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Shifting Paradigms? The Potential Impact of MACRA On What Constitutes Fair Market Value and Commercial Reasonableness in Physician Transactions

September 20, 2017 HealthCare Appraisers

On November 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published its “final rule with comment period” implementing the Medicare Access and CHIP Reauthorization Act (MACRA).1 This highly-anticipated final rule set forth new details, conditions, and timelines for the physician payment changes that will follow from MACRA, which [...]


Benefits of HealthCare Appraisers' Physician Employment Calculator

July 27, 2017 HealthCare Appraisers

For the past many years, HealthCare Appraisers has seen a steady rise in hospital-physician employment arrangements. Whether the result of the desire of hospitals and health care systems to expand their affiliated physician networks and delivery models, declining reimbursement rates and the need to gain bargaining power with commercial payors, [...]


An Investors Guide To Surgery Center Ownership

June 01, 2017 HealthCare Appraisers

Ambulatory surgery centers are currently actively traded in the marketplace. Given this high level of activity, it is essential for ASC leaders considering a sale or an assessment of where their center stands in the market to accurately determine their center's value.

Small surgery centers that are wholly owned by a single physician group or a [...]


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 [...]


Valuation of Professional Services Arrangements

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 [...]


Beware of Stark Law ‘self-dealing’ In Skilled Nursing

March 24, 2017 HealthCare Appraisers

Nursing HOME administrators should seek legal and valuation assistance to assure compliance

Skilled nursing facilities that pay physicians for medical director services may be at risk for violating Section 1877 of the Social Security Act; generally referred to as the “Stark Law.” Hospitals and other healthcare entities, as well as physicians [...]

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