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With the emergence of value-based reimbursement, such as accountable care organizations (ACOs), clinically integrated networks (CINs), and bundled payment models, which rely on achieving the “Triple Aim” of healthcare at lower cost, U.S. hospitals and other service providers are increasingly looking to change how services are being delivered by seeking more collaborative relationships with physicians. The rise of these emerging healthcare organizations (EHOs) to address value-based reimbursement initiatives has led to a growing number of complex transactions in the healthcare delivery marketplace, accompanied by increased federal and state regulatory scrutiny regarding the legal permissibility of these arrangements. Now, more than ever, conducting a level of due diligence appropriate to the scope and complexity of a given assignment is critical to the transactional risks (financial, operational, and regulatory) that may impact the development and defensibility of the valuation opinion. Join valuation expert Todd Zigrang and attorney Jessica Bailey-Wheaton for a discussion of the due diligence process of a healthcare transaction within the Four Pillars of Healthcare Valuation (i.e., regulatory, reimbursement, competition, and technology). They'll also provide participants a wealth of tips on publicly available resources to facilitate the process, as well as how to work with clients to obtain the requisite entity-specific data.
Program Agenda
Unique Characteristics of the U.S. Healthcare Industry
Overview of Due Diligence Process
General Research
Specific Research
Due Diligence in the Context of the “Four Pillars”
Regulatory
Reimbursement
Competition
Technology
Conclusion
Learning Objectives
Describe the regulatory and compliance issues arising from healthcare transactions that are necessitating the increased importance of the due diligence process
Define the two distinct classes of information required for the due diligence and explain its applicability to the healthcare valuation process
Identify sources of information that will allow for the appropriate level of analysis required of a transaction in the changing healthcare industry and of the development of a credible valuation opinion
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