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Ambulatory Surgery Centers and Physician-Owned Hospitals |
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Written by Scott Becker, JD, CPA, Elissa Moore, JD, and Amber Walsh, JD
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Thursday, 31 January 2008 |
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Ambulatory surgery centers and physician owned hospitals each offer similar advantages to consumers and to payors. For example, each, if managed well, can deliver services at lower cost and each, if managed well, can have outstanding clinical results. Thus, it is sometimes hard to understand the difference in the debate and rhetoric, in Washington and in state capitals, between physician-owned hospitals and surgery centers. This article explains some of the reasons for the varied degree of congressional support for surgery centers as compared to physician-owned hospitals.
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Stark III - Nine Areas of Concern |
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Written by Scott Becker & Ron Lundeen
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Friday, 18 January 2008 |
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The Center for Medicare and Medicaid Services (“CMS”), on July 2nd, published their thoughts relating to the impending Stark III Rules. In addition to certain specific proposed rules, CMS solicited comments on several areas of concern. These proposed Stark III Rules tend to tighten up restrictions rather than add additional opportunities. While many of the proposed changes make sense given ongoing potentially abusive activities, the changes will not be viewed as physician-friendly. Nine of the key concepts that come out of the new proposed Stark rules from July 2nd are as follows:
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CMS Issues Final Phase III Regulations |
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Written by Scott Becker
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Thursday, 17 January 2008 |
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The Center for Medicare and Medicaid Services ("CMS"), on September 5th, published a final rule implementing Phase III of Part II of the Stark Act (the "Stark III Regulations"). CMS, in addition to revising certain elements of the Stark Act, responded to commentary regarding the elements it had changed and the elements still under consideration for revision.
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Buying and Selling of Ambulatory Surgery Centers |
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Written by Scott Becker
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Tuesday, 15 January 2008 |
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This article focuses on buyers of majority interests in ambulatory surgery centers. Currently, there are three public company buyers of majority interests in ASCs, and four private company buyers that fit in this category. These are the companies that generally buy more than 50% in an ASC transaction – typically from 51-66%.
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Written by Scott Becker
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Tuesday, 15 January 2008 |
For many healthcare companies, when it is time to sell or refinance their business, finding an investment bank that fits the needs, philosophies and goals of the seller can be an important component for success during the sale/refinance process.
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Ambulatory Surgical Centers -- An Analysis for the Next Five Years |
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Written by Scott Becker
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Tuesday, 15 January 2008 |
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The last several years have been an outstanding time for surgery
centers. There has been explosive growth in the overall industry and in
the number of surgery centers. There have also been a great number of
developments that have been extremely positive for the surgery center
business.
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CMS Issues New Conditions for Coverage for Ambulatory Surgical Centers |
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Written by Scott Becker
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Tuesday, 15 January 2008 |
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The Centers for Medicare and Medicaid Services (CMS), on Aug. 31, 2007, released a proposed rule that would revise the conditions for coverage for ambulatory surgical centers (ASCs).
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Investing in Health Care -- A Story of Political Clout, Successful Niches and Recurring Cycles |
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Written by Scott Becker, Amber Walsh and Krist Werling
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Friday, 11 January 2008 |
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The U.S. health care industry is an estimated $1.8 trillion industry and accounts for more than $1 of every $7 spent in the nation’s economy. Investment in health care companies can be a very good bet over the long term for a number of reasons, particularly in certain sectors within healthcare. Investment in certain healthcare sections is much riskier.
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RE: Buying and Selling ASCs; Under Arrangements Structures; October 18th to 20th ASC Conference |
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Written by Scott Becker
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Saturday, 30 June 2007 |
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This letter discusses the current market pricing of transactions for
ambulatory surgery centers and "under arrangements" models – are they
legal or illegal? It also touches on a few other issues.
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