• Summary

  • As healthcare business consultants, we are committed to helping healthcare organizations and professionals navigate the healthcare industry. Our discussion will focus on current events in the healthcare industry and how leaders in healthcare organizations can effectively overcome challenges.
    2018 - 2021
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Episodes
  • Non-Economic Considerations for Private Equity Transactions

    Apr 1 2021

    Max Reiboldt joins Mark to discuss the non-economic terms to consider when pursuing a private equity deal. The non-economic components are often more important than the economic terms because they dictate the day-to-day after closing the deal.

     

    Podcast Information

    Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

    We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes. 

     

    Episode Synopsis

    Max and Mark discuss their experience with private equity transactions and which non-economic terms to consider when pursuing a private equity deal. One of the lessons we impart to medical practice and hospital clients contemplating a private equity (PE) transaction is that both the economic and non-economic terms carry weight. They should receive equal consideration before signing on the dotted line.

    Click the play button to listen to the episode.

     

    Extras

    Episode 56: Private Equity Deals: Operational Components of the Transaction

    The Role of Management Services in Private Equity Transactions

    Episode 55: Private Equity Deals: Approaching a Deal Strategically

    Defining Private Equity Transactions in Healthcare and Understanding Deal Options for Medical Groups

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    38 mins
  • Recovering from the Pandemic: Hospital Pain Points and Challenges

    Mar 25 2021

    Michele Madison, a partner in the healthcare practice at Morris, Manning & Martin, LLP, joins Mark to discuss hospital pain points and challenges in the wake of 2020. They touch on compliance, transactions, E/M coding changes, financial challenges, telehealth, and handling the various hardships that have grown over the last year of COVID.

     

    Podcast Information

    Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

    We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes. 

     

    Episode Synopsis

    Michele and Mark discuss maintaining physician relationships and focusing on value-based care and cost-reducing strategies. Hospitals are also exploring how to develop and expand outpatient healthcare delivery to patients.

    They also discuss the implications of the weighting changes to the work RVU values and how these changes affect commercial reasonableness and fair market value. How will these changes affect the upcoming survey data that many physician enterprises rely on?

    Click the play button to listen to the episode.

     

    Extras

    Learn more about Michele

    2021 Offers New Opportunities Amid Healthcare Regulation Changes

    Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It)

    Webinar Replay: 2021 E/M Coding Changes: What Healthcare Professionals Need to Know

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    31 mins
  • Updates to the Final Medicare Physician Fee Schedule Rule

    Feb 25 2021

    Alex Kirkland joins Mark to discuss changes to the Medicare Physician Fee Schedule (MPFS) final rule. On December 27, 2020, Congress passed and the President signed into law the Consolidated Appropriations Act. The stimulus bill provided temporary relief by partially mitigating cuts to the conversion factor in 2021.

     

    Podcast Information

    Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review!

    We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes. 

     

    Episode Synopsis

    Many payers use the Physician Fee Schedule (PFS) as the foundation for their rates and how they set their conversion factor. Although the stimulus bill only affects Medicare reimbursement for physician professional services, the impact will extend beyond Medicare. The stimulus package provides support only during 2021, so the full 10% cut to the conversion factor is still expected in 2022.

    Medical groups need to analyze their financial impact through a CPT level revenue and wRVU compensation analysis. The important concept is compensation increases should not outpace reimbursement, meaning you can’t afford to pay more than your revenue allows.

    There are also fair market value (FMV) and commercially reasonable (CR) implications and issues to consider. The new regulations state that a hospital may not value a physician’s services at a higher rate than a private equity investor or another physician practice.

    Click the play button to listen to the episode.

     

    Extras

    Estimate the Financial Impact of 2021 E/M Coding Changes

    Episode 82: How the MPFS Final Rule Impacts Medical Practices (and What to Do about It)

    Webinar Replay: 2021 E/M Coding Changes: What Healthcare Professionals Need to Know

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    22 mins

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