Government Shutdown Update: Healthcare Impacts Deepen

Since lawmakers failed to pass a bill to fund the federal government before the September 30, 2025 deadline, lawmakers have remained deadlocked over the spending bill. The deadlock is centered on the continuation of health insurance exchange subsidies, but the shutdown has broader implications on the healthcare industry. This Health Capital Topics article provides an update on the continuing saga. (Read more...)

Senate Hearing Signals Potential Changes to 340B

On October 23, 2025, both Democratic and Republican lawmakers expressed support during a Senate Health, Education, Labor, and Pensions (HELP) Committee hearing for reforming the 340B Drug Discount Program. Although senators acknowledged that any reform would necessitate an intentional, considered approach to mitigate unintended consequences, the bipartisan agreement (particularly during a government shutdown deadlocked on healthcare) indicates that changes to the program may be on the horizon. This Health Capital Topics article outlines the 340B program, discusses issues that have made the program controversial, and discusses potential reform options. (Read more...)

Site-Neutral Payments Still a Long Ways Off

An October 2025 Health Affairs study found that payment equity between facilities owned by hospitals, known as hospital outpatient departments (HOPDs), and independent outpatient facilities such as ambulatory surgery centers (ASCs), is still far from reality. Comparing payments for common procedures, researchers found commercial prices were 78% higher in HOPDs compared to ASCs, although payment differentials varied considerably. This Health Capital Topics article reviews the article and potential policy implications. (Read more...) 

Valuation of Care Coordination Services: Technological Environment

Care coordination, which is the deliberate organization of patient care activities across multiple participants, is undergoing a profound technological transformation. Driven by the shift to value-based care, digital innovations are breaking down traditional silos and creating interconnected health ecosystems focused on enhancing patient outcomes, reducing costs, and improving efficiency. This third installment in a five-part series on the valuation of care coordination services reviews the technology supporting, augmenting, and advancing care coordination services. (Read more...) 

NEW ARTICLE!

2026 Proposed Physician Fee Schedule authored by HCC's Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA, ABV, and Jessica Bailey-Wheaton, Esq., was published in the recent issue of QuckRead published by the National Association of Certified Valuators and Analysts (NACVA).

For more recently published material written by HCC, please visit www.healthcapital.com

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IN CASE YOU MISSED IT

"Valuation of Freestanding Emergency Departments Part I and II" was recently published in NACVA's The Value Examiner. This two-part series examines the environment in which FSEDs operate and its valuation implications. 



Read Part I

Read Part II

For more recently published material written by HCC, please visit www.healthcapital.com