While mergers and acquisitions within the healthcare sector are expected to grow this year, the bulk of the deals will likely involve targets such as large, outpatient care centers and allied healthcare facilities, as opposed to large in-patient hospitals. This analysis comes as part of a white paper recently released by Ponder & Co. Also included were projections that nonprofit institutions will be the more popular target, with a renewed emphasis on combining regional systems and another tough year for the traditional, community hospital. You can get the full details at the link below. [button color=”blue” link=”http://www.ponderco.com/downloads/Ponder-MA-White-Paper-Q1-2014.pdf” target=”_blank” font=”arial” align=”left”]Read…
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Four things valuators should know about medical claims and coding While all valuators need to be able to cite specific factors considered in the determination of fair market value, many times the measures selected could be applied to a variety of industries. In this first of a two-part series, Jeffry Moffatt examines why revenue is most often a primary area of interest for valuation, because without revenue, there can be no cash flow. However, not all revenue streams are created equal, and therefore, specialized knowledge of certain industries is needed to qualify the underlying value of cash flow. The healthcare…
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Value metrics and capital formation Robert Cimasi serves as chief executive officer of HEALTH CAPITAL CONSULTANTS (HCC). Mr. Cimasi’s firm is a nationally recognized healthcare financial and economic consulting agnecy headquartered in St. Louis, MO, serving clients in 49 states since 1993. He is author of a three-volume set that offers a comprehensive reference guide to the factors involved in consulting with and valuing healthcare practices. In this article, Mr. Wandtke reviews Volume Two, Professional Practices. See http://www.healthcapital.com/advisersguide.
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Medical practice sale pitfalls There are several issues to be keenly aware of when valuing a medical practice, including sources used to evaluate the efficiency of a practice and the need to determine what a benchmark is for the doctor in the practice. It is imperative to do a common sizing calculation when comparing a practice’s performance with national practice data for the medical specialty.
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Healthcare revenue planning challenges Beware of valuing a healthcare practice based on 2012 revenue. Reimbursement rates are lower in 2013, and penalties are being assigned by Medicare. This could further reduce a healthcare practice’s value.
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Physicians Practices are Undergoing Consolidation. Most Often, Practices are Acquired by Hospitals—and a Prerequisite to Acquisition by a Hospital is Having a Practice Valuation Performed. Here’s Why. Physician practices are increasingly undergoing consolidation, and any acquisition requires a valuation performed by an independent third-party valuator. Here’s the low down on what valuators need and why they need it.
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Some Schools Cut Hours of Hard-Pressed Adjuncts to Avoid Rules on Insurance Mark Peters and Douglas Belkin at the Wall Street Journal report that the federal health-care overhaul is prompting some colleges and universities to cut the hours of adjunct professors, renewing a debate about the pay and benefits of these freelance instructors who handle a significant share of teaching at U.S. higher-education institutions:
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Ahead of the new health-care law, small firms worry about crossing the crucial 50-person threshold — and about rising premium rates Emily Maltby at the WSJ Law blog reports on increasing concerns about the forthcoming healthcare laws among small business owners. This seems to be a prominent issue and concern among small business owners, and has been noted in most every major media outlet in recent weeks, from the New York Times to Forbes, CNN, US News & World Report, FoxNews, The Economist, The Hill, the Washington Post, and more:
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Health Costs on His Mind, Small Factory Owner Looks for Ways to Cope With New Law Emily Maltby and Sarah E. Needleman at The Wall Street Journal talk with a small business owner outside of Chicago who’s considering ways to manage growth, preserve profit, and comply with the new healthcare law. Automation Systems, with with sales of about $1.6 million for 2012, currently employs 40 full-time workers, mostly low-paid employees who monitor the factory equipment. If sales were to continue to rise, the plant could, conceivably, employ 50 full-time workers in 2014. Under the new health-care law, the Affordable Care Act,…
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Booming Demand for Nurses and Physician Assistants; Huge Need for Primary-Care Physicians An estimated 30 million people will gain insurance as a result of the Affordable Care Act, asserts Aubrey Westgate at Physicians Practice. At the same time, the Association of American Medical Colleges anticipates a shortfall of 45,000 primary-care physicians and 46,000 specialists in the coming decade. More: “We’ve seen [demand for nurse practitioners (NPs) and physician assistants (PAs)] steadily climbing throughout the year and we don’t anticipate it changing or flattening off any time soon,” Tricia Pattee, director of product management at HealtheCareers Network, told Physicians Practice. “This is due to…
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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 barrier, the report notes.
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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 analyzing the impact on practicing physicians, highlights from its analysis include:
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Uncertainty Surrounding the Court’s Pending Decision Causes Transaction Delay Private Equity International’s Graham Winfrey reports that whatever way the Supreme Court rules on healthcare may end up driving more industry activity.
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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. But the complexities of claiming the credit contributed to a relatively low popularity for the tax credit among both small businesses and their tax preparers. While 170,300 small employers claimed the…
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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 analysis found. The Washington Post opines that “Data Trove May Shed Light on Healthcare Uncertainties”: How much do hospitals and doctors actually charge insurers for their services? How much and which of those services…
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Adjusting, More M.D.’s Add M.B.A. Under heavy pressure from government regulators and insurance companies, more and more physicians across the country are learning to think like entrepreneurs, reports Milt Freudenheim at the New York Times: “All physicians need some kind of business training,” she said. “For example, some physicians with large research grants don’t know how to manage the money.” As for the nation’s troubled health system, “we are not running the business side very well,” Dr. Chandler said. “Part of the problem is we don’t have physicians sufficiently involved. They have a fuller insight about what is needed.” “Cue…
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The Accountable Care Fiasco That’s what the Wall Street Journal calls the state of developing real-world guidelines for “the Accountable Care Organizations that are supposed to be the crown jewel of cost-saving reform.” The theory for ACOs, as they’re known, is that hospitals, primary-care doctors and specialists will work more efficiently in teams, like at the Mayo Clinic and other top U.S. hospitals. ACOs are meant to fix health care’s too-many-cooks predicament. The average senior on Medicare sees two physicians and five specialists, 13 on average for those with chronic illnesses. Most likely, those doctors aren’t coordinating patient care. This…