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11 / 12 / 2024

The Future of Physician Compensation: Trends to Watch

By
Jana Sizemore &
Anisha Coimbatore &
Allison Carty
Additional Contributor: Allison Carty, Pinnacle Healthcare Consulting    Introduction The process of structuring physician compensation is undergoing a meaningful and significant transformation. Traditional models that have long prioritized volume and...
11 / 7 / 2024

CMS Finalizes Significant Changes to the Medicare Shared Savings Program for 2025: How will they affect ACOs?

By
Kelly Conroy &
Daniela Yusufbekova
Overview of the Shared Savings Program As of January 1, 2024, the Medicare Shared Savings Program includes 480 Accountable Care Organizations (ACOs) with over 634,000 healthcare providers, covering more than...
10 / 24 / 2024

Key Considerations When Valuing an Ambulatory Surgery Center for Physician Investors in Colorado

By
Jana Sizemore
In Colorado, physicians may find investing in an ambulatory surgery center (ASC) to be a rewarding opportunity. When considering an ownership opportunity in an ASC, an accurate valuation requires a...
9 / 17 / 2024

The Evolution of Quality Measures for Accountable Care Organizations (ACOs): Are You Ready for the New Changes?

By
Kelly Conroy &
Daniela Yusufbekova
Introduction Accountable Care Organizations (ACOs) were introduced as part of the Affordable Care Act (ACA) in 2010, with the goal of reducing healthcare costs while improving quality of care. ACOs...
8 / 27 / 2024

Enhance M&A Success in Healthcare: Leverage Chart Testing for Accurate Valuation

By
Kelly Loya
Enhance M&A Success in Healthcare: Leverage Chart Testing for Accurate Valuation In the fast-paced world of healthcare mergers and acquisitions, thorough due diligence is essential. Private equity firms sometimes focus...
8 / 20 / 2024

Transaction Advisory Services for Physicians

By
Jana Sizemore &
Ethan Kamber
There are over 197,000 physician practices and over 443,437 physicians in the United States, according to Vertical IQ. Each practice typically has 14 employees. California, Texas, and Florida have the...
7 / 30 / 2024

It’s Not that Simple: The Outlook for Non-Compete Clauses and Healthcare Provider Compensation

By
Andrea Ferrari &
Allison Carty &
Daniel Guo
Disclaimer: This article reflects personal views based on information available at the time it was prepared. It does not represent and should not be relied on as legal, human...
7 / 18 / 2024

Fair Market Value & Quality Incentives

By
John P. Carter &
Allison Carty
From a Fair Market Value (FMV) perspective, the process of tying quality metrics into provider compensation involves simultaneously aligning incentives with healthcare quality and outcomes while ensuring the compensation...
6 / 27 / 2024

Psychotherapy Documentation Guidelines

By
Lori Carlin &
Alysia Delozier
Before we discuss documentation guidelines, let’s define psychotherapy. Psychotherapy, also known as talk therapy, is a type of therapy during which the provider uses a series of techniques to...
6 / 25 / 2024

Three Medicare Preventive Services That Can Be Performed Via Telehealth

By
Lori Carlin &
Angela Wood
If you haven’t already, you should utilize the Medicare Preventive Services education tool from The Medicare Learning Network! Not only does it lay out all of Medicare’s preventive services...