On December 18, 2023, the Department of Justice (DOJ) filed a complaint against Steward Health Care System, Steward Medical Group (SMG), and St. Elizabeth’s Medical Center (SEMC), alleging violations of the physician self-referral law (commonly known as the “Stark Law”) and the False Claims Act. Steward, an integrated healthcare system, is one of the largest private, for-profit healthcare networks in the U.S., and the owner of SMG and SEMC. This Health Capital Topics article reviews the government’s allegations. (Read more...)
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On November 6, 2023, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released the updated “General Compliance Program Guidance” (GCPG). The guidance document is applicable to all healthcare individuals and entities, such as investors, suppliers, manufacturers, and providers. This Health Capital Topics article discusses the new guidance, reactions from healthcare industry stakeholders, and potential implications. (Read more...)
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On December 13, 2023, the Centers for Medicare & Medicaid Services (CMS) released its annual report on healthcare spending in the U.S., highlighting the growth in private insurance and Medicaid spending in 2022, which was offset by the declines in supplemental federal funding as a result of the COVID-19 pandemic. This Health Capital Topics article reviews the notable healthcare spending findings in CMS’s report. (Read more...)
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As discussed in the first installment of this three-part series on the valuation of management service organizations (MSOs), technological innovation has allowed greater efficiency and automation within MSOs, which allow MSOs to provide more cost-effective services to medical practices, and potentially optimize their revenue. As a result, technology is expected to play a crucial role in the operations of MSOs and the overall delivery of healthcare services. This second installment discusses the impact of technological advancements on their operations, as well as how MSOs are reimbursed/compensated. (Read more...)
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"Generative AI in Healthcare - Valuation Considerations" authored by HCC President, Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA, ABV, and, HCC Senior Vice President and General Counsel, Jessica Bailey-Wheaton, Esq., was published by the National Association of Certified Valuators and Analysts (NACVA) in The Value Examiner.
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