Visiting the Home Health Marketplace: Observations of the Current Transaction Environment

Home Health valuation

March 2017 A frequently cited solution to reducing rising healthcare costs is to place patients in the lowest cost setting of care.  Accordingly, home health has become a forefront discussion of the healthcare industry.  Large health systems contemplate better ways to integrate home health services into their continuum of care offerings while traditional operators (including private equity… Read More

New Jersey Outpatient Surgery: New Rules, New Market

New Jersey

The highly concentrated New Jersey ambulatory surgery center (“ASC”) market is on the brink of change as new legislation is poised to alter the outpatient surgery landscape. According to the Centers for Medicare and Medicaid Services, New Jersey holds the third highest ASC concentration, with approximately 3 Medicare licensed ASCs per 100,000 persons.1 Further, per the… Read More

7 Things You Need to Know About PACE Programs


 1. 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.  2. What care is provided? PACE completely covers all the participants’… Read More

Joint Venturing Your Behavioral Health Service Line? Insights and Valuation Considerations

Behavioral Health Service 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 owned and operated as non‐profits,… Read More

Bundled Payment Program Expansion Delayed 3 Months by CMS

Bundled Payment Program Expansion

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 for Joint Replacement Model”,… Read More

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

Forest Park Litigation Alert

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 approximately $40 million in bribes and kickbacks for referring certain patients… Read More

Hospital Valuation: Analyzing the Correlation of Hospital Size and Deal Multiple

Hospital Valuation

How Size Influences Hospital Valuation Intuitively, large hospitals are more attractive as acquisition candidates when compared to smaller hospitals due to certain structural advantages. Larger hospitals can take advantage of economies of scale, attract skilled workers, access capital markets and create integrated provider networks. Because of these advantages, one might expect to observe higher transaction… Read More

The Comprehensive Primary Care Plus Initiative: The Latest in Primary Care Compensation and Upcoming Fair Market Value Challenges

Comprehensive primary care

The CPC+ Initiative In April of 2016, the Center for Medicare and Medicaid Services (CMS) unveiled the Comprehensive Primary Care Plus (CPC+) initiative. It’s the largest investment in primary care transformation to date as part of the shift towards value-based reimbursement (VBR). This reform program is an extension of the Comprehensive Primary Care (CPC) initiative that launched… Read More