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In this power panel discussion, key thought leaders in healthcare business valuation discuss the ramifications of the recent update to the Stark regulations on BV practices. The panel will discuss whether many common ideas and practices need to be either modified or dropped altogether in order to meet the new regulatory definition of fair market value (FMV) under Stark. As part of the discussion, the panel will react and respond to the recent AAPCP webinar in which CMS provided clarification and context for the new Stark FMV definition. The panel will also address critical aspects of healthcare BV practice that may differ from traditional BV practices and/or require specialized research and procedures to address.
Program Agenda
How does the program integrity principle of buyer neutrality affect the conceptualization of the buyer for Stark FMV?
Can the hypothetical-typical buyer concept still be used?
Does buyer neutrality require use of a financial buyer rather than an owner-operator?
Does buyer neutrality negate the use of any kind of buyer for Stark FMV purposes?
Can the economics and motivations of hospital buyers, whether tax exempt or for profit, be considered in any formulation of the Stark FMV buyer?
How does private equity fit into a buyer-neutral analysis?
How do the program integrity principles of precluded reliance and buyer neutrality affect the use of market data in healthcare BV?
How does CMS’ concerns about practice losses factor into a BV analysis? What impact does the new Stark FMV guidance have on the “cost approach” debate from a decade ago?
What level of knowledge of Stark FMV is required for healthcare BV practitioners to be considered competent under professional standards?
How is healthcare BV practice different from general BV practice?
Learning Objectives
An in-depth understanding of the new Stark regulations;
The ramifications of the recent update to the Stark regulations on BV practices; and
How a healthcare BV practice differs from a general BV practice.
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