As private equity groups continue to invest in the health care industry, their business practices are falling under increasing scrutiny from lawmakers, researchers and the news media. In 2018, for example, three Yale University researchers released a report that examined how out-of-network billing for emergency care in the United States can lead to ... READ MORE >
Health Care
From hospital systems to home care providers, the health care sector is replete with middle market companies. The health needs of an aging population assure that this industry will continue to grow in coming years.
Health care jobs market remains tight, government data shows
The Job Openings and Labor Turnover survey released by the government last week underscored continued tightness in the health care labor market through June. Health care organizations added 60,000 employees, after accounting for employee departures. Total job openings across the ecosystem increased by 10,000. Since 2014, total job openings in health care ... READ MORE >
When addressing nursing shortage, look to your own ranks first
The market for skilled workers, administrators and support staff remains tight in U.S. health care as providers struggle to fill jobs, particularly critical roles such as nurses. The numbers have not appreciably improved since the last time I wrote about this topic: Total health care job openings have remained around 1.1 million to 1.2 million since December ... READ MORE >
Medical cost ratio is a growing concern among health insurers
In recent weeks, health insurers Centene Corp., UnitedHealth Group Inc., and Anthem Inc. released earnings. Two others, Molina Healthcare Inc. and Humana Inc., will report later this month. Among the worrisome trends discussed on their earnings calls is a growing medical cost ratio, or MCR, the percent of premium the insurer spends on claims and expenses ... READ MORE >
Health care faces demand for pricing transparency
On June 24, President Trump signed an executive order designed to improve transparency in the pricing of health care. It’s the latest move in an environment where consumers are exercising power over the cost of treatment, an area that historically offered them little wiggle room. Health care executives must consider that their consumers (patients) are now ... READ MORE >
As consumers gain leverage, lower health care deductibles are forthcoming
Over the past decade, higher deductibles have become standard for the majority of health care plans in the United States. That standard could change, however, as consumers gain a louder voice in the health care value equation. Nearly half of individuals covered by employer-sponsored health plans have a high deductible plan, or HDP. Of those individuals, ... READ MORE >
Treatment of some leases under new FASB standard can result in balance sheet surprise
So-called embedded leases may not be the first thing you think of when considering the effects of ASU 2016-02 under the new FASB standard for lease accounting. But this much-anticipated new rule can provide a forcing mechanism for how your business treats leases tied to service contracts. When I discuss the new accounting standard with ratings agencies ... READ MORE >
Want a fuller picture of biotech’s promise? Look beyond the public markets
A recent Wall Street Journal article highlights the underperformance of the Nasdaq Biotech Index against other benchmarks. The article implies the weak returns are due to a lack of blockbuster biotech therapies; at the same time, the piece underscores the robust private funding activity within the biotech ecosystem. The ecosystem and the capital markets in ... READ MORE >
Investors eye hospital revenue bonds in search of yield
Investors are eyeing higher-yield hospital revenue bonds amid bargain prices underscored by the 10-year US Treasury, which is priced at its lowest level since 2017. But health systems have not yet stepped up to issue more debt to meet demand. Several bond deals issued in the first few months of 2019 have seen significant over-subscription, signaling more ... READ MORE >
Health care deal outlook for 2019 good, despite slow start to year–panel
Health care deals are down to start 2019, but the outlook is good, largely due to of the amount of dry powder on the sidelines, a recent panel of private equity professionals noted earlier this month. The panel discussion, entitled “Financing the Deal,” was hosted by The Nashville Health Care Council, and featured representatives from four private equity ... READ MORE >