Healthcare Valuation Blog

The Centers for Medicare and Medicaid Services (“CMS”) recently issued the Final Rule announcing the 2024 policy changes for Medicare,...

In November 2023, Prema Thekkek, her management company, Paksn Inc. (“Paksn”), and 6 SNFs that are owned by Thekkek or managed by Paksn...

In October 2023, the Department of Health and Human Services ("HHS") Office of the Inspector General (OIG) issued Advisory Opinion No. 23-07 ("AO") to a multi-specialty physician practice (the "Requestor") with 11 physician employees (the "Physicians"). The Requestor had inquired about the payment of bonuses to its employed physicians based on net profits from procedures performed by the Physicians ("Proposed Arrangement"). The Proposed Arrangement would implement a quarterly

Medical practices commonly hire nurse practitioners (NPs) and physician assistants (PAs) to boost productivity, improve healthcare access, and enhance profitability. Although the U.S. seems to be moving toward more autonomy and even full practice authority for PAs and NPs, every state in the US currently requires that PAs maintain a collaboration arrangement with a supervising physician. Many states require formal arrangements between NPs and supervising physicians, as well.

Major access to care issues in the US, stemming from a physician shortage, have been a looming concern since the early 2000s. Deficits are projected to be in the range of 50,000 to 150,000 physicians by the mid-2030s due largely to the aging patient population and physician retirement trends. The COVID-19 pandemic is believed to have exacerbated the issue by contributing to provider burnout and accelerating physicians’ plans to retire or transition out of clinical practice. I