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Healthcare Valuation Series - Part I of IV
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The four-part HC Topics Series: Healthcare Valuation will examine various aspects of the process by which healthcare enterprises, assets, and services are appraised. Part I will discuss the application of the fair market value and commercial reasonableness standards by various regulatory agencies; Part II will address the valuation of intangible assets; Part III will address the valuation of services; and, Part IV will conclude with a discussion of several of the more complex aspects of valuation related to the acquisition of physician practice enterprises (and service lines); assets (both intangible and tangible); and, services, by exempt organizations. This HC Topics Series is excerpted from the book authored by HCC President Bob Cimasi, entitled, "Healthcare Valuation: The Financial Appraisal of Enterprises, Assets, and Services," to be published by John Wiley & Sons later this year.
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 Healthcare Valuation Series Part I: A Look at Fair Market Value and Commercial Reasonableness
Much of healthcare valuation relies on the standard of fair market value (FMV) as the nexus of regulatory compliance, and many healthcare arrangements are also scrutinized under the related threshold of commercial reasonableness. Typically, legal counsel does not provide a legal opinion as to the FMV or commercial reasonableness of an arrangement and will most often retain, and rely upon, an independent valuation consultant to provide certified valuation opinions as to FMV and commercial reasonableness. This article will provide an in-depth discussion of these two standards.
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ACO Value Metrics Series Part II: A Cost-Benefit Analysis of ACO Formation
Last month's installment of the HC Topics Series: ACO Value Metrics discussed the basic financial considerations involved in federal accountable care organization (ACO) formation, including start-up and ongoing operational costs, and potential revenue generation under the one-sided and two-sided models of the Medicare Shared Savings Program (MSSP). This month's installment will examine the cost-benefit analysis that entities contemplating federal ACO formation must perform.
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Certificate of Need (CON) Law Series Part II: The Current State of CON Programs Across the Country
Last month's installment of the HC Topics Series: CON Law discussed the history of states' CON programs and how, despite repeal of the National Health Planning and Resources Development Act (NHPRDA) and the loss of supporting federal funds, the majority of states elected to maintain or implement CON programs. Despite substantial evidence that CON restrictions have little to no effect on controlling healthcare costs, most states continue to restrict the supply of healthcare facilities or services in some way today. This month's installment of the CON Law Series will examine the current state of CON regulations across the country.
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New IOM Report Calls for Better Learning and Adoption
On September 6, 2012, the Institute of Medicine (IOM) released a new seminal report, entitled: "Best Care at Lower Cost: The Path to Continuously Learning Health Care in America." Building upon its earlier works, this latest report may stimulate even greater improvement in the healthcare system than the IOM's previous reports were able to accomplish. Through a series of recommendations, the IOM outlines ways in which various stakeholders should collaborate to improve the way the healthcare system learns.
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