Your Primer to Healthcare Mergers and Acquisitions

Category: Market Trends

Market Trends
Healthcare Mergers and Acquisitions: Stats, Predictions and Guidance

Over the past few months, as 2018 wound down and 2019 kicked into high gear, we've seen a steady flow of reports analyzing U.S. healthcare merger and acquisition (M+A) activity from last year and outlining predictions for this year. Let's examine what these reports identified as some of the key developments of the year that was and forecasts for the year that is and then discuss what it all means for your business.

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Exit Planning, Healthcare Sectors, Market Trends
Why You Should Sell Your Business In 2019 (Part 2)

In this second part, three of our other managing directors discuss why owners of ambulatory surgery center (ASC), home and community services, durable medical equipment (DME), and home health should consider exiting their markets this year.

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Exit Planning, Healthcare Sectors, Market Trends
Why You Should Sell Your Business In 2019 (Part 1)

Consolidation in healthcare picked up steam in 2018 and shows no signs of slowing down in 2019. This trend, along with other factors, is placing great pressure on providers of healthcare services to address a critical question: Is this the year to sell?

For many providers, the answer should be simple: yes.

In this first in a two-part series, two of our Managing Directors speak to why pharmacies and intellectual or developmental disabilities (IDD) service providers should sell in 2019.

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Healthcare Sectors, Market Trends
6 Reasons Why “The Outpatient Way” Will Continue To Lead Healthcare in 2019

For more than a century, American healthcare has been focused on inpatient or hospital care as the most appropriate location for necessary medical interventions. However, in the past decade this approach has come under assault. According to Modern Healthcare, hospital admissions and inpatient days have declined steadily since 2008. What’s fueling this change? These are a few of the reasons.

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Exit Planning, Market Trends
7 Reasons Why Some Healthcare Businesses Don't Sell (At First)

With over 60 combined years’ experience in the healthcare marketplace, we have seen many successes and some failures when representing healthcare owners who could not initially sell their businesses. In these latter examples they learned a hard lesson and, fortunately in some cases, were able to eventually transact.

Here are seven reasons why they encountered failure the first time around.

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Healthcare Sectors, Market Trends
Special Medtrade Show Edition: Why You Should Invest In Pediatric Home Health Care Now

Today, families provide nearly $40 billion of uncompensated pediatric home health care (parents are believed to lose about $3,200/year in income when caring for a sick child), though this picture is rapidly shifting with the expansion of Medicaid, the increasing influence of managed care organizations (MCOs), and the Centers for Medicare & Medicaid (CMS) emphasis on providing pediatric care in client homes. This accelerating change offers an opportunity for home health care providers to enter and/or increase market share in an area of demonstrated need.

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Healthcare Sectors, Market Trends
5 Provider Strategies For Confronting The End Of I/DD Carve-Outs As We Know Them

There is no faster evolving healthcare area than the Medicaid-funded Long Term Care Support Services (LTSS) marketplace. The combination of reimbursement pressure, limited state budgets, and the movement to bring LTSS services under the direct administration of health plans (“carve ins”) is challenging many traditional I/DD providers. The rapid proliferation of health plans and Managed Care Organizations (MCOs) into the LTSS is forcing I/DD providers to understandably rethink their long-term vision.

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Healthcare Sectors, Market Trends
5 Big Challenges (And Opportunities) In Today's Independent Pharmacy Marketplace

The independent pharmacy marketplace has become one of the most competitive in all of healthcare. Despite the presence of CVS, Walgreen’s and RiteAid on nearly every street corner in America, independent pharmacies are beginning to increase in number. They vary from compounding pharmacies that serve the increasing demand from veterinarians and animal owners to the rapid expansion of special needs pharmacies that respond to the requirements of the aging and disabled Medicaid population.

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Healthcare Sectors, Market Trends
7 Insights On Why I/DD M+A Has Just Begun

Just 50 years ago nearly 200,000 people with I/DD were locked up in large institutions across the US. Today, about 27,000 people with I/DD live in such environments, including skilled nursing facilities (SNFs) and other similar institutions. This exodus into our communities has dramatically improved the lives of people with disabilities, as well as their families. It has also created a dynamic marketplace for the organizations providing services and supports to these same people.

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Market Trends
9 Factors That Are Accelerating Consolidation In US Healthcare

You cannot escape it, not if you have eyes and ears. The US healthcare market is obsessed with consolidation. Optum (insurance) has acquired Surgical Care Affiliates (ambulatory surgery centers), Cigna (insurance) intends to take over CVS (retail pharmacies) and Express Scripts (pharmacy benefits management), and DaVita (kidney care) now runs The Everett Clinic (physician network). To add to the mania, Amazon, Berkshire Hathaway, and JP Morgan Chase intend to form their own healthcare insurance company. Why now?

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Healthcare Sectors, Market Trends
5 Reasons Why Consumer Direction Is The #1 Factor In The New I/DD Marketplace

In its purest form, consumer direction means that people have significant decision-making control over the services and products they receive. Most people believe this is a right that we can exercise in whatever marketplace we enter – buying a car, choosing where we attend college, shopping for groceries and so on. We also understand that while there may be obstacles, especially financial limits and resource availability, we are free to challenge them as we choose.

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Healthcare Sectors, Market Trends
8 Ways DME Companies Can Thrive In Tough Times

Several years ago, DME competitive bidding was instituted by Medicare and the impact has been dramatic. Many smaller DMEs that could not successfully compete sold their assets, restructured their business, or simply closed their doors.

Other DME companies, however, saw an opportunity to be exploited. In our national DME merger and acquisition practice, we've seen a number of success stories of companies that have both survived and thrived in this increasingly competitive environment. Here's what they did.

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