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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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Ancillary Factors to Consider in Call Coverage Arrangements

April 05, 2017 HealthCare Appraisers

Arriving at appropriate fair market value (FMV) compensation for physician on-call coverage is a key factor in a Hospital’s ability to adequately staff its emergency department in compliance with state and federal regulations.  Determining the FMV range of compensation for these arrangements requires a thorough analysis of the unique dynamics [...]

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Hospital Quality and Efficiency Programs: The Next Evolution in the Service Line Management Arrangement

April 05, 2017 Ann Brandt

In preparation for the continuing shift to payment structures that focus on clinical outcomes and best practices, hospitals/health systems have been considering a diverse array of operational and structural options. Many of the hospital and system-wide programs currently being considered and implemented represent an evolution of service line [...]

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