On February 20, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule regarding the Comprehensive Care for Joint Replacement (CJR) Model. The voluntary model, which began in 2016, aims to reduce healthcare spending while enhancing quality for Medicare beneficiaries undergoing hip and knee replacements. CMS’s proposed rule seeks to add outpatient hip and knee replacements to the episode of care definition, change target prices, and extend the program for an additional three years. (Read more...)

On January 30, 2020, 1Life Healthcare, Inc. (One Medical) went public, opening at $14 per share, and closing at $22.07 per share. The innovative San Francisco-based direct primary care organization more closely resembles a technology start-up than a traditional healthcare organization. The membership model service provides “ seamless access ” to primary care services at “ calming offices ,” 24/7 virtual care, and 21st century technology (e.g., a mobile application that allows patients to schedule appointments and message their provider). (Read more...)  

On January 16-17, 2020, the Medicare Payment Advisory Commission (MedPAC) met to discuss Medicare issues and policy questions to develop and approve a report for recommendations to Congress. MedPAC is an independent congressional agency established to advise the U.S. Congress on issues affecting the Medicare program. MedPAC is tasked with analyzing the quality of care, access to care, and other matters relevant to the Medicare program. The commissioners bring diverse expertise in the financing and delivery of healthcare services. (Read more...)  

On January 10, 2020, the U.S. Department of Justice (DOJ) and the Federal Trade Commission (FTC) jointly published draft guidelines clarifying antitrust enforcement policies relating to vertical mergers. The guideline changes, which are rare, reflect the “ accumulation of experience at the Agencies ” and provide insight and guidance concerning vertical merger antitrust enforcement policy. The new guidelines supersede the 1984 Merger Guidelines , which are now withdrawn in their entirety.  (Read more...)  
On March 25, 2020, at 12:00 P.M. (CT) join HCC President, Todd A. Zigrang , and HCC Vice President and General Counsel, Jessica Bailey-Wheaton , as they present on the topic of Valuing Rural Health Clinics for a Business Valuation Resources Special Series.

Advanced Distance Education to Launch in 2020

The  Institute for Healthcare Valuation  (IHV) &  Consultants' Training Institute  (CTI) are pleased to announce premier healthcare valuation training through a distance education program, the Certificate of Educational Achievement (CEA) for Advanced Education in Healthcare Valuation. The program will launch in 2020 and will bridge the interdisciplinary nature of healthcare valuation to include: the Four Pillars of Healthcare (regulatory, reimbursement, competition, and technology); the market forces shaping the U.S. healthcare industry; and the valuation of healthcare enterprises, assets, and services. Legal professionals and healthcare providers, as well as those wishing to expand their scope of activities in healthcare valuation engagements and those seeking to enhance their current healthcare valuation service lines, will gain comprehensive knowledge through completing the expansive program. The program has been developed and is being presented by industry thought leader Health Capital Consultants , alongside a blockbuster faculty of healthcare subject matter experts from the legal, federal regulatory, and valuation professions.

HCC President, Todd Zigrang , and Vice President and General Counsel, Jessica Bailey-Wheaton , were recently interviewed by the National Association of Certified Valuators and Analysts (NACVA) , where they discussed the development of the distance education program along with the topics that will be covered. Click HERE to watch the entire interview.