Outpatient Ancillary Services: Creative Structures for Competing Into the Future

Katten Muchin Rosenman LLP
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In this presentation:

- Introduction

- Why Ancillary Services Transactions Are Being Done

- Conversion to Provider-Based or Under Arrangement

- An Illustration

- Some Medicare Vernacular

- Why Convert?

- Factual Scenario

- History and Purpose of Provider-Based Rules

- On-Campus v. Off-Campus

- Provider-Based Requirements Applicable to On-Campus AND Off-Campus Facilities or Organizations

- Additional Provider-Based Requirements Applicable ONLY to Off-Campus Facilities or Organizations

- Provider-Based Status for Joint Ventures

- What If a Joint Venture Will Be Involved?

- Under Arrangement

- Provider-Based v. Under Arrangement

- Provider-Based v. Under Arrangement: The Choice

- Supervision of Hospital (Provider) Outpatient Diagnostic Services

- Process for Conversion to Provider-Based or Under Arrangement

- Roll-Up

- Factual Scenario

- Roll-Up Considerations

- Process for Roll-Up

- Outright Acquisition of Ancillary Services Centers or of Joint Venture Ownership

- Factual Scenario

- Acquisition Considerations

- Process for Acquisition

- Co-Management and Other Relationships Between Hospitals and Physicians Involving Ancillary Services

- Why Consider Other Relationships Involving Ancillary Services?

- Examples of Relationships

- Think Like an Investment Banker

- Quality and Risk Implications

- Excerpt from Some Medicare Vernacular:

- Physician groups and independent diagnostic testing facilities (“IDTFs”) are considered to be “suppliers” by Medicare.

- Hospitals are considered to be “providers” by Medicare.

Please see full publication below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations. Attorney Advertising.

© Katten Muchin Rosenman LLP

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