Foreword
Preface
Acknowledgments
About the Author
Disclaimer
Introduction
The Four Pillars of the Healthcare Industry
Structure of this Text
Reader Tools
Chapter 1 The Chronology of U.S. Healthcare Delivery
1.1 Foundation of U.S. Healthcare
1.2 Early 1900s
1.3 1930s–1950s
1.4 1960s
1.5 1970s
1.6 1980s
1.7 1990s
1.8 2000-2010
1.9 ACA Constitutionally Challenged
1.10 Conclusion
Chapter 2 Reimbursement Environment
2.1 Overview
2.2 Healthcare Revenue Cycle
2.3 Current Reimbursement Environment
2.4 Public Payors
2.5 Private Payors
2.6 Methods of Reimbursement
2.7 Emerging Reimbursement Trends and the Impact of Healthcare Reform
2.8 Conclusion
2.9 Key Sources
2.10 Acronyms
Chapter 3 The Regulatory Environment
3.1 Overview and Trends
3.2 Tax Regulations
3.3 Fraud and Abuse Regulations
3.4 Competition
3.5 Privacy Regulations
3.6 Safety Regulations
3.7 Corporate Practice of Medicine and Related Provisions
3.8 Licensure, Certification, and Accreditation Regulations
3.9 Conclusion
3.10 Key Sources
3.11 Acronyms
Chapter 4 Competition
4.1 Overview
4.2 Economics of Healthcare
4.3 Supply and Demand in Healthcare
4.4 Porter's Five Forces of Competition
4.5 Barriers to Free Market Competition in Healthcare
4.6 Historical Reform Efforts and their Effect on Competition
4.7 Conclusion
Chapter 5 Technology
5.1 Overview
5.2 Management Technology
5.3 Clinical Technology
5.4 Conclusion
5.5 Key Sources
5.6 Acronyms
Chapter 6 Healthcare Reform
6.1 Overview
6.2 Initiatives Leading to Healthcare Reform
6.3 Drivers of Healthcare Reform
6.4 Patient Protection and Affordable Care Act (ACA)
6.5 Paying for Healthcare Reform
6.6 Future of the ACA
6.7 Conclusion: Future of U.S. Healthcare Delivery in an Era of Reform
6.8 Key Sources
Chapter 7 Basic Valuation Tenets
7.1 Economic Principles
7.2 Financial Valuation Concepts
7.3 Conclusion
7.4 Key Sources
7.5 Acronyms
Chapter 8 Valuation Approaches and Methods
8.1 Valuation Methodology
8.2 Alternative Valuation Techniques
8.3 Risk Assessment
8.4 Discounts and Premiums
8.5 VIII. E Related Valuation Assignments
8.6 Conclusion
8.7 Key Sources
8.8 Acronyms
Chapter 9 Costs and Sources of Capital
9.1 Healthcare Financing Options
9.2 Cost of Capital
9.3 Conclusion
Chapter 10 Planning and Process for Healthcare Valuation Engagements
10.1 Defining the Engagement
10.2 Developing the Valuation Opinion
10.3 Conclusion
10.4 Key Sources
Chapter 11 Inpatient Enterprises
11.1 Hospitals
11.2 Long-Term Care
11.3 Typical Valuation Considerations
11.4 Conclusion
11.5 Key Sources
11.6 Acronyms
Chapter 12 The Valuation of Outpatient Enterprises
12.1 Overview of Valuation Considerations Pertinent to Outpatient Enterprises
12.2 Professional Practices
12.3 Freestanding Outpatient Ambulatory Enterprises
12.4 Home Health and Hospice Enterprises
12.5 Conclusion
12.6 Key Sources
12.7 Acronyms
Chapter 13 Other Healthcare Related Enterprises
13.1 Management Services Enterprises
13.2 Third party payors
13.3 Supply Side Enterprises
13.4 Conclusion
13.5 Key Sources
13.6 Acronyms
Chapter 14 Tangible and Intangible Assets
14.1 Current and Future Trends Regarding Tangible Assets
14.2 Classification and Valuation of Tangible Assets
14.3 Current and Future Trends Regarding Intangible Assets Under the Four Pillars: Regulatory, Reimbursement, Competition, and Technology
14.4 Classification and Valuation of Intangible Assets
14.5 Conclusion
14.6 Key Sources
14.7 Acronyms
Chapter 15 Healthcare Services
15.1 Classification of Clinical Related Services
15.2 Classification of Non-Clinical Related Services
15.3 Establishing Fair Market Value and Commercial Reasonableness
15.4 Four Pillars of the Healthcare Services Industry: Regulatory, Reimbursement, Competition, and Technology
15.5 Valuation of Healthcare Services
15.6 Conclusion
15.7 Key Sources
15.8 Acronyms
Chapter 16 The Threshold of Commercial Reasonableness
16.1 Definition of Commercial Reasonableness
16.2 Commercial Reasonableness Analysis
16.3 Conclusion
16.4 Key Sources
16.5 Acronyms
Epilogue
Appendix A: Subject Property Interest
Bibliography
Glossary
About the Companion Website
Index