Healthcare - (Tuesday)

Competitive Forces in the Healthcare Industry

Tuesday, June 22, 2021 10:45 a.m. - 12:25 p.m. ET

Valuation professionals should develop and maintain an in-depth understanding of the historical development, as well as current trends, related to the competitive forces impacting the U.S. healthcare delivery system. The last two decades have seen the accelerated transformation of the U.S. healthcare professions into a service industry enterprise, whereby health services have been unitized, protocolized, and homogenized, in order to facilitate their sale in the market, just as if they were any other fungible market commodity. These changes have accelerated the “corporatization” of medicine, as demonstrated by the increase in for-profit hospitals, outpatient/ambulatory facilities and large for-profit health insurance payors. This session will present an overview of the current U.S. healthcare competitive marketplace; the economics driving healthcare, including supply and demand; the impact of government regulation; barriers to free market competition in healthcare delivery; and, historical reform efforts and their effect on competition.

After completing this session, attendees will be able to:

• Recognize the economic principles underlying the U.S. healthcare competitive environment
• Describe Porter’s Five Forces of Competition as they relate to the healthcare industry, and why healthcare is different from other industries
• Identify the barriers to free market competition in healthcare and understand the reasons they exist, as well as the effects these barriers have on quality and outcomes


Total CPE: 2
Fields of Study: Behavioral Ethics: 2
Program Level: Basic - Learning activity level most beneficial to individuals new to a skill or an attribute.

Who Should Attend:

Legal professionals and healthcare providers, as well as those valuation professionals wishing to expand their scope of activities in healthcare valuation engagements, and those seeking to enhance their current healthcare valuation service lines.

Prerequisites:

Previous training or experience with the fundamentals of accounting, finance, economics, and business writing. These individuals are often at the staff or entry level in organizations, although such programs may also benefit a seasoned professional with limited exposure to the area.

Advanced Preparation:

None

Jessica Bailey-Wheaton

Jessica  Bailey-Wheaton

Esq.

Read Biography

Todd Zigrang

Todd  Zigrang

Esq.

Read Biography

Development of a Commercial Reasonableness Opinion

Tuesday, June 22, 2021 12:40 p.m. - 2:20 p.m. ET

Commercial reasonableness, a threshold that is related to, but distinct from, fair market value, has emerged as a focus of regulatory scrutiny for healthcare transactions. This session will focus on the elements of the qualitative and quantitative analysis undertaken to meet the applicable regulatory pronouncements required for establishing commercial reasonableness, as well as the interplay between fair market value and commercial reasonableness in healthcare transactions. Further, this session will present a case study of an exempt healthcare organization—a cardiac clinic—and will provide step-by-step guidance about addressing each of the thresholds of commercial reasonableness as it applies to healthcare transactions involving healthcare enterprises, assets, and services.

After completing this session, attendees will be able to:

• Analyze the transactional prerequisites of commercial reasonableness
• Explain the steps required to perform a qualitative analysis
• Explain the steps required to perform a quantitative analysis
 


Total CPE: 2
Fields of Study: Economics: 2
Program Level: Intermediate - Learning activity level that builds on a basic program most appropriate for individuals with detailed knowledge in an area.

Who Should Attend:

Legal professionals and healthcare providers, as well as those valuation professionals wishing to expand their scope of activities in healthcare valuation engagements, and those seeking to enhance their current healthcare valuation service lines.

Prerequisites:

Previous training or research on subject matter being taught. Such persons are often at a mid-level within the organization, with operational and/or supervisory responsibilities.

Advanced Preparation:

None

Jessica Bailey-Wheaton

Jessica  Bailey-Wheaton

Esq.

Read Biography

Todd Zigrang

Todd  Zigrang

Esq.

Read Biography

Technological Advancements in the Healthcare Industry

Tuesday, June 22, 2021 3:00 p.m. - 4:40 p.m. ET

Technology has a broad meaning when applied to the healthcare delivery system. It can range from the tangible tools, pharmaceuticals, and software that providers use during the provision of clinical services, to the management of patient records, to the procedures that constitute the standardized session of care. Technology-driven change is constantly pushing back the barriers of medicine, with diagnostic and therapeutic clinical technologies continuing to emerge, replacing outdated techniques with less invasive, yet more expensive, alternatives.  Additionally, with growing importance placed on the value metrics of patient care, i.e., “highest quality at lowest costs,” an integrated management information technology system that includes data input by the patient, the provider, and the payor, may enhance the communication between these stakeholders and improve the continuum of care. This session will explore both the clinical and management technologies of the current healthcare technological environment.

After completing this session, attendees will be able to:

• Describe the history of healthcare information and management technology, and how it exists as a process
• Evaluate the different types of clinical technology and apply them to valuation issues in the U.S. healthcare industry
• Explain how operational management concerns relate to patient safety and privacy considerations in healthcare
 


Total CPE: 2
Fields of Study: Information Technology: 2
Program Level: Basic - Learning activity level most beneficial to individuals new to a skill or an attribute.

Who Should Attend:

Legal professionals and healthcare providers, as well as those valuation professionals wishing to expand their scope of activities in healthcare valuation engagements, and those seeking to enhance their current healthcare valuation service lines.

Prerequisites:

Previous training or experience with the fundamentals of accounting, finance, economics, and business writing. These individuals are often at the staff or entry level in organizations, although such programs may also benefit a seasoned professional with limited exposure to the area.

Advanced Preparation:

None

Jessica Bailey-Wheaton

Jessica  Bailey-Wheaton

Esq.

Read Biography

Todd Zigrang

Todd  Zigrang

Esq.

Read Biography

Valuation of Physician Compensation

Tuesday, June 22, 2021 4:55 p.m. - 6:35 p.m. ET

Information forthcoming

Information forthcoming


Total CPE: 2
Program Level: Overview - Learning activity level that provides a general review of a subject area from a broad perspective.

Who Should Attend:

Information forthcoming

Prerequisites:

None required. These overview programs may be appropriate for professionals at all organizational levels.

Advanced Preparation:

None

Jessica Bailey-Wheaton

Jessica  Bailey-Wheaton

Esq.

Read Biography

Todd Zigrang

Todd  Zigrang

Esq.

Read Biography