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Give the Market a Voice: Applying the Market Approach in Healthcare Business Valuations
The market approach often gets ignored in favor of the income and asset approaches for a variety of reasons including a lack of comparable transactions, limited comparability with whatever market data does exist, and a general lack of contextual information related to precedent deals. In this webinar, William Hamilton will address industry-specific issues related to applying the market approach in healthcare business valuations. The market approach is a very important reasonableness check that shouldn’t be ...
BVR's Teleconference Series on Healthcare Valuation (Part 2 of 3)
BVR’s Teleconference Series on Healthcare Valuation (Part 2 of 3) Teleconference Handbook June 23, 2009 Panelist: Carol Carden, CPA/ABV ASA, CFE, Mark O. Dietrich, CPA, ABV, Douglas Smith, and Timothy Smith, CPA/ABV Please note: This Handbook does ...
Valuation of Medical Laboratories
Part 4 of BVR's Online Symposium on Healthcare Valuation features expert appraisers Curtis Bernstein, Amy Graham, and Kyle Rudduck on the Valuation of Medical Laboratories. Like many valuation assignments in healthcare, this installment of our symposium focuses on a business you likely know well, as a patient, but little of as an appraiser: medical laboratories. From pathology to phlebotomy, Bernstein, Graham, and Rudduck will discuss the operations and business relationships of medical labs, how these ...
Healthcare Industry Valuation
Healthcare Industry Valuation Teleconference Presentation & Transcript February 20th, 2008 Moderator: Lucretia Lyons Panelists: Mark Dietrich, Mark Dietrich, CPA, PC Don Barbo, Healthcare Valuation Services for Hill Schwartz S ...
Forecasting Cost of Capital in Healthcare Valuations
Forecasting cost of capital in an industry as dynamic of healthcare is very challenging. Join Carol Carden and Robert Mundy, both of Pershing Yoakley & Associates, as they breakdown the healthcare industry and the different components of cost of capital. Get a look at recent healthcare reform provisions that impact providers, and learn about the many factors that contribute to risk in the healthcare industry. This is a can’t-miss webinar for anyone in the healthcare ...
MIPS and MACRA: What Healthcare Valuators Need to Know Now
The passage by Congress of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) caused the repeal of the Medicare sustainable growth rate (SGR) methodology and signaled a sea change in the way Medicare rewards clinicians for providing quality care. This was followed in 2016 by Centers for Medicare & Medicaid Services (CMS) release of a much-anticipated 962-page proposed rule that outlines specific details on how CMS intends to implement MACRA value-based payment reform ...
Healthcare Reform and Its Impact on Valuation
By now you've heard from the president, both houses of Congress, the media, and even the parliamentarian on what healthcare reform will mean for you personally. Do you know what will it mean for you professionally? In Healthcare Reform and Its Impact on Valuation, BVR will host Mark Dietrich, Elliott Jeter, and Don Barbo, three of the best minds in this field, on what effect healthcare reform and related legislation will have on the valuation of ...
Using Government Data Sources to Revolutionize Healthcare Valuation
Believe it or not, the U.S. government does a few things right when it comes to the healthcare industry. One such area is providing a vast treasure trove of industry data that can be used in healthcare valuation, including both business and compensation valuation. As agencies such as CMS seek greater transparency in healthcare, the government is making all the data it collects through its reimbursement processes available for public use. Yet, many in the ...
The Stark Law & Anti-Kickback Statute: Implications on Healthcare Valuations
The prohibition of remuneration for referrals set forth in the Stark Law and federal anti-kickback statutes (AKS) has long been a challenge for the appraisal of healthcare entities. As the regulatory, legal, and economic frameworks of this industry continue their rapid evolution, identifying and avoiding valuations of these referrals is becoming increasingly important and challenging. In Part 11 of BVR's 2014 Online Symposium on Healthcare Valuation, attorneys James Pinna and Matthew Jenkins discuss how the ...
Valuing CINs, ACOs, PHOs, and IPAs: Bringing Clarity to Healthcare Combinations
As payers continue to turn toward new payment models, many healthcare providers have embraced some form of accountable care, bundled payments, or other types of shared savings/risk arrangements. The first step often involves the development of an entity through which physicians in a community can contract together with governmental and commercial payers, often (but not always) alongside a health system and its employed physicians. Over the past five years, hundreds of these entities have sprung ...
Valuing Telehealth Services
Join Todd Zigrang and Jessica L. Bailey-Wheaton for a discussion of the valuation of telehealth services in the healthcare industry. Learn the current telehealth trends and the role of telehealth in the healthcare industry. Gain an understanding of the types of telehealth services typically provided, such as clinical services, management services, and the provision of technology, and how these services may vary by healthcare industry subsector. Get expert guidance on typical valuation approaches as they ...
Issues in Valuing Tax-Exempt Medical Organizations
In the ever-changing healthcare industry, it would seem something as simple as an entity's tax-exempt status would carry some continuity and stability. But, in the largest sector of the U.S. economy, even this simple characteristic can create ripples that affect the operations and value of the entity in question and others operating in the same marketplace. This 100-minute webinar, Part 5 of BVR's Online Symposium on Healthcare Valuation, features expert appraiser Robert Reilly and attorney John ...
Accountable Care Organizations: What Are They and What Do You Need to Value?
Introduced in recent healthcare reform legislation, accountable care organizations are groups of physicians and hospitals who seek to limit costs and risks and thereby increase profits. As the new kid on the block in the healthcare industry, knowing how to approach these entities—described today as elusive and ephemeral—could be the greatest challenge facing appraisers in the healthcare industry over the coming months and years. In Accountable Care Organizations: What Are They and What Do You Need ...
Current Trends in Ambulatory Surgery Center Valuations
The healthcare industry has been searching for ways to reduce healthcare costs while also increasing patient quality and satisfaction. Ambulatory surgery centers (ASCs) are strategically positioned to help bend the cost curve and increase patient satisfaction, which has led to a rise in popularity of investments in ASCs. Experts Angie Smith and Robert Mundy bring you up to speed with an overview of the ambulatory surgery center market and how ASCs fit within healthcare reform.
Stark Differences from the Inside Out: Two Key Responders Discuss The Final Stark Regulations for FMV and Commercial Reasonableness
The Stark regulations have been updated. What has changed and how does it impact value? Mark Dietrich and Tim Smith were two major contributors of public comments to the Centers for Medicare & Medicaid (CMS) for the updated Stark regulations with over 100 pages of newly written material that was influential in the development of the final regulatory definitions for FMV and commercial reasonableness. In addition, they included over a dozen chapters from the BVR/AHLA ...
Challenges in Estimating Cost of Captial in Healthcare
Perhaps no industry poses as many challenges to assessing future cash flow and risk as the healthcare industry. Heavily regulated and rapidly changing, it is an industry in which projections can be made easily but in which sound, defensible projections are hard to create. In this webinar, Part 4 of BVR's 2013 Online Symposium on Healthcare Valuation, experts Carol Carden and Don Barbo join us to discuss the factors that create these challenges. From current and ...
Power Panel: How Should Healthcare BV Practice Change in Response to the New Stark Regulations?
In this power panel discussion, key thought leaders in healthcare business valuation discuss the ramifications of the recent update to the Stark regulations on BV practices.
The Valuation of Hospitals
Highly regulated, highly fragmented, and uniquely nuanced, hospitals, as a group, can be surprisingly difficult to define. For the appraiser tasked with determining a value to any one of the nearly 6,000 hospitals in the U.S., these and other challenges can greatly impair the valuation process, throwing a defensibility of any valuation conclusion into doubt. In part 2 of BVR's 2012 Online Symposium on Healthcare Valuation, BVR welcomes experts Don Barbo and Robert Mundy for The ...
BVR's Teleconference Series on Healthcare Valuation (Part 3 of 3)
BVR’s Teleconference Series on Healthcare Valuation (Part 3 of 3) Teleconference Handbook December 3, 2009 Panelists: G. Don Barbo, CPA/ABV Gregory D. Anderson, CPA, ABV, CVA W. James Lloyd, CPA/ABV, ASA, CBA Please note: This Handbook does not qu ...
Reconciling FMV with Investment Value: What’s Up with the Proposed Redefinition of FMV by Healthcare Regulators?
In October, the Centers for Medicare and Medicaid Services (CMS) released its newly proposed updates to the Stark regulations that included an overhaul of the definition of fair market value (FMV) for regulatory compliance purposes. Surprisingly, CMS pointed to a whole new framework for FMV and valuation practice in general. To help practitioners prepare for the new paradigm, Tim Smith will do a deep dive into the proposed redefinition of FMV and how CMS now ...
Valuing Professional Practices
December 2005 Teleconference Transcript; Panel: Ron Seigneur (Moderator), Mark Dietrich, and Kevin Yeanoplos ...
Data Error: How New Research Is Changing the Paradigm for Use of Compensation and Work RVU Data for Fair Market Value
In the past decade, use of physician work relative value units (wRVUs) in physician compensation plans has become a highly popular practice. Much of the healthcare industry, including most valuators, establish physician compensation rates based on assumptions about the relationship between compensation and wRVUs in the MGMA and other survey data. Indeed, many valuators use survey data exclusively for fair market value (FMV) purposes based on assumptions about this relationship. New research has recently emerged ...
Valuing Ambulatory Surgery Centers
Over the past decade or more, ambulatory surgery centers (ASCs) have featured prominently in major trends within the healthcare industry. With both for- and not-for-profit hospital systems engaged in joint ventures with ASCs and acquiring practices of physicians who staff ASCs, this segment represents both tremendous opportunity for business appraisers and significant risks and challenges associated with compliance, fraud, and regulatory statutes. In Part 3 of BVR’s 2014 Online Symposium on Healthcare Valuation, two veterans ...
Healthcare Valuation and the Impact of Recent Court Cases
Teleconference Presentation and Transcript February 8, 2007 Moderator: Mark Dietrich, Partner at Dietrich & Wilson, PC Speakers: Don Barbo, Partner at Hill Schwartz Spilker Keller, LLC Carol Carden, Director with ValuePoint Consulting Group ...
Healthcare Valuation Townhall: Four Expert Panel on Covid-19 Impacts and Beyond
Bring your questions as leading experts Jerry Chang, Mark Deitrich, James Lloyd and Todd Sorensen have a conversation about the critical issues impacting healthcare. Covid-19 has impacted the healthcare industry in unique ways, and those valuation experts who practice in this high regulation environment know it is critical to keep up to date about the most pressing issues. Covering a wide range of issues from four perspectives this event delivers the insight you need in ...