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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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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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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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Raising the ASC Value Ceiling Through Real Estate

December 16, 2016 HealthCare Appraisers

The real estate component of ambulatory surgical centers (ASCs) has long been a back seat driver when performing ASC valuations. With strong capital markets having turned healthcare real estate investing from a niche market to mainstream investment platform, real estate for ASCs has begun to take a more visible front seat location when it comes [...]

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Complete Guide To Buying Or Selling Medical Practices

September 14, 2016 HealthCare Appraisers
Two Types Of Physician Practices For “Sale” In Today’s Marketplace: 

1. Solo Practices:  which are generally made available for sale upon the planned retirement of the physician.  For purposes of this discussion, solo practices are also defined to include practices of two to three physicians, provided that each of the doctors decide to retire [...]

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Valuation of Physician-Owned Hospitals

September 20, 2013 HealthCare Appraisers

The Patient Protection and Affordable Care Act (“PPACA”) of 2010 significantly impacted both existing and developing physician-owned hospitals.  Section 6001 of PPACA amended Section 1877 of the Social Security Act (“Limitation on Certain Physician Referrals”) to preclude a referring physician from having an ownership or investment interest in [...]

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