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Stark Law FMV: Precluded Reliance on Market Data From Business-Related Parties

The precluded reliance doctrine has been explicitly affirmed in the new Stark regulations, requiring the industry to pay critical attention to this doctrine in establishing FMV for Stark compliance purposes.

Important Provider Compensation Topics in 2022

To begin a dialogue on important topics in physician compensation and fair market value, PYA surveyed more than 30 physician compensation experts to understand the collective thoughts on issues impacting these topics in 2022. These issues range from compensation for advance practice practitioners to value-based compensation. Please join PYA Senior Manager Katie Taylor as she discusses key physician compensation issues in 2022 ...

New valuation credential planned for healthcare compensation

During a recent BVR webinar, Tim Smith (TS Healthcare Consulting LLC) told the audience that a new credential is in the works for valuing the compensation of healthcare providers (physicians, physician assistants, and nurse practitioners).

Healthcare whistleblower case regarding FMV can proceed

The CFO of a healthcare provider blew the whistle on his former employer, alleging it overpaid for a surgery center in order to induce it to refer future business.

The New Stark FMV is a Game-Changer: Foundational Concepts and Valuation Methodology

This two-part BVR webinar series provides a critical and in-depth assessment of the new definitions of fair market value under the regulations for the federal physician self-referral law commonly known as “Stark.” Many in the healthcare valuation industry have viewed the updated definitions, along with new commentary from the Center for Medicare & Medicaid Services (CMS), as promoting “business as usual” for healthcare valuation practice. Timothy Smith, however, begs to differ. Smith was a major ...

Preorders open for unique guide to FMV under the new Stark regs

No other work can compare to a new guide to the new definitions of fair market value (FMV) under the recently updated regulations for the federal physician self-referral law—the Stark law.

The Complete Guide to Fair Market Value Under the Stark Regulations

August 2022 PDF, Softcover

Timothy Smith

Business Valuation Resources, LLC

Published in collaboration with American Association of Provider Compensation Professionals (AAPCP), this timely new Guide healthcare valuation expert Timothy Smith delivers a critical and in-depth assessment of the new definitions of fair market value (FMV) under the recently updated regulations for the federal physician self-referral law – the Stark law.  The updated regulations make critical changes in how accepted valuation principles and practices are used to determine Stark FMV.  Learn more >>

Date change for webinar on new Stark FMV regs

Part 1 of a two-part BVR webinar series on the new Stark FMV regs, originally scheduled for June 28, will be held on July 26.

A Lesson in Healthcare Supply and Demand—and Market Power, Part 2

This is Part 2 of a two-part article that follows up on the author’s landmark research on the fair market value of physician compensation. The issue of insurance market structure and the related impact on the negotiating of provider contracts was addressed in Part 1 of this article. Physician distribution and the impact of local payment rates that determine compensation is addressed in Part 2.

A Lesson in Healthcare Supply and Demand—and Market Power, Part 1

This is a follow-up to the author’s landmark research on the fair market value of physician compensation. The issue of insurance market structure and the related impact on the negotiating of provider contracts is addressed in Part 1 of this article. Physician distribution and the impact of local payment rates that determine compensation is addressed in Part 2.

Weaver reviews healthcare valuation in 2021

A collection of articles by valuation practitioners at Weaver give a 2021 year in review for healthcare valuations.

Healthcare Valuations: A Check Up

Since March 2020, the United States healthcare industry has faced great adversity. COVID-19 has impacted the way hospitals pay their physicians forever. Join Kathryn Taylor and Justin Conant for your annual Healthcare Valuation Checkup. Get up to speed on the current environment surrounding physician compensation and review the top 10 issues potentially impacting physician compensation in 2022. Learn critical topics such as the group practice exception, advanced practice provider supervision and personally performed work, value-based ...

Practical Considerations for Valuing Imaging Centers

One thing consistent in healthcare is change. With continued increasing regulatory initiatives and consolidation and integration in the healthcare delivery system, imaging centers continue to be an area of focus for healthcare valuations. Trends in the healthcare economy are leading to alliances with, and acquisitions of, imaging centers by a variety of suitors. Valuation challenges abound, requiring the professional valuator to be able to demonstrate a strong understanding of the factors of influence on imaging ...

Imaging centers: If you’ve seen one, you haven’t seen them all

If you value the local hardware store, the next one you value is likely to look pretty much the same.

Business Valuation Update Yearbook, 2022 Edition

January 2022 PDF, Softcover (454 pages)

BVR (editor)

Business Valuation Resources, LLC

A new year means another annual “greatest hits” publication!  The Business Valuation Update Yearbook 2022 covers the previous year’s most groundbreaking and thought-provoking advancements in valuation.  It captures changes in regulations and professional standards, key takeaways from professional conferences, and tactical practice-building ideas. This critical desktop reference puts you ahead of the competition with on-the-ground reporting by the BVR editorial team including an Introduction by Andy Dzamba, BVR Executive Editor and insights from notable BV experts.  Learn more >>

Physician Distribution, Mobility, Fair Market Value, and Compensation Surveys: An Update

This article updates the author’s peer-reviewed research on the geographic distribution of physicians in the United States, including some key commentary from CMS about the use of surveys for Stark fair market value.

The Myth of the Healthcare Multiple

For most, the concept of a valuation multiple is easy for market participants to understand. Unfortunately, this simplicity of concept leads to widespread misapplication of valuation multiples and often results in sellers having unreasonable expectations. In the myth of the multiple, healthcare valuation expert Jason Ruchaber, CFA, ASA, will separate fact from fiction and explore the real financial and compliance considerations that drive FMV and purchase price in healthcare transactions.

‘Survey Says’ for FMV of Physician Compensation Is on Its Last Legs

The use of compensation surveys to determine the fair market value of physician compensation is seriously flawed, a position well-known expert Mark Dietrich has long maintained. Plus, recent government regulations confirm his position. He offers an alternate methodology.

Dietrich updates landmark research on physician compensation

The December issue of Business Valuation Update includes an article by Mark Dietrich that updates his important research on the geographic distribution of physicians in the United States.

D&P/Kroll updates multiples in healthcare services

The S&P Healthcare Services Index declined by 0.6% in August, compared to the S&P 500 Index, which increased 2.9% over the same period, according to the August 2021 “Healthcare Services Sector Update” from Duff & Phelps, a Kroll Business.

Specialty pharmacies resilient amid COVID-19

The pandemic had less of an impact on specialty pharmacies than other types of entities, say speakers on a recent BVR webinar.

New rules for FMV in healthcare should dull DOJ’s sword

The Department of Justice has taken an aggressive stance in fraud and abuse cases involving the measurement of fair market value of physician compensation.

New Ballgame for FMV in Healthcare Under Final CMS Rules

The valuation profession is now in the driver’s seat with respect to the definition of fair market value for healthcare regulatory purposes. The game changer is in the final rules from the Centers for Medicare & Medicaid Services (CMS) related to the Stark Law. There is also a call for papers.

Valuation of Specialty Pharmacies – Practical Considerations

Do you know the elements to consider when performing a valuation assignment for a specialty pharmacy? Join Jarrod Barraza for a dive into the industry and regulatory backdrop and recent history. Learn about the outlook and market trends with a focus on operational considerations. Discuss the valuation considerations, and hear from Mike Gerling, an expert in the specialty pharmacy industry, who will provide insight as an operator. With a focus on practical considerations when conducting ...

Physician Compensation and COVID-19: Then and Now and Now What?

PYA’s Kathryn Taylor, CPA/ABV, ASA, MBA (consulting senior manager), and Justin Conant (consulting senior staff) will be presenting Physician Compensation and COVID-19: Then and Now and Now What. In this 100-minute session, Kathryn and Justin will review what physician compensation was like before COVID-19 and how it changed during the pandemic. Next, we will look into the future and explain where physician compensation and physician arrangements are headed. Kathryn and Justin will go through topics ...

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