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Same Doctor Visit, Double the Cost —WSJ

Insurers Say Rates Can Surge After Hospitals Buy Private Physician Practices; Medicare Spending Rises, Too    Anne Wilde Matthews at the Wall Street Journal reports that the increased number of physicians going to work for hospitals is actually resulting in higher costs for patients.   Hospitals are acquiring physician practices and integrating them into hospital services, and while the stated goal is to im ...

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Sale Options for Senior Physicians

Healthcare Practices Still Command Significant Goodwill Value. Here’s How Owners Can Successfully Plan an Exit. According to The Health Care Group’s Goodwill Registry, a database of buy-in and sale transactions, medical and dental practices are still commanding significant prices for intangible value/goodwill. Here’s the detail on the numbers and guidance for optimal ways owners can find a successor, partne ...

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Should Hospitals Be More Like Chain Restaurants? —New Yorker

Restaurant Chains Have Managed to Combine Quality Control, Cost Control, and Innovation. Can Health Care?   Physician and writer Atul Gawande publishes an essay in the New Yorker today that discusses how the Cheesecake Factory delivers good food at reasonable prices while meeting rigorous metrics (it throws away only 2.5% of all its groceries, for instance), and explores whether and how the lessons of Chees ...

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Healthcare Cloud Technology Market to Hit $5.4B in Five Years

Research Highlights Growth in Healthcare Cloud Computing A MarketsandMarkets report predicts that the global healthcare market for cloud computing will grow to $5.4 billion in 2017, with North America expected to be the biggest contributor because of new clinical diagnosis codes, meaningful use requirements, and other federal efforts. However, privacy and security issues tied to the technology remain a barr ...

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Five Strategies to Survive as a Physician Under the ACA —Physicians Practice

There’s Good Reason for Long-Term Concern, Uncertainty, and Fear. Here's What To Do. James Doulgeris at Physicians Practice explains:  "Everyone in the practice and allied health world should take the title of the legislation seriously — The Patient Protection and Affordable Care Act (ACA). It does not say physician protection nor does it say it will be affordable for you. Most practices will suffer serious ...

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Innovation, Technology Can Help Physicians Stay Independent —Physicians Foundation

Alternatives to Hospital Employment Include Solo 'Micropractices,' Patient-Centered Medical Homes, and Direct-to-Pay Practices Andy Robeznieks at Modern Physician reports that medical practice innovation—including the use of technology to increase efficiency and reduce overhead—is what "holds the key to private practice being a viable alternative to salaried employment," according to a new report from the P ...

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Mark Dietrich Follow Up: Assessing Intangible Value in Physician Practices Using The Cost Approach

Cost Approach is Best Used Simply to Allocate Value Under the Income Approach, Contends Mark Dietrich   Mark Dietrich is concerned that a recent presentation at the NACVA annual conference may have misrepresented the views he expressed with a number of other authors in a paper published in Hospitals and Health Systems RX that was titled Assessing Intangible Value in a Physician Practice Acquisition.  He cut ...

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Top 10 Challenges Facing Medical Practices Today —MGMA

The Most Critical Challenges Confronting Medical Practices Recently, the Medical Group Management Association (MGMA) published results of its member survey and listed the top challenges facing physician practices today.  Reed Tinsley recaps results. Here are critical factors physician executives should focus on to control costs, build incentives, ease management, and strengthen growth. ...

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More on Healthcare Tax Increases Kicking in on Jan. 1, 2013 —WSJ Tax Report

Two New Taxes on Net Investment Income and Medicare Will Take Effect on January First At the Wall Street Journal's Tax Report, Laura Saunders explains.   The word is out: Two new taxes on the affluent and wealthy will take effect as scheduled next year as a result of the Supreme Court's decision upholding the health-care overhaul. One is a new 3.8% tax on net investment income, and the other is a 0.9% incre ...

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What the Supreme Court’s ACA Ruling Means for Physicians —Physicians Practice

The Big Picture: Medicaid Impact,  Patient Demand, Physician Pay, and More.   Physicians Practice, a leading practice management resource, has examined the implications of the historic Supreme Court healthcare decision. Eschewing opinion about John Roberts or the impact on insurance company stock prices, the coverage helps physicians understand what it means for them.  Offering commentary as well as analyzi ...

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Affordable Care Act Upheld

Mandate Survives as a Tax.   Limits on How Widely Feds Can Control States Medicare.   No Other Limits. Brent Kendall, Louise Radnofsky, and Jess Bravin of the Wall Street Journal report the news: ...

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Book Review: The Financial Professional’s Guide to Healthcare Reform

The Financial Professional's Guide to Healthcare Reform; Accountants' Handbook, 12th Edition New titles from Wiley this summer include Scott Miller on Buyouts, Dietrich and Anderson’s thorough Financial Professional’s Guide to Healthcare Reform, Roman Weil et al. on Litigation Services and the Financial Expert, and Graham and Carmichael’s Accountants' Handbook, 12th Edition.  ...

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Successful Medical Practice Valuation

How to Arrive at an Appropriate Fair Market Price for a Medical Practice When valuing a medical practice, how do you determine fair market value in light of recent Stark II regulations? Some of it depends on the definition of the term “commercially reasonable.” And a lot also depends on accurate assessment of future revenues, as well as expense assumptions. Here’s a guide to what to keep an eye on as you na ...

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Structuring Competitive Physician Compensation Models

Structuring Competitive Physician Compensation Models Healthcare financial executives need to understand valuation methodology to ensure legal and regulatory compliance. Specifically, when developing and reviewing their physician compensation programs, healthcare organizations should understand the market data, test outcomes of incentive plans for fair market value, and check total compensation for fair mar ...

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Healthcare Practice Trends: M&A, Compliance, and Standard-of-Care Metrics — Metropolitan Corporate Counsel

Metropolitan Corporate Counsel interviews Monte I. Dube, Partner, and Elizabeth M. Mills, Senior Counsel, of Proskauer’s Health Care Department in Chicago. Excerpts: What are the current trends in M&A within the healthcare industry? Dube: Increasingly and for multiple reasons, U.S. hospitals and healthcare systems of all types are looking for potential partnerships or affiliations. Financially distresse ...

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Few Small Businesses Claim Health Insurance Tax Credit –Accounting Today

Far fewer small employers claimed the health insurance tax credit for small businesses in the health care reform law than were eligible, according to a new government report.  So reports Michael Cohn at Accounting Today: The Small Employer Health Insurance Tax Credit was included in the Patient Protection and Affordable Care Act of 2010 as a way to help small businesses pay for the cost of health insurance. ...

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Healthcare Use Down, Costs Up 10% — WaPo, Politico

Americans with employer-sponsored insurance had fewer hospital stays and visited outpatient clinics less frequently from 2009 to 2010, but prices for inpatient and outpatient care rose by about 10% or more, according to a Health Care Cost Institute analysis of more than 3 billion claims for medical care. The average price of generic drugs fell over the same period, but prices for brand-name drugs rose, the ...

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Could you discuss several benchmarks that surgery center leaders overlook or under-use in their benchmarking efforts?

Becker's ASC Review, a site that provides Practical Business, Legal, and Clinical Guidance for Ambulatory Surgery Centers, recently published an article on benchmarks that ASC administrators often neglect. These are important benchmarks not just for ASCs, but for any physician executives, healthcare practice managers, and the valuators and consultants they work and plan with. An excerpt: Chance Sherer, mana ...

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Medical Practice Benchmarking, Financial Performance, and Quality Care

Medical Practice Benchmarking, Financial Performance, and Quality Care Benchmarking physician practices is an important way to assess practice value by comparing a practice's norms to peer practices in similar specialties or in the same geographic reason. Most physician practices, according to experts, can benefit substantially from benchmarking. Moreover, it's pretty easy to do! Here David Fein discusses w ...

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