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Can’t See the Forest for the Trees—Misapplication of Economic Theory to the Increasing Regulatory Trend Against Vertical Healthcare Integration

 Can’t See the Forest for the Trees—Misapplication of Economic Theory to the Increasing Regulatory Trend Against Vertical Healthcare Integration
CPE Credit

Program Type: VideoCast (Audio,Video, PPT Presentation)
Program Level: Intermediate
Prerequisites: Previous training or research on subject matter being taught.
Advanced Preparation: None
Delivery Method: Group Internet-Based
CPE Credits: Three (3) Hours
Fields of Study: Business Law; Economics
Item Number: 16PHCWDC0920A
Shipping Weight: 0lbs. 0oz.
Price: $140.00
Program Description

Healthcare economic studies have suggested that the coordination of healthcare services throughout the continuum of care will improve the quality of care patients receive, creating cost efficiencies in the delivery of healthcare for payors and patients in this era of healthcare reform. Despite the benefits indicated from these studies, recent regulatory actions have challenged the legal permissibility of numerous integration platforms and the transactions forming them, including both consolidation and physician compensation involved in integration efforts.

This webinar will examine the current regulatory environment surrounding vertical integration transactions in the healthcare industry, and detail the flawed premises that have ignored the economic principles in healthcare system delivery realities, and resulted in increased scrutiny.

Learning Objectives:

After completing this webinar, attendees will be able to:

- Identify and describe the most recent federal fraud and abuse cases related to vertical integration and physician compensation
- Explain the financial and economic arguments for coordinating healthcare services through mergers and acquisitions
- Describe the potential challenges surrounding the federal government's arguments regarding alleged fraud and abuse violations by healthcare providers

Who Should Attend

Financial professionals with an interest in healthcare valuation


Robert Cimasi, MHA, ASA, FRICS, MCBA, AVA, CM&AA
Mr. Robert J. Cimasi has served as president of Health Capital Consultants (HCC), a nationally recognized healthcare financial and economic consulting firm headquartered in St. Louis, Missouri since 1993. Mr. Cimasi has over 25 years of
experience in serving clients, with a professional focus on the financial and economic aspects of healthcare service sector entities including: valuation consulting and capital formation services; healthcare industry transactions including joint
ventures, mergers, acquisitions, and divestitures; litigation support and expert testimony; and certificate-of-need and other regulatory and policy planning consulting.

Mr. Cimasi holds a masters in Health Administration from the University of Maryland, has served as an expert witness on cases in numerous courts, and has provided testimony before federal and state legislative committees. He is a nationally
known speaker on healthcare industry topics, the author of several books, including his latest, The Adviser’s Guide to Healthcare (2010—AICPA), numerous chapters, published articles, research papers and case studies, and is often quoted
by healthcare industry press. In 2006, Mr. Cimasi was honored with the prestigious Shannon Pratt Award in Business Valuation conferred by the Institute of Business Appraisers. In 2011, he was named a Fellow of the Royal Institution of
Chartered Surveyors (RICS) and serves on the Editorial Board of the RICS Modus Americas Journal.