Not-for-Profit Health Care M&A Trends and Observations

Nov 6, 2014 4:00pm ‐ Nov 6, 2014 4:50pm
Not-for-Profit Health Care M&A Trends and Observations
  • Better understand the strategies driving the unprecedented amount of M&A activity
  • Better understand the trade-offs associated with a myriad of affiliation structures

What's All the Hubbub About Ancillaries in Hospital/Doctor Deals?

Nov 6, 2014 4:00pm ‐ Nov 6, 2014 4:50pm
Hospital acquisitions of medical practices and physician employment can entail complex regulatory issues related to ancillaries furnished by the group's providers. Differences in reimbursement for ancillaries performed in HOPD versus physician practice settings further complicate matters, with handling of ancillaries before and after the transaction yielding different characteristics and value.
  • Session participants will gain an understanding of common deal structures involving ancillary services and related economic considerations.
  • Session participants will be able to recognize problematic transactions structures and arrangements and those that may result in compliance risks.
  • Session participants will learn to recognize generally accepted valuation methods applicable to transactions and compensation arrangements containing ancillary service revenues.

State Innovations Model Initiative

Nov 6, 2014 5:00pm ‐ Nov 6, 2014 5:50pm
The State Innovation Models Initiative is providing support from CMS to states for the development and testing of state-based models for multipayer payment and health care delivery system transformation with the aim of improving health system performance for residents of participating states. Nearly $300 million have been awarded to 25 states to design or test improvements to their public and private health payment and delivery systems. The goal is to create multi-payer models, including both public and private payers, with a broad mission to raise community health status and reduce long-term health risks for beneficiaries of Medicare, Medicaid and the Children’s Health Insurance Program (CHIP). The program will provide an overview of models being tested and implemented across the country with a focus on the Tennessee Payment Reform Initiative.

ACA Strategies for the Under-100 Employer

Nov 6, 2014 5:00pm ‐ Nov 6, 2014 5:50pm
This session will cover:
  • Underwriting change impact to the under-50 employer in 2014 and 51–99 employer in 2016
  • Early renewal for the 51–99 segment in December 2015
  • How to evaluate if self-funding is a potential solution
  • Should I drop my plan?
  • How can CPAs help?

Hospital Physician Clinical Integration Options: Legal & Operational Issues

Nov 6, 2014 5:00pm ‐ Nov 6, 2014 5:50pm
Hospitals, physicians and other health care providers throughout the nation are implementing a broad array of clinical integration arrangements designed to promote greater care coordination and increased cost efficiency. This session focuses on key legal and operational issues providers face in organizing and implementing clinical integration arrangements.
  • Participants will learn the most significant legal and operational issues involved in organizing and implementing clinical integration arrangements.
  • Participants will gain an understanding of the various types of clinical integration arrangements currently being implemented throughout the nation.
  • Participants will learn how a particular clinical integration project in San Antonio, Texas was conceptualized and implemented.

Physician Compensation Benchmarking: A Guide to Understanding the Surveys and Determining Fair Market Value

Nov 6, 2014 5:00pm ‐ Nov 6, 2014 5:50pm
This session will explain the underlying concepts and regulations governing physician compensation as well as appropriate market pricing methodologies for various physician employment situations. Commercially available market data surveys will be discussed, including the data elements and market segments represented in the surveys.

Health Care M&A Due Diligence and Financial Reporting

Nov 6, 2014 5:00pm ‐ Nov 6, 2014 5:50pm
Acquisitions can present significant due diligence, accounting and financial reporting requirements to a health care company throughout the entire transaction life cycle. This session will cover key drivers affecting deal value and technical accounting and reporting requirements. Case study examples specific to health care M&A due diligence and financial reporting will be presented.

New Investment Fair Value Measurements: Impact on Health Care Audits and Portfolios

Nov 7, 2014 7:00am ‐ Nov 7, 2014 7:50am
This presentation will go through real examples of the common challenges that investors and auditors face when trying to the meet new standards on investments for valuation transparency, leveling and independence. The valuation weaknesses exposed by the financial crisis will be covered for context and recent practical valuation problems. Also covered will be the levels, inputs, models, etc., and the valuation deficiencies they are designed to address (which were revealed during the financial crisis).

Tax Update, Legislative Outlook and the Fallout From the IRS Scandal

Nov 7, 2014 7:00am ‐ Nov 7, 2014 7:50am
Tax changes may be on the horizon. As the Affordable Care Act becomes fully effective, more changes may be looming.
  • Review of Affordable Care Act changes impacting health care providers and payers, including section 501(r) implementation.
  • Review highlights of the Camp proposals for tax reform that apply to tax-exempt organizations.
  • Discussion of restructuring of Exempt Organizations division of IRS

Finding the Funny in Change

Nov 7, 2014 8:10am ‐ Nov 7, 2014 9:25am
Change causes fear, tension and miscommunication. In this popular keynote, Jan shows how to diffuse tension instantly, kick off tough conversations and facilitate communications through using humor. These practical tips, infused with Jan's humor, will have you walking away laughing and learning how to handle, and even embrace, change.
  • Participants will have practical, immediately useable skills for handling change through using humor.
  • Participants will be able to understand what they should AVOID doing when faced with change.
  • Participants will understand the health benefits of using humor.
  • Participants will understand the importance of adapting to change.