Home Profile Services Leadership Clients News Events Contact Contact
Valuation Consulting Commercial Reasonableness Commercial Payor Reimbursement-benchmarking Litigationsupport Expertwitness Financial Analysis Modeling Intermediary Services Certificate of Need ACO Valuemetrics Strategic Consulting Industry Research Services

Advanced Distance Education to Launch in 2017

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 the summer of 2017 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 leaders Robert James Cimasi, MHA, ASA, MCBA, FRICS, CVA, CM&AA, Chief Executive Officer, and Todd A. Zigrang, MBA, MHA, FACHE, ASA, President of Health Capital Consultants, alongside a blockbuster faculty of healthcare subject matter experts from the legal, federal regulatory, and valuation professions.  

Nonclinical-related services are those services where the tasks, duties, responsibilities, and accountabilities (TDRAs) associated with the position are not directly related to the treatment of patients. Examples of nonclinical-related roles include: (1) chief executive officer; (2) chief financial officer; (3) chief information officer; (4) chief legal counsel; and, (5) other "C-suite" executives, as well as numerous strategic and operational management positions, such as, practice administrators, billing managers, payor contracting managers, and other nonclinical-related support staff. The progression of the corporatization of medicine has resulted in the transformation of the provision of healthcare services from a "cottage industry" where physicians have a more direct personal relationship with their patients, to a more commercial endeavor, where a patient may have multiple physicians, specializing in various fields, who may or may not collaborate together to provide for an episode of care. This trend toward corporatization has caused an expansion in the TDRAs of physicians, enhancing the traditional role of focusing solely on clinical-related activities, such as the production of professional physician services, by adding roles which include the provision of nonclinical-related services, e.g., administrative, strategic management, and/or executive rolesThis second installment in the four-part Health Capital Topics series on the classification and valuation of compensation for healthcare services will provide a brief overview of the valuation process for physician executive services. (Read more...) 

In 2014, the Patient Protection and Affordable Care Act established a public exchange for government-sponsored health insurance,  significantly altering the landscape of the health insurance market. In addition to this paradigm shift in government-sponsored healthcare insurance, private insurance providers are moving toward this exchange system, which provides a choice among many different health insurance plans. Private exchanges are similar to public exchanges in that they purport to offer low-cost plans to beneficiaries; however, private exchanges differ from public exchanges in that the insurance is offered by the employer to the employee. Qualities that are common across private exchanges include: (1) employee choice; (2) employer subsidies; (3) ancillary products (e.g., dental and vision); (4) online enrollment; and, (5) administrative benefits.  Approximately 8 million people are currently enrolled in a private exchange, which represents a growth of 35 percent from 2015.  Although the prevalence of private exchanges is increasing, adoption rates for private exchanges have decelerated since 2013.  This Health Capital Topics article will discuss the benefits and consequences of utilizing a private exchange and the state of private exchange adoption nationwide.   (Read more...) 

In 2015, approximately 20 percent of all accountable care organizations (ACOs) utilized telehealth as a means of providing greater access to healthcare services and improving care management.  Proponents expect telehealth to become increasingly popular among ACOs because such care delivery methods may allow healthcare providers to offer improved quality of care to a greater number of patients in a cost-efficient manner - a major goal of the ACO program.  Previous Medicare ACO models have already incorporated telehealth services into their coverage; however, early models limited reimbursement for telehealth services based on the site of service, as well as its rural classification.  In a policy shift, the more recent Next Generation ACO Model expands coverage of telehealth services by eliminating the site of service and rural classification requirements.  This Health Capital Topics article will discuss how federal ACOs provide coverage for telehealth services, and how the Next Generation ACO Model expands telehealth coverage for Medicare patients.  (Read more...)

This fourth installment of the six-part Health Capital Topics series on the application of statistical methods by valuation analysts will provide a brief overview of datasets, samples, and their utilization in various valuation approaches and methodologies. As discussed in Part One of this series, entitled, "Review of Principles and Applications," a strong understanding of commonly used statistical methods is useful to a valuation analyst in creating, defending, and/or critiquing valuation reports, including when engaging in forecasting and benchmarking functions. Further, any improper use of statistical methods by a valuation analyst may lead to erroneous inferences by the analyst or their client that may significantly affect the calculated value indication. It is imperative that valuation analysts possess a working understanding of the collection, structure, and patterns associated with data given the frequent reliance of valuation analysis on the statistical applications built from data sets and samples.  (Read more...)