Not a Safe Harbor – Part One
Authors: Stephanie Tafoya and Luis A. Argueso Download the PDFSome market participants think that selecting an appropriate compensation value that is consistent with fair market value (“FMV”) is as simple as selecting a median benchmark reported by a compensation...
Telemedicine Industry Trends: Compensation Structure
Author: Luis Argueso Telemedicine as a modality of medical care continues to expand and gain traction in the United States. On February 9, 2018, President Trump signed into law the Bipartisan Budget Act of 2018 passed by Congress. This budget incorporated the text of...
Shifting Paradigms? The Potential Impact of the Medicare Access and CHIP Reauthorization Act on What Constitutes a Fair Market Value and Commercially Reasonable Physician Transaction
Authors: William B. Eck, Seyfarth Shaw LLP, Washington, D.C.; Andrea M. Ferrari, HealthCare Appraisers Inc., Boca Raton, Florida; Tizgel K.S. High, LifePoint Health, Brentwood, Tennessee; and David S. Szabo, Locke Lord LLP, BostonOn November 4, 2016, the Centers for...
The Impact of Amazon, Berkshire Hathaway, and JPMorgan Chase’s Health Care Alliance on the Industry
Author: Erica Jacobovits, JD It is almost a truism that the health care system in the United States is one of the largest challenges currently facing our nation. It would seem that quality, affordability, and innovation present inherent tradeoffs – increasing...
FMVantage Point™: Valuing Continuing Medical Education (“CME”) Credits
Author: Adam L. Slotnick, MSPH, MAIn order to maintain licensure in the state in which they practice medicine,[1] physicians and other medical professionals must earn a set number of hours of CME credit during each reporting period.[2] State licensing boards grant...
Transitioning Physicians to Value-Based Payment in A Regulatory Minefield: Will a New Interagency Task Force Lead the Way?
Author: Andrea M. Ferrari, JD, MPH Since at least 2015, the Centers for Medicare and Medicaid Services (CMS), which is the Federal agency responsible for enforcing the Federal Physician Self-Referral Law (commonly known as the “Stark Law”), has acknowledged...
Student Loan Repayment and Physician Employment
Author: Scott M. Safriet, CVA, MBA & Elizabeth Cohen, JD For physicians that have recently completed their medical education, student loan repayment is an often asked for benefit when contemplating employment opportunities. However, while not technically cash in...
Searching for Doctor McDreamy: Specialty Hospitalist Arrangements and Fair Market Value
Author: Andrew L. Worthington The combination of healthcare industry consolidation and physician shortages can leave hospitals with few options to secure coverage by specialist physicians. Oftentimes, the traditional on-call arrangement may not be sufficient to secure...
42 Million Reasons to Consider FMV in Marketing Arrangements
Author: Daniel Levin, CFA & Nicholas Janiga, ASA Over the past few years, marketing arrangements have drawn increased scrutiny from government regulators. As an example, on June 28, 2017, the United States Department of Justice announced that a hospital located in...
Recent Insights
Recent Healthcare Fraud and Abuse Enforcement Actions Highlight the Importance of the Valuator’s Role
Authors: Erica Jacobovits, JD and Kevin Obletz, JD, CVA Download the PDF MODERNIZING MEDICINE On November 1, 2022, the U.S. Department of Justice (“DOJ”) filed a complaint[1], intervening in a 2017 whistleblower lawsuit, against a South Florida electronic health...
Personal Goodwill: A Common Multi-Million Dollar Component in Physician Practice Transactions
Authors: Daniel I. Levin, CFA, ASA, Matthew J. Muller, ASA and Nicholas J. Janiga, ASA Download the PDF HOSPITAL-BASED CARE Physician practice acquisition activity has been robust for many years, resulting in a change in the composition of physician employment and...
Commercial Reasonableness and Value-Based Arrangements: Know your WHY and HOW
Author: Matthew J. Milliron, CVA, MBA Download the PDFORIGINALLY PUBLISHED BY THE AMERICAN ASSOCIATION OF PROVIDER COMPENSATION PROFESSIONALS Although commercial reasonableness has been a key concept in healthcare regulation since 1998, it was not until 2021 that it...
Shift-Based Providers and Cost Efficiency: Rethinking the Premise
Authors: Andrew Worthington and James R. Hills, CPA/ABV Download the PDFORIGINALLY PUBLISHED BY THE AMERICAN ASSOCIATION OF PROVIDER COMPENSATION PROFESSIONALS HOSPITAL-BASED CARE Due to requirements set forth by the Emergency Medical Treatment and Labor ACT...
2022 Medicare Physician Fee Schedule Final Rule – Update to Teaching Physicians
Authors: Erica Jacobovitz, JD and Kevin Obletz, JD, CVA Download the PDFThe Medicare Physician Fee Schedule (MPFS) has long provided a uniform, consistent schedule for determining the payment rates for individual physician services. The MPFS is regularly updated by...
Upcoming Events
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.