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Healthcare Valuation Series - Part IV of IV
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The four-part HC Topics Series: Healthcare Valuation examined various aspects of the process by which healthcare enterprises, assets, and services are appraised. Part I discussed the application of the fair market value and commercial reasonableness standards by various regulatory agencies; Part II addressed the valuation of intangible assets; Part III addressed the valuation of services; and, Part IV concludes 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 Chief Executive Officer, 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 IV: Regulatory Issues Related to Exempt Organizations
On January 2, 2013, President Obama signed into law the American Taxpayer Relief Act (ATRA), which has several important implications for healthcare providers. Significantly, the ATRA freezes current SGR rates and prevents a Medicare physician payment rate cut of 27.4 percent and delays the mandated two percent cut to Medicare funding.
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The Impact of the American Taxpayer Relief Act
On January 2, 2013, President Obama signed into law the American Taxpayer Relief Act (ATRA), which has several important implications for healthcare providers. Significantly, the ATRA freezes current SGR rates and prevents a Medicare physician payment rate cut of 27.4 percent and delays the mandated two percent cut to Medicare funding.
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Concurrent Care: Improving Access to End of Life Treatments
Under the current Medicare coverage policies, patients must choose between either curative treatment options or hospice care. However, under the Medicare Hospice Concurrent Care Demonstration Project, authorized under the ACA, certain hospice facilities will be reimbursed for both treatment options. HHS will evaluate the impact on patient care and quality of life, as well as the cost-effectiveness of reimbursing facilities for both curative treatment options and hospice care.
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OIG Annual Solicitation of Safe Harbor Proposals
Each year the Office of Inspector General (OIG) solicits proposals for developing new, or modifying existing, safe harbor provisions under the Federal Anti-Kickback Statute. Although, the safe harbor provisions have been changed only a few times since their inception in 1991, each year OIG considers proposals for modifying the safe harbors vis a vis their potential impact on: access to health care; quality of healthcare; and, provision of medical services to undeserved populations.
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