Wednesday, August 24 Day One
8:00 AM - 9:00 AM
Registration & Breakfast
9:00 AM - 9:30 AM
Opening Remarks
9:30 AM - 10:00 AM
Presentation
Finance & Operations Using the Latest Technologies to Support Growth
- Understanding the financial and operational issues impacting growth
- How to maximize profits using simple automation tools
- Key instruments for increasing EBITDA in a downturn
10:00 AM - 10:30 AM
Presentation
Closing the MSO Transaction: Anticipating and Solving for Real World Obstacles
- Examples of issues that have derailed deals, and methods to get them back on track
- Clearing the path through sell side diligence to avoid obstacles
- Preparation for rep and warranty insurance calls
- Areas of heightened enforcement
10:30 AM - 11:00 AM
Presentation
A Discussion of Historical Performance of PE Investments in Healthcare Services
- The rise of private equity in healthcare over the last 30+ years
- Trends in PE healthcare investments
- Incentive alignment and downstream impact on patients
- How greater financial risk correlates with potential for higher returns
11:00 AM - 11:30 AM
Networking Break
11:30 AM - 12:15 PM
Panel
Lessons Learned from Completing MSO Roll-Ups
- Takeaways from hands-on involvement in MSO rollup deals
- As this business model gains traction, prior deals must be considered as precedent
- Identifying the pros and cons of the deal
12:15 PM - 12:45 PM
Presentation
Keys to Effective Cyber Risk Management in Healthcare
- Growing number of cyberattacks threaten both the industry and investment
- Cyber risk management a key part of due diligence process and entire lifecycle of investment
- Key issues in building an effective cyber risk management program
12:45 PM - 1:45 PM
Lunch (Sponsored by athenahealth)
1:45 PM - 2:15 PM
Presentation
Best Practices for Marketing and Investing in Web-based Patient Acquisition Channels
- Reaching potential patients online
- Local SEO, PPC advertising and building social media presence
- Mobile marketing and the value of eyeballs on smart phone screens
- Measuring ROI and CPA (cost-per-acquisition)
2:15 PM - 3:00 PM
Panel
Healthcare M&A in a Shifting Macroeconomic Environment
- Incorporating ESG governance
- Impact of supply chain disruptions
- Building scale & value with add-on deals
- Creating a replicable strategic M&A model
3:00 PM - 3:30 PM
Networking Break
3:30 PM - 4:00 PM
Presentation
Understanding What Drives Valuations for Small, Medium and Large Entities
- Determining the right data to use in decision-making
- Valuing post-revenue vs. pre-revenue companies
- Determining whether an entity is over-valued or under-valued
- How to find valuation data
- Market conditions affecting valuations
4:00 PM - 4:30 PM
Presentation
The Health Tech Outlook: M&A, Private Capital, and the Policy Landscape (Software is Eating the World: Healthcare Services Edition)
- Trends and themes behind the recent surge in HCIT M&A activity, particularly via private equity
- Key drivers of valuation for HCIT firms in the private and public markets
- Convergence of health tech and MSOs / tech-enabled services firms
- Impact of recent policy shifts and upcoming changes in the landscape
4:30 PM - 5:00 PM
Presentation
Keeping Pace with Acquisitions From an Operations Perspective
- Dealing with acquired practices that use different billing platforms
- Strategies and tools to mitigate billing challenges
- Maintaining cash flow
- Creating uniform systems for billing, collections and enterprise reporting
5:00 PM - 6:00 PM
Cocktail Reception
Thursday, November 16 The MSO Bootcamp
Anyone involved with management services organizations knows how complicated and dynamic MSO strategy can be and how important it is to adhere to best practices and keep up with the latest legal and accounting changes.
On Day 2 of the conference we’re including an MSO Bootcamp with technical workshops geared specifically for medical providers and MSO management teams.
Our bootcamp leaders will provide expert guidance and teach practical skills on a range of finance and legal topics. This bootcamp offers a perfect opportunity for both MSO newbies and seasoned experts to take their business to the next level.
The goal of the MSO Bootcamp is to provide actionable ideas on corporate strategy and to help MSO management teams improve the performance of their business.
Legal Bootcamp: Corporate Structure
- Setting up Your Medical PC or PLLC
- Ownership Structures for MSOs, Sub-MSOs and PC Option Agreements
- Administrative Services Agreements: Customary Provisions and Fee Structures
- Structuring Professional Services Agreements
- Understanding Governance and Corporate Control Issues
- MSO Equity Ownership and Capitalization Considerations
Legal Bootcamp: The Regulatory Environment for Medical Services
- Corporate Practice of Medicine and State-by-state Law Comparison
- Understanding Fee-splitting, Stark Law, and Antikickback Statutes
- Challenges to M&A Transactions Including Antitrust, Regulatory and Licensure
- Analyzing Vertical Merger Guidelines
- Legal & Regulatory Issues Impacting Deals
Legal Bootcamp: M&A and Investments
- Why the Business of Healthcare is Driving Consolidation
- Due Diligence Strategies for both Investors and Acquirers
- How Representation and Warranties Insurance is Impacting Acquisition Strategies
- Common Healthcare M&A and Private Equity Rollup Strategies
- Partnerships, Joint Operating Agreements and Service-line Joint Ventures
- Payor-provider Transactions Including JVs and Acquisitions
- Asset Deals vs. Stock Deals: Pros and Cons
- Alternatives to Private Equity Transactions for Physicians
Finance Bootcamp: MSO Fee Structures
- Choosing the Right Corporate and Tax Structure for your Deal
- MSO Fee Structures: Cost-plus, Fixed-fee, Percentage of Revenue
- Benefits of MSOs to Independent Physician Groups
Finance Bootcamp: Tax and Accounting Considerations
- The CARES Act: PPP Loans, Deferred Payroll Taxes, Medicare Advance Payments, HHS Grants
- Best Practices for Accounting and Audits
- Accounting Considerations in Large Multi-site Roll Outs
- Accounting and Tax Considerations at Every Stage of Growth
- Using MSO Structures for Tax Advantages
Finance Bootcamp: Valuation Issues
- Understanding What Drives Valuations for Small, Medium and Large Entities
- Discussion of Valuation Multiples Across Different Specialties
- How Covid has Changed Valuation Approaches
Physician Extender/Physician Assistant Bootcamp
- How physician assistants can structure an MSO to become owners/co-owners in a medical practice
- Overview of states where midlevel providers have autonomy
- Understanding the differences in company set up
- Strategies to identify physician partners
