HealthLeaders Media Finance - August 30, 2010 | Healthcare M&As To Face Greater Scrutiny? View as a Webpage | Subscribe for Free
Healthcare M&As To Face Greater Scrutiny?
Elyas Bakhtiari, for HealthLeaders Media

Consolidation in the healthcare industry has begun to attract the attention of anti-trust officials, journalists, and other watchdogs.  With so much focus at the federal level on cutting waste and bending the long-term cost curve, officials will likely have a close eye on the line between competitive advantage and anti-competitive pricing. [Read More]
  August 30, 2010

Editor's Picks
Wisconsin: Outpatient facilities cannot be tax-exempt
A recent ruling by the Wisconsin Court of Appeals could jeopardize the tax-exempt status of healthcare facilities in the state. The court ruled that Wheaton Franciscan Healthcare's outpatient center is not tax-exempt because it is essentially a doctor's office, which cannot receive tax-exempt status. The case involved $2.9 million in property taxes that Wheaton paid between 2003 and 2006. The ruling could affect other hospitals in the state with outpatient facilities. [Read More]
7 Tips for RAC Region D Providers
A recent update to the evaluation of the RAC demonstration shows that HealthDataInsights (HDI), the RAC for Region D, had the highest percentage of claims overturned on appeal, which shows that, like providers, HDI is not perfect. With this in mind, consider the tips in this article to help develop a conscientious approach from start to finish, which can augment providers' chances of success throughout the RAC process. [Read More]
Detroit-area hospitals to invest $1.3 billion in improvements
Healthcare may be the key to revitalizing Detroit's economy as area hospitals plan to spend more than $1.3 billion in coming years on capital improvements, according to a new study from the Center for Studying Health System Change. However, the infrastructure expansion may lead to higher costs for patients if the hospital systems can't attract new patients from outside the Detroit metropolitan area, the report says. Following earlier hospital consolidation, there are several major nonprofit hospital systems in metro Detroit, with each capturing from 11%-18% of inpatient admissions across the market. [Read More]
U.S. cracks down on healthcare fraud
During a healthcare fraud summit in Los Angeles, Attorney Gen. Eric H. Holder Jr. and Health and Human Services Secretary Kathleen Sebelius said their agencies were jointly targeting fraud in the federal Medicare and Medicaid programs. They said the initiative, launched in May 2009, had so far produced more than 580 criminal convictions and recovered more than $2.5 billion in fraudulent proceeds. [Read More]
Join the HealthLeaders Media Council
If you want even better insight into what your peers are doing as healthcare experiences seismic changes, this is an opportunity you can't afford to pass up. The HealthLeaders Media Council is comprised of the nation's leading healthcare executives who collectively provide the most unbiased industry intelligence available. As a HealthLeaders reader, we invite you to qualify to become a member by completing a brief survey.
Join fellow Council members to:
  • Share your knowledge of the industry by contributing to brief online surveys
  • Access survey results and research reports in advance
  • Pose questions to solicit colleagues' opinions on your organization's most pressing challenges
  • Receive quarterly HealthLeaders Media Webcasts ($1,500 annual value) as a thank you for your participation on the Council
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Finance Forum
Medicare Fraud and Abuse Provisions Under the PPACA
President Obama recently signed off on legislation that very likely will result in a substantial increase in lawsuits against health care providers. Intended to combat fraud in the Medicare & Medicaid programs, several amendments in the Patient Protection and Affordable Care Act significantly change the status quo, and will require greater vigilance by healthcare providers in their dealings with the federal government.

[Read More]
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Finance Headlines
Kindred to Pay $218 Million for Hospitals, Nursing Homes
HealthLeaders Media, August 25, 2010
Marin General Sues Sutter Health for $120 Million
HealthLeaders Media, August 30, 2010
CDC: Car Crash Victims Cost $17 Billion in 2005
HealthLeaders Media, August 26, 2010
Parkland hospital kept information from its auditors
The Dallas Morning News, August 30, 2010
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Money Talk

A look at one hospital's struggles to improve

Mayo Clinic, Rochester, MN
Rating: AA-
Outlook: Positive
Affected Debt: $1.7 billion
Agency: Standard & Poor's Ratings Services
Remarks: S&P revised its rating outlook to positive from stable and affirmed its AA- rating on various issuers' debt issued for Mayo Clinic. At the same time, S&P affirmed its various other ratings on numerous bonds issued on behalf of Mayo Clinic. Offsetting credit factors include liquidity levels that are still below similarly rated organizations. S&P also considers Mayo Clinic's asset allocation aggressive, with approximately 50% of Mayo's long-term fund in alternative assets. S&P also cites its potential exposure to future Medicare and Medicare physician reimbursement reductions.
[Read More]
Audio Feature

Create Extra Capacity, Without Extra Expense: Wayne Keathley, president of New York's Mt. Sinai Medical Center, discusses adding 10,000 patient discharges per year by working on accountability and efficiency in patient throughput. [Listen Now]
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