Industry News

Carnahan Group a boutique strategic healthcare firm

The Carnahan Group Laboratory is a collection of industry-related pieces developed as a result of our internship program.

Carnahan Group: Industry News

  • Community Health Need Assessments

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    The Internal Revenue Service forgives non-profit hospitals from paying billions of dollars in federal taxes if they meet the community benefit standard.  This has caused many hospitals that operate on a for-profit basis to voice their concern on how a community benefit is defined, often stating that they provide similar contributions to the community, and […]

  • Growing Trend in Hospital Mergers

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    One of the dominant trends in contemporary healthcare is a surge in hospital consolidation. Despite the debate concerning the potential repercussions, there is ample evidence to conclude that hospital mergers and consolidation will leave a distinct mark on the healthcare industry. It’s also worth noting that hospital consolidation has also been including vertical integration between […]

  • Updated Safe Harbors for Anti-kickback Statute

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    The federal Anti-Kickback Statute (AKS) is a well-known protector of federal fraud and abuse 1 . The AKS first came to fruition in 1972 when it was passed by congress. The statute has a hand in most of the business practices and relationships in the healthcare, pharmaceutical, and medical device industries 1 . At its […]

  • Regulations Regarding Physician Practice Acquisitions

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    The Federal Anti-Kickback Statute (42 USC § 1320a-7b), is one of the primary laws addressing sales, acquisitions, and mergers of physician practices. The legislative intent is to prevent buyers of physician practices from camouflaging payments designed to elicit future referrals from the seller (Rossman, n.d.). Furthermore, The Anti-Kickback Statute prevents the seller from providing a […]

  • New Timeshare Arrangement Exception under Stark Law

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    Centers for Medicare & Medicaid Services (CMS) added a new exception to the Stark Law regarding rental of office space known as, Timeshare Arrangements, which enables the use of another person or entity’s premises, equipment, personnel, items, supplies or services by physicians who, for various legitimate reasons, do not require or are not interested in […]

  • Fair Market Value and Commercial Reasonableness Applied to Healthcare Transactions

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    Government scrutiny around healthcare transactions has heightened in recent years due to an increase in the volume of violations of healthcare fraud and abuse laws. There are numerous regulatory statutes, such as Stark Law and Anti-Kickback Statute that need to be considered while structuring financial transactions for physicians and other staff to ensure that compensation […]

  • Bundled Payments

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    An initiative that addresses payments in healthcare systems is on the rise; the Bundled Payments for Care Improvement Initiative (“BCPI”) began in 2013 and has grown to have an estimated 1,500 participants. Under the bundled payments system, reimbursements for multiple providers are bundled into a single payment that covers all of the services involved in […]

  • Transitioning to Value-Based Care

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    The Affordable Care Act (“ACA”) is the most significant piece of legislation in the healthcare industry since Medicare and Medicaid in 1965. Policy changes brought by the ACA requires health systems to shift away from volume to value-based care. It changes the way health professionals are reimbursed for improving the care delivery process, for better […]

  • Primary Care Deficits Increase due to Shortage

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    The fast-approaching physician shortage has created a demand for specific types of physicians, one of which in highest demand is primary care. According the Association of American Medical Colleges (AAMC), the percentage of the current physician workforce that is practicing primary care is at an all-time low. The AAMC projects a shortage of primary care […]

  • Compensating Physicians for APP Supervision

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    By Kumudini Sagi SUMMARY New models of healthcare delivery brought by Affordable Care Act to improve the quality and value of healthcare services are reshaping the way healthcare is delivered in the United States. In the future, Advanced Practice Providers (APPs) will begin to fill most of the care delivery roles due to the increasing […]