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Fair Market Value & The Continuing Evolution of Service Line Co-Management Arrangements

May 17, 2017 HealthCare Appraisers

More than ever, hospital/physician alignment strategies that foster cooperation and shared goals between hospitals and their medical staffs are paramount in achieving quality and efficiency improvements.  Unfortunately, looking back historically, many hospitals have not effectively partnered with their medical staff physicians in the planning, [...]

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Medical Practice Valuation: A Balanced Approach

May 12, 2017 HealthCare Appraisers

Framing the Practice Intangibles Issue

Throughout the United States, medical practice acquisition activity has increased significantly, driven primarily by ongoing uncertainties resulting from:

1) Health Care Reform

2) Declining Reimbursement From Medicare

3) A desire for hospitals and health systems to bolster integrated delivery models and [...]

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Management Services Arragements In Healthcare

April 24, 2017 HealthCare Appraisers

Growth in the use of management services arrangements in healthcare has been fueled by continued pressure on physician professional fees.  As a result, alternate compensation vehicles are becoming more commonplace, as well as the increasing industry complexity and the need to manage healthcare organizations efficiently, effectively, and in [...]

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Clinically Integrated Networks (CINs): Fair Market Value In A Value Focused World

April 12, 2017 HealthCare Appraisers

I. Introduction

For healthcare providers, and in particular for hospitals and physicians, 2015 was an interesting year that was full of surprising twists and zigzagging transactional trends. In the first half of the year, new legislation in the form of the Medicare Access and CHIP Reauthorization Act (“MACRA”) promised radical transformation in [...]

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Valuation of Professional Services Arrangements (PSA)

April 06, 2017 HealthCare Appraisers

As the hospital/physician landscape continues to evolve, both parties are continually looking for ways to improve their alignment opportunities. The gals of such improved alignment are often focused on better clinical outcomes and improved financial integration.  One area that is gaining increased traction is the professional services [...]

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Recent Hospital Settlement Highlights Problematic Physician Employment Arrangements

April 06, 2017 HealthCare Appraisers

On July 28, 2016, the Justice Department announced that Lexington County Health Services District Inc. d/b/a Lexington Medical Center located in West Columbia, South Carolina, agreed to pay $17 million to resolve allegations that it violated the Physician Self-Referral Law (the Stark Law) and the False Claims Act by maintaining improper [...]

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