CY 2022 Medicare OPPS and ASC Payment System Final Rule

Written by Jack Hawkins On November 2, 2021, Centers for Medicare & Medicaid Services (“CMS”) released the CY 2022 Hospital Outpatient Prospective Payment System (“OPPS”) and Ambulatory Surgery Center (“ASC”) payment system policy changes and payment rates final rule. Based on the final ruling, CMS will continue to update the ASC payment system using the… Read More

Implications of the 2022 Fee Schedule

Written by Mallorie Holguin and Ryan Hay Last year, the Centers for Medicare & Medicaid Services (“CMS”) revised the relative value units (“RVUs”) for many outpatient codes, specifically those related to evaluation & management (“E&M”). The Impact of the 2021 Medicare Physician Fee Schedule on Physician Practice Revenue and Provider Compensation provides an in-depth overview… Read More

Important Guidelines for Selecting Quality Metrics In Physician Arrangements

Written by Kyle Spears and Jen Johnson, CFA As the value-based care reimbursement environment grows, there is an increasing interest in linking additional physician compensation to the achievement of quality outcomes as measured by certain quality metrics. These quality metrics are now commonly found in employment agreements, independent contractor agreements, service line co-management agreements, and… Read More

Private Equity Investment in Urology

Written by Jordan Tussy, Hunter Hamilton and William Teague, CFA As many physician specialties begin to mature (e.g., gastroenterology, dermatology and ophthalmology), funds have started to flow into the urology space from private equity (“PE”) firms still eyeing platform acquisitions. “Competition for quality assets in this segment is still pretty light. There are a number… Read More

Post-COVID Healthcare Operator Guidance: Comparing recent guidance figures from the public healthcare operators to levels estimated prior to the COVID-19 pandemic

Written By: Savanna Dinkel, CFA, Madi Whyde, Grayson Burchard, Alex Whitley, and Colin Geraghty, Colin McDermott, CFA, CPA/ABV Contributors: Blake Madden, Chris Madden, Alex Malin, Eric Noyer, and Olivia Wilson In March 2020, the coronavirus (“COVID-19”) pandemic began reshaping the world economy. At the time, many factors about the disease were unknown and impossible to… Read More

Now Trending in Behavioral Health: Integration Strategy, Regulatory Compliance, & Transactions

At the American Health Law Association’s 2021 Annual Meeting, held in June, VMG Health Managing Director Clinton Flume, presented trends within the behavioral health industry, along with co-presenter Jenna Gunville of the law firm Polsinelli. The excerpt highlights Mr. Flume’s observations of the continued consolidation within the behavioral health industry. Can you talk about the… Read More

Behavioral Health Joint Ventures: Recent Activity & Key Considerations

Behavioral health has been of one of the most active sectors in the healthcare transaction marketplace in recent years. Driven by plentiful investment capital, regulatory changes, the opioid crisis, public recognition of the need for mental healthcare and broader coverage from payors, the industry has seen numerous companies pursue consolidation strategies. A common trend that… Read More

Built-to-Suit: Constructing a New Building? Transaction Structuring, FMV, and Compliance Considerations – Part 4: Conclusion and Additional Resources

Written by Victor McConnell, MAI, ASA, CRE, Frank Fehribach, MAI, MRICS, and Grace McWatters *This is Part 4 in VMG’s series on transaction structuring considerations for new developments.  The other parts in this series can be found here: Part 1, Part 2, Part 3. This four-part series has provided an overview of the unique considerations… Read More