Telehealth is a hot issue on Capitol Hill these days.
“In ten years of working on Capitol Hill, I haven’t seen an issue get as much momentum as quickly as telehealth,” says John F. Williams, III, Managing Partner of the Washington D.C. office of Hall Render, Killian, Heath & Lyman. “There is bipartisan support to address telehealth issues.”
By Jeff Beilstein, Tennison Group, Inc.
Recruiters face several recruitment challenges when recruiting doctors to practice in rural communities. Geography, economics, culture, education, technological resources and health care resources are a main source of the recruitment challenges. (more…)
By now it is well known that the number of physician-owned accountable care organizations (ACOs) exceeds the number of hospital-owned ACOs. But how are these ACOs actually formed? How does an ACO contract with provider participants? What are the requirements for ownership and governance? (more…)
By Jeff Beilstein of Tennison Group, Inc.
So you hired a key player–a business partner that will help your organization reach the next level. But six months or a year later, you get notice of a resignation. You wonder what happened and more importantly, how can you avoid this scenario in the future. (more…)
The 2014 M&A Performance Study analyzes the financial performance of 5,800 healthcare businesses before and after ownership changes.
The study subjects include 966 hospitals, 3,660 skilled nursing facilities, and 737 home health agencies certified by Medicare. It is the largest study of post-transaction M&A performance every conducted on healthcare businesses.
An expert panel of six healthcare transaction professionals reviewed the findings. (more…)
A feature interview with Jeffrey Epstein, MD
Jeffrey Epstein, MD, is well acquainted with dichotomies. For eight years from 1998 through 2005, Dr. Epstein served as a part-time medical director for Blue Cross of Philadelphia while also operating his own private internal medicine practice. By comparison, Dr. Epstein says that was a cake-walk compared to the new challenge of juggling fee-for-service and value-based payment. (more…)
Over a 25 year period from 1981 to 1996, researchers have identified over 423 U.S. companies with assets over $500 million that have filed for bankruptcy. This research has revealed patterned behaviors of M&A failure. Here are nine statistics from various studies on M&A failure to consider. (more…)
Interview with Jane Orient, MD, Exec. Dir., AAPS
Over the past six years, thousands of physicians have become hospital employees. This heightens the issue of whether hospital-employed physicians are conflicted when performing medical peer review. Jane Orient, MD, executive director of the Association of American Physicians & Surgeons, has observed a growing divide between hospital-employed physicians and community physicians. (more…)
Interview w/: Leon Owens, MD, FACS, CEO of SAMGI
In 1996, Leon Owens, MD, FACS, started to design a surgical hospitalist program to assist with hospitals’ surgical call coverage needs. Over a five year study period from 2007 through 2011, he found that this new model produced statistically significant reductions in length of stay, complication rates, and hospital costs. Now Dr. Owens and the management company Surgical Affiliates Management Group, Inc. (SAMGI) are bringing this model to hospitals all over the United States. (more…)
In One Doctor, Brendan Reilly, MD, recounts his 40 year career as a primary care internist turned hospitalist. In many respects, Dr. Reilly’s story closely follows changes in the American medical profession during the last 40 years. (more…)
An interview with Jeffrey W. Short of Hall Render
Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs provided incentive payments to eligible physicians who self-attested to their meaningful use of certified EHR technology. Attorney Jeffrey W. Short of Hall, Render, Killian, Heath & Lyman says Medicare’s retrospective audits are requiring some physicians to pay Medicare back the incentive payments they received. Due to the potential for these paybacks, internal audits for these attestations should be added to due diligence for physician practice sales. (more…)
An interview with David H. Snow of Hall Render
Over sixty years ago, the Hill Burton Act infused over $33 billion into construction of hospital facilities in the United States. Attorney David H. Snow of Hall, Render, Killian, Heath & Lyman says many of these now aging critical access hospitals (CAHs) are facing a serious leap of faith when building replacement facilities.
Interview with Robin DiMatteo, Ph.D., UC-Riverside
If you haven’t read Moneyball or seen the movie, the story tells how the Oakland Athletics and New York Yankees both won 103 games in 2002, while Oakland’s payroll was $41 million and New York’s was $125 million. In baseball, this is called playing Moneyball.
To identify how health systems, ACOs, and medical groups around the U.S. are creating Moneyball-like results, HCTA recently interviewed Robin DiMatteo, Ph.D., to gather intelligence from the cutting edge of healthcare delivery. (more…)
On this August 13, 2014 webinar, HCTA co-founders Nicholas Newsad, MHSA, and Kyle Tormoehlen, ASA, MBA, discuss the structure and uses of co-management arrangements, as well as the feasibility and development process.
A disproportionate share of pediatric services are provided by the 100 or so self-designated children’s hospitals in the United States. Non-children’s hospitals that want to expand or enhance their pediatric services must engage independent pediatric specialists for program development. (more…)
If you’ve ever sold an unprofitable business, you know that you are significantly disadvantaged. One approach is to position the sale as the buyer’s alternative to going through the start-up process for a brand new business. Here are 6 ways to position an unprofitable business for a sale. (more…)
During the sale of physician practices, purchase agreements and employment arrangements are negotiated and executed concurrently. There is a fluid give and take relationship between the practice purchase price and forward-looking physician compensation. Not being able to explain how purchase price affects physician compensation can be a real deal killer. (more…)