On October 9, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the Stark Law . This Health Capital Topics article will summarize the Stark Law proposed rule in brief; discuss CMS’s proposed changes to the definitions of Fair Market Value and Commercial Reasonableness ; and, review the potential implications of these rule changes on healthcare valuation. (Read more...)

On October 9, 2019, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) issued proposed rules to modernize and clarify the Anti-Kickback Statute (AKS). This Health Capital Topics article will summarize the AKS proposed rule, and review the new safe harbors proposed by HHS, as well as modifications to existing safe harbors. (Read more...)  

A recent decision by the Third Circuit Court of Appeals reversed a lower court’s decision; denied the motion to dismiss filed by the defendants, University of Pittsburgh Medical Center (UPMC) and its subsidiaries; and, ordered the qui tam action to proceed to the discovery phase of the lawsuit. This Health Capital Topics article will discuss the court’s review and analysis of the compensation arrangements between UPMC and its neurosurgeons, and the potential implications of this case on healthcare providers. (Read more...)  

As noted in the first installment of this five-part series, an ambulatory surgery center (ASC) is a distinct entity that primarily provides outpatient surgical procedures to patients who do not require an overnight stay after the procedure. The facilities typically provide relatively uncomplicated surgical procedures in a non-hospital setting, and most ASC cases are non-emergency, non-infected, and elective. This second installment in this five-part series on the valuation of ASCs will discuss the competitive environment of ASCs, by competitor type. (Read more...)  
On December 9, 2019, HCC President,  Todd Zigrang , will be co-presenting alongside Khaled Klele and Latoya Caprice Dawkins of Riker Danzig at the American Bar Association's Annual Washington Health Law Summit. They are presenting on the topic of "The Path to Successful Utilization of Alternative Payment Models."

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.