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
Industry Insights: Women’s Health in 2023
Authors: Cecelia R. Chavez, AM, Chris Vaughan, MBA, ABV, and Nicholas J. Janiga, ASA Download the PDF INTRODUCTION The women’s health industry has experienced significant growth and transformation in recent decades, driven by demographic and population trends,...
Industry Insights: Women’s Health in 2023
Authors: Cecelia R. Chavez, AM, Chris Vaughan, MBA, ABV, and Nicholas J. Janiga, ASA Download the PDF INTRODUCTION The women’s health industry has experienced significant growth and transformation in recent decades, driven by demographic and population trends,...
HealthCare Appraisers, Inc. Announces New Partner
BOCA RATON, Fla., Jan. 7, 2020 – HealthCare Appraisers, Inc., a premier, national healthcare valuation and advisory firm, named Kevin Obletz, JD as a new partner in the organization. “On behalf of HealthCare Appraisers, we congratulate Kevin and welcome him to the...
Proposed Rule Changes for Cybersecurity in Electronic Health Record (EHR) Donation Arrangements
Authors: David W. Sands, CVA and Fred Lara, CFA, ASA, CVA Download the PDF On October 9, 2019, the Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) released new Stark Law and Anti-Kickback Statute (AKS) proposed rules that...
Deploying Advanced Practice Providers in Call Coverage Arrangements – What Does It Mean for FMV?
Authors: 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...
Whack-a-Mole to Pac-Man: The Evolving Influence of Hospital-Physician Alignment Agreements
Authors: Andrea M. Ferrari, JD, MPH and Jamie McIntyre, JDOriginally 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 between...
ASC Valuation Multiples | Collaboration on the Rise
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...
FMV Documentation and Real Estate Compliance – Often Overlooked, but Never Undervalued
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...
A Glimpse at the Future of Healthcare Regulation
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...
Quarterly Insight: Q2 2019
Monitoring Industry Activity from Quarter 2 of 2019 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...
Current Trends in Hospital Transactions: 2019
Authors: Matthew J. Muller, ASA and Nicholas J. Janiga, ASA Download the PDF INTRODUCTION Over recent years, HAI has observed numerous trends associated with hospital acquisitions and joint ventures. Smaller, community-based hospitals are typically the target entity...
Appellate Court Decision Casts Shadow on wRVU-Based Compensation Plans
Authors: Jim D. Carr, ASA, MBA and Matthew J. Milliron, CVA, MBA Download the PDF On September 17, 2019, the United States Court of Appeals for the Third Circuit issued a decision[1] that has the potential to send shockwaves throughout the healthcare industry. ...
Threading the Surgical Needle, Navigating the Challenges of Physician-Industry Collaboration in Life Sciences
Authors: Giulia Pace, MBA and Luis A. Argueso Download the PDF Physicians hold a unique position as innovators in the healthcare industry. Research suggests that more than half of new therapeutic uses for molecular entity drugs are discovered by practicing physicians...
On-Call Coverage Compensation & Structures: Know the Options
Authors: Adam S. Polsky, MBA, CVA and Fred Lara, CFA, ASA, CVA Download the PDF An ongoing challenge for hospitals is ensuring continuous specialty coverage for emergency departments and inpatients that require urgent specialist consultation. Provider compensation...
Trends in Dental Practice Management: Dental Support Organizations
Authors: C.J. Laird, MEd and Brandon J. Billeaudeau, MPA Download the PDF Similar to many other segments of the healthcare industry, the practice of dentistry is responding to the shifting market demands impacted by the advent of new technology, changing consumer...
2019 ASC Valuation Survey
We are pleased to release the results of the 2019 Ambulatory Surgery Center (ASC) Valuation Survey. The survey contains valuable insights into ASC valuation multiples, transaction trends, and other operating metrics. We surveyed ASC management companies, health...
Pay for the Pieces or Get Crushed by the Whole
Author: Scott Safriet, MBA, CVA Given the ever increasing competitive landscape underlying hospitals’ efforts to recruit and hire quality physicians and health care providers, we are seeing a higher frequency of employment agreements that embody aggressive commitments...
The Role of Valuation Firms in the Self-Disclosure Process
Author: Barbara Landy, MBA, MHS, FACHE Occasionally, healthcare entities may have the need to perform a review of their compensation arrangements with healthcare providers, which may surface compliance concerns about such arrangements. Healthcare entities facing...
The Long Arm of the Law – Healthcare Fraud and the Travel Act
Authors: Fred M. Lara, CFA, ASA, CVA, David W. Sands, CVA, and William G. Kaufmann, Jr., JD/MBA The Anti-Kickback Statute, Stark Law, and False Claims Act have been the primary enforcement tools used by federal prosecutors to curb healthcare fraud in the hospital...
2019 ASC Benchmarking Survey
We are pleased to release the results of the 2019 Ambulatory Surgery Center (ASC) Valuation Survey. The survey contains valuable insights into ASC valuation multiples, transaction trends, and other operating metrics. We surveyed ASC management companies, health...
Eliminating Kickbacks in Recovery Act of 2018 (“EKRA”) and Marketing Arrangements
Author: Daniel I. Levin, CFA In an effort to combat the opioid crisis, Congress enacted the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (“SUPPORT Act”). The SUPPORT Act is comprised of more than 70...
Bytes to Bucks: The Valuation of Data
Author: David Lo, Luis Argueso and Nicholas Janiga, ASA | Published: 8/1/2019 Download the PDF Researchers and companies have long been gathering data to gain new insights into health and illnesses. With the significant increase in use of electronic health records,...
Appraising Linear Accelerators
Please see our updated 2023 version for the latest information. Authors: Jeffrey Doyle, ASA & Kirsten Hodges A Linear Accelerator (“Linac”) is a technically advanced medical device/system that is utilized in radiation oncology. A Linac customizes high energy...
Recent Insights
Surgical Tools of the Trade: Derivatives in Healthcare Transactions
Authors: Jordan A Zoeller, MAcc, CFA and Nicholas J. Janiga, ASA Download the PDFWhile equity interest transactions and outright acquisitions are the most common pathways to acquiring a desirable healthcare business or asset, many healthcare businesses are approaching...
Industry Outlook: Orthopedic Practices and Ancillary Services
Authors: Daniel I. Levin, CFA, ASA and Nicholas J. Janiga, ASA Download the PDFOrthopedic practices have long generated interest from outside buyers, including hospitals and health systems, and more recently, private equity firms. There are many rationales and factors...
Key Components of a Successful ASC Transaction
Authors: Robert Kurtz Download the PDF Includes interview with Nicholas J. Janiga, ASA. Originally published by the Ambulatory Surgery Center Association. ASC Focus, The ASCA Journal, March 2023. Build a strong team, do your due diligence and have patience....
Quarterly Insight: Q4 2022
Monitoring Industry Activity from Quarter 4 of 2022 Fourth quarter earnings calls continued on many of the themes from 2022 including inflation and staffing difficulties across sectors. Although Q4 seemed to show some improvement relative to earlier in the year from a...
Sports Marketing and Sponsorships are a Grand Slam for Healthcare Entities and Providers
Authors: Bobby J. Van Dusen, MSAQF, Daniel I. Levin, CFA, ASA and Nicholas J. Janiga, ASA Download the PDFSince the first broadcasted sporting event occurred in 1911 when a football game was relayed to audiences, the United States has been enamored by sports. Today,...
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