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TOPICS

Expect More: Optimization and Cost Savings on Hospital-Based Contracts
Author: Andrew L. Worthington Download the PDFWith increasing pressures on reimbursement, a shift in focus by payors to inpatient costs and outcomes, and consolidation in the physician market, health systems and hospitals face numerous demands in operating efficient...
Expect More: Optimization and Cost Savings on Hospital-Based Contracts
Author: Andrew L. Worthington Download the PDFWith increasing pressures on reimbursement, a shift in focus by payors to inpatient costs and outcomes, and consolidation in the physician market, health systems and hospitals face numerous demands in operating efficient...
HealthCare Appraisers, Inc. Announces New Partner
BOCA RATON, Fla., Jan. 12, 2022 – HealthCare Appraisers, Inc., a premier, national healthcare valuation and advisory firm, named Jared A. Davis, MBA, as a new partner in the organization. “On behalf of HealthCare Appraisers, we congratulate Jared and welcome him to...
The Regulatory Implication of Employee On-Site Healthcare
Author: C.J. Laird, MEd Download the PDFIt is becoming increasingly common for employers across a broad spectrum of industries to offer onsite access to healthcare as an employment benefit, often as a supplement and/or complement to employer-subsidized health...
Eliminating Health Disparities by Diversifying the Healthcare Provider Workforce
Authors: Andrea Ferrari, J.D., MPH, Alyse Bentz, J.D., MPH, and Erica Jacobovits, J.D. MEMBERS OF THE WOMEN’S LEADERSHIP COUNCIL, PUBLISHED ON BEHALF OF THE COUNCIL Download the PDFCurrent events have highlighted racial and gender disparities in health and health...
Innovating Valuation Fee Structures: A Fixed Fee Solution to FMV Appraisal Fees
Author: David B. Fink Download the PDF THE HEALTHCARE VALUATION COMMUNITY The impetus for the healthcare valuation community began in the late 1990’s after the Physician Self- Referral Law (commonly known as the Stark Law) was enacted by Congress, which prohibits...
2021 Update: Physical Therapy Clinics & Centers
Authors: David Y. Lo, CFA, ASA and Nicholas J. Janiga, ASA Download the PDFThe physical therapy industry continues to see growing activity and investment. Most recently ATI Physical Therapy went public through a merger with a special purpose acquisition company,...
Avoiding Red Flags in Medical Directorships – A Valuator’s Guide
Authors: Fred Lara, CFA, ASA, CVA and Kevin Obletz, JD, CVAOriginally published by the American Association of Provider Compensation Professionals. "The cornerstones of regulatory compliance, the concepts of commercial reasonableness and fair market value (“FMV”) are...
HealthCare Appraisers, Inc. Announces New Women’s Leadership Council
BOCA RATON, Fla., Sept. 1, 2021 – Healthcare Appraisers, Inc. has appointed a new Women’s Leadership Council. The council will be working on several initiatives with other leaders in the company to advance dialogue about issues impacting equity, inclusion, and...
OIG Advisory Opinion: Will Clarification on Group Practice Definition Create Additional Opportunities for Physician Investors?
Authors: Alyse Bentz, JD, MPH and Kevin Obletz, J.D., CVA Download the PDFA recent Advisory Opinion[1] (“AO”) offers clarification on the group practice definition for purposes of Section 1877(h)(4) of the Social Security Act and 42 CFR §411.352 (collectively, the...
CMS Proposed Updates to Open Payments Program
Author: David W. Sands, CVA Download the PDFThe Centers for Medicare and Medicaid Services’ (CMS) Proposed Rule for the 2022 Physician Fee Schedule (as of July 2021)[1] includes updates to the Open Payments Program to require additional information with respect to the...
The Push for Supervision Flexibility for Cardiac Rehabilitation (“REHAB”)
Authors: Erica Jacobovits, J.D. and Kevin Obletz, J.D., CVA Download the PDFCOVID-19 has arguably permeated all facets of healthcare delivery, with one manifestation of those changes recently propagated by the Centers for Medicare & Medicaid Services (CMS). In...
How Much Is Your ASC Worth?
By Robert Kurtz, with commentary by HealthCare Appraisers' Director Matthew Muller.Learning your surgery center’s value can help with short- and long-term planning. (Originally published in the Ambulatory Surgery Center Association's ASC Focus, ASCA Journal, August...
HealthCare Appraisers, Inc. Partner Joins AHLA’s Roster of Neutrals
BOCA RATON, Fla., July 9, 2021 – Andrea Ferrari, JD, MPH, partner with HealthCare Appraisers, Inc., a national healthcare valuation and advisory firm, joins the American Health Law Association’s (AHLA) national roster of arbitrators, mediators, and hearing officers....
OIG Issues Special Fraud Alert in Connection with Speaker Programs
Author: David W. Sands, CVA Download the PDFThe Department of Health and Human Services’ Office of Inspector General (OIG) recently released a Special Fraud Alert[1] aimed at pharmaceutical and device companies that use speaker programs to compensate physicians and...
A Multi-Specialty ASC is the Subject of Latest OIG Advisory Opinion
Author: Fred M. Lara, CFA, ASA, CVA Download the PDFOn April 29, 2021, the Office of Inspector General (the “OIG”) posted Advisory Opinion No. 21-02, which addressed a request from a health system and management company (the “Requestors”) for review of a proposed...
HealthCare Appraisers Releases 2021 ASC Valuation and Benchmarking Surveys – Timely Insight into the Trends and Forces Shaping the ASC Industry
BOCA RATON, Fla., May 6th – HealthCare Appraisers, a leading healthcare valuation and advisory firm with offices nationwide, released its comprehensive 2021 Ambulatory Surgery Center (ASC) Valuation and Benchmarking Surveys. Research from these surveys reveal data...
Fair Market Value of Clinical Data
Download the PDFAs more and more healthcare organizations are being courted for their data by life sciences and software companies, there is a growing need for clinical data valuation. In addition to typical data licensing arrangements, clinical data is also being...
2021 ASC Valuation and Benchmarking Surveys
HealthCare Appraisers' clients, please contact your representative for a complimentary copy of the 2021 ASC Valuation and Benchmarking Surveys. These surveys have become widely-utilized and valuable industry resources over the years, and we hope you enjoy the...
2021 Outlook: Diagnostic Imaging Centers and Radiology Practices
Authors: Daniel I. Levin, CFA, ASA and Nicholas J. Janiga, ASA Download the PDFThe imaging market in the United States is estimated to generate more than $100 billion[1] annually with radiology practices and imaging centers accounting for approximately $19 billion[2]...
Shortcomings of wRVU-Based Compensation Models: Lessons Learned in 2020
Author: Kevin P. Cassell, ASA and Jim D. Carr, ASA, MBA Download the PDFCompensation plans based solely or predominantly on work relative value unit (“wRVU”) production have commonly been included in the employment agreements of physicians and other providers...
Quarterly Insight: Q4 2020
Monitoring Industry Activity from Quarter 4 of 2020 As part of our ongoing research into the healthcare industry, HealthCare Appraisers, Inc. follows commentary of publicly-traded health systems, physician services providers, ambulatory surgical center management...
Service Line Co-Management Arrangements and Medical Directorships…Are They Mutually Exclusive?
Author: Jamie McIntyre, JD Download the PDFAs government and private payors maintain focus on initiatives to promote and optimize performance-based payment systems, hospitals and health systems have consistently sought to identify new strategies to align themselves...
Recent Insights
2023 Industry Outlook: Gastroenterology Practices and Ancillary Services
Authors: Daniel I. Levin, CFA, ASA and Nicholas J. Janiga, ASA Download the PDFGastroenterology (“GI”) practices have been going through a period of consolidation since 2016 when the most recent wave of GI-focused physician practice management (“PPM”) companies...
A Look at How Academic Medical Centers May Be Better Poised to Handle the Physician Shortage Crisis
Authors: Kevin Obletz, JD, CVA and Nicole Jacobsen, JD, MBA, LLM Download the PDFOriginally published by the American Association of Provider Compensation Professionals, Journal of Provider Compensation, June 20, 2023 Issue. Please note the PDF included herein...
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...
2023 On-Call Summary Review
HealthCare Appraisers is pleased to present its 2023 On-Call Summary Review. This publication summarizes key observations in on-call coverage arrangements observed during the past four years, and includes statistics associated with payment and coverage structures from...
Quarterly Insights: Q2 2023
Monitoring Industry Activity from Quarter 2 of 2023 Earnings calls in the second quarter of 2023 focused on emerging utilization trends impacting providers and payors. The higher utilization experienced in the first quarter continued in the second quarter of 2023 and...
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