Healthcare Valuation Blog

Paying physicians a stipend to attend meetings is a fairly common practice; however, it involves a significant amount of regulatory risk...

In February 2024, the U.S. Department of Justice (“DOJ”) joined a second whistleblower complaint against a former executive at Illinois-based Cardiac Imaging Inc. (“CII”), a mobile imaging company providing diagnostic cardiac positron emission tomography (“PET”) services. The allegations echo those addressed by the $85 million settlement reached in October 2023, which resolved alleged False Claims Act violations caused by excessive payments made to referring cardiologists by

Signing bonuses are long-standing recruitment incentives used by hospitals to attract physician employees. The term “signing bonus” can...

A Delaware-based health system has agreed to pay more than $47 million to settle a whistleblower lawsuit alleging violations of the...

For some specialties and markets, rapid evolution in the healthcare industry is seeding significant overhauls in call coverage...

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

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

Four home healthcare settlements related to improper payments to physicians have been announced by the Department of Justice (“DOJ”). ...

Medical director arrangements at skilled nursing facilities (“SNF(s)”) have been under federal scrutiny for the past few years (2021 blog...

Every year, BFMV conducts a national direct-to-physician call coverage survey. This project offers valuable insights that inform our fair...

In April 2023, the Department of Justice (“DOJ”) announced that Sibley Memorial Hospital (“SMH”) and its parent company, Johns Hopkins...

Earlier this year, BFMV conducted our fifth annual direct-to-physician call coverage survey. An affordable source of physician call...

A variety of factors can complicate hospice physician compensation. The top three questions we help hospice providers answer are...