Planning for the Future: Hospital Financing Case Studies

April 12, 2018 | Chris Blanda, Quintin A. Harris, Brendan Healy, Chris Mauger

It’s no secret that hospitals and health systems have seen their ups and downs over the past five years. In 2015, a positive trend paved the way for higher-rated providers, while 2016 saw the trend reversed as median ratios deteriorated for all rating categories. Currently, hospitals and health systems are tackling an increase of pharmaceutical, …Read More

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Transitioning to Value-Based Reimbursement

February 12, 2018 | Bradley Granger

In an ever-evolving environment, hospitals and health care systems in the United States are steering away from a fee-for-service (FFS) model. While FFS has exhibited value, it also has the potential to create perverse incentives. Recognizing the incentive problems with FFS, the Center for Medicare and Medicaid Innovation (CMMI) introduced several models over the past …Read More

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Exploring the Growing Trend of Micro-Hospitals

December 10, 2017 | Conner Girdley, Tom Kim

What exactly is a micro-hospital? Obviously it is a smaller version of a traditional hospital, but like most things in the health care space, it is far from that simple. Below, we explore the growing emergence of micro-hospitals and detail how they are finding their niche in the health care system. Micro-hospitals typically operate seven …Read More

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Looking for a Financing Solution: It Pays to Keep Your Options Open

August 13, 2017 | Jason Dopoulos, Ritchie Dickey

Antelope Valley Healthcare District (AVHD) and Tri-City Healthcare District (TCHD) are similar in many ways. Both organizations are a political subdivision of the State of California with elected boards. One facility is in northern Los Angeles County and the other is in northern San Diego County. Both own and operate medium-sized hospitals with similar revenue …Read More

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Federal Funding Spotlight: Community Facilities Direct Loan Program

June 11, 2017 | Quintin A. Harris

The United States Department of Agriculture (USDA) is growing its role as a funding partner for health care and senior living providers located in rural areas of the country. While many providers are navigating uncertain futures, one area that seems to be on solid footing is health care infrastructure financing. In sync with the new …Read More

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Booming Demand: How Urgent Care Centers are Impacting Hospital Operations

April 09, 2017 | Conner Girdley, Keith Jones

The construction and use of urgent care centers in the health care industry has steadily increased over recent years. The growing popularity of urgent care centers presents an opportunity for hospitals to extend networks or expand partnerships in order to reach new clientele. Further, it offers an opportunity to enhance brand recognition in new and …Read More

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New Revenue Procedure Is Here To Stay

February 12, 2017 | Andrew Kloeckner, William C. Wilson

Out with the old and in with the new? A recent revenue procedure change is catching the attention of health care providers with facilities financed through tax-exempt bonds. The good news is, the changes allow for greater flexibility and revised safe harbor guidelines. The Internal Revenue Code (IRC) provides that interest on bonds issued by …Read More

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The Future of Rural Health Care: Challenges and Solutions

December 11, 2016 | Brett T. Murphy

Few topics are as emotional and personal as health care. Imagine your child breaking an arm playing football in the backyard, your mother calling to relay some bad news about your father’s health after a visit to the doctor or your sibling telling you about an upcoming battle with cancer. Fear, anger, sorrow, uncertainty and …Read More

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Rating Agencies Update: Happy Days are Here Again … But Will They Last?

October 06, 2016 | Jason Dopoulos, Ritchie Dickey

The hospital sector saw one of its best years in recent memory during 2015. As a result of the Affordable Care Act (ACA), expanded insurance coverage was in full swing, along with a recovering economy, robust revenue growth and low interest rates. Readers may recall that 2014 showed improvement for the higher rating categories (“A-rated” …Read More

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Commissioning in Health Care

August 09, 2016 | Quintin A. Harris, Matt Jensen

Energy usage accounts for more than half of a typical hospital’s annual budget, according to the American Society for Health Care Engineering (ASHE). As the health care industry continues to face pressure to cut costs, hospitals are relying on the commissioning process to ensure that operational expenses and procedures are optimal. ASHE’s Health Facility Commissioning …Read More

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