Should on-call independent contractors be compensated more than employed physicians?

By Bartt B. Warner, CVA Compliance Today The Emergency Medical Treatment and Labor Act of 1986 (EMTALA) created a need for hospitals that participate in Medicare to have physicians available to provide emergent medical services to patients in the hospital’s Emergency Department (ED). Thus, hospitals are required to ensure their EDs are either staffed or have.. read more →

VMG’s Health Care Transactions and M&A Report: 2016 Trends and 2017 Expectations

By John Meindl and Winston Smart AHLA Healthcare Transactions Resource Guide Health care M&A activity continued its half-decade long growth trend in 2016. Though the dollar value of total deals decreased relative to 2015 due to a spike in managed care megadeals in 2015, when excluding 2015, the dollar value of deals has continued to.. read more →

Joint Venturing Your Behavioral Health Unit? Insights and Valuation Considerations

By William Teague, CFA and Matt Crook VMG Health Market Overview The behavioral health industry has historically been a fragmented market comprised mainly of independent freestanding operators, state institutions and acute care hospital departments. Current estimates by the Federal Substance Abuse and Mental Health Services Administration indicate that approximately 64.2% of behavioral health facilities are privately.. read more →

7 Things You Need to Know About PACE Programs

By Genevieve Gerten and Kevin McDonough VMG Health What is it? Program for All-Inclusive Care for the Elderly (“PACE”) provides comprehensive healthcare services for the frail and elderly. PACE serves as an alternative opportunity to allow the elderly to remain in their communities, rather than going to a nursing home or similar facility.   What care.. read more →

4 Reasons to Joint Venture Your Behavioral Health Unit

Written by William Teague, CFA and Matt Crook Becker’s Hospital Review The behavioral health industry is undergoing a wave of consolidation with the emergence of multi-location chains and growth of for-profit operators. A major reason behind this growth has been regulatory changes including the 2016 revision of the Medicaid Institutions for Mental Diseases (“IMD”) Exclusion,.. read more →

Bundled Payment Program Expansion Delayed 3 Months by CMS

By Winston Smart VMG Health On Tuesday March 21, 2017, the Federal Register will publish an interim final rule delaying the effective dates of a final rule regarding bundled payment programs published January 3, 2017 titled “Medicare Program; Advancing Care Coordination Through Episode Payment Models; Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care.. read more →

Key Valuation Issues for Healthcare Leadership

Presentation by Thomas Warrington, CVA, Don Barbo, CPA/ABV, and Bartt Warner, CVA HFMA Maryland Spring Institute, March 13, 2017 Managing Directors, Thomas Warrington and Don Barbo and Manager, Bartt Warner presented on “Key Valuation Issues for Healthcare Leadership” at the HFMA Maryland Spring Institute in Annapolis, MD on March 13, 2017. read more →

On-campus Medical Office Buildings: Is a Premium Warranted? If So, When and Why?

By Victor McConnell, VMG Health and Andrew Dick, Hall Render Killian Health & Lyman PC AHLA Connections Health care real estate assets are often referred to as being located “on-campus” or “off-campus.” While real estate market participants may differ in their criteria for referring to a property as on- or off-campus, the Centers for Medicare.. read more →

Healthcare Litigation Alert: Physicians and Others Affiliated with Forest Park Medical Center in Dallas Indicted in Massive Conspiracy

By Don Barbo, Managing Director and John Meindl, Manager VMG Health The U.S. Department of Justice announced on December 1, 2016, that various parties, including physicians and executives, affiliated with Forest Park Medical Center in Dallas (FPMC) have been charged in a federal indictment with various felony offenses stemming from their payment and/or receipt of.. read more →

Determining Reasonable Price for Physician Non-Compete Buyouts: One Size Does Not Fit All!

By Don Barbo and John Meindl Becker’s Hospital Review Increasingly, physicians are choosing to enter employment relationships with larger practices or hospital-affiliated entities instead of owning their own practices. Employment contracts will often include non-competition covenants that restrict the employed physician from competing with the practice during and after the employment relationship has ended. Unfortunately,.. read more →