When turnaround professionals take on the challenges of a financially distressed client, the first issue they often must address involves costs related to human resources. Chief among them are expenses for the company’s employees’ health benefits. In the last several years drastic changes have...
The healthcare industry faces major headwinds in the coming decade, and many players will be forced to endure numerous opportunities to adapt. The challenges will be many and diverse—changes in the legislative landscape, technological advances, lifestyle developments, and pharmaceutical and...
The future of healthcare in America has never been so uncertain. Amid continuing political tensions, payer and patient pressures, and changes in the way that care is delivered, there doesn’t appear to be a clear and distinct path forward. And there may not be for quite some time, given Congress’...
The healthcare industry presents challenges for operators, landlords, lenders, vendors, and others doing business within the sector. The industry is virtually always in turmoil amid reimbursement rate modifications, new enforcement efforts, and the ongoing evolution of the delivery of medical care...
T his is the first in an occasional series of roundtable discussions by Certified Turnaround Professionals (CTPs) on issues impacting the turnaround, restructuring, and distressed investing industry. In this installment, Ruediger (Rudi) Mueller, CTP ; Robert D. Katz, CTP ; and Edward J. Sanz, CTP...
A recent bankruptcy case in Southern California has raised significant questions about the limits, if any, on the power of state governments in approving or rejecting sales of assets of not-for-profit healthcare industry entities. With Congress focused on repealing the Affordable Care Act (ACA),...
The healthcare transaction environment is unique in many respects, compared to most other industries, making it challenging to understand for the casual observer and experienced professional alike. Depending on the buyer and seller, geographic location, and type of business, there are a myriad of...
In most industries, certain commonalities in business operations make it possible for an outsider to learn the fundamentals reasonably well in a relatively short period of time. There is, however, one industry that seems to be struggling right now where this is not the case—healthcare. For...
As healthcare facilities reorganize, re-engineer, or otherwise optimize their revenue cycle management, an unfortunate by-product is a checklist of potentially hazardous oversights encountered in the field. A rural community hospital, for example, experienced major cash flow shortages that turned...
Over the past decade, hospitals have been busy acquiring physician practices. This article provides an overview of this trend, considers the reasons behind it, describes some risk factors relating to this shift toward physician employment, and then suggests some safeguards for health systems and...
