Perhaps the greatest change to the American healthcare system over the past few decades has been the increased use of clinical co-management arrangements by hospitals to help the challenges of increasing competition, changing reimbursement structures, and shifting operational paradigms. These arrangements are so unique and often so new that many valuation techniques are insufficient to assess their value.

Expert appraisers Greg Anderson and Ann Brandt discuss the challenges inherent in valuing this emerging component of the healthcare marketplace. Topics include operational characteristics of co-management agreements and methods of valuation, including income-, incentive-, and cost-based approaches. Valuing Clinical Co-Management Arrangements contains 17,163 words and is extracted from a 90-minute teleconference transcript from June, 2011.

Author/Editor:

Dr. Ann Brandt specializes in valuing compensation arrangements which may have Stark and/or Anti-kickback implications. Working primarily with hospitals, pharmaceutical companies and medical device companies, Dr. Brandt leads her Firms life sciences service line. She has specific expertise in valuing thought leader compensation and data acquisition arrangements as well as clinical trials and principal investigator compensation. In addition, she has extensive experience in providing valuation and consulting services related to co-management and physician management arrangements. Dr. Brandt has more than twenty-five years of healthcare experience as a clinician, consultant, strategist, marketer and professor. She served as a senior consultant specializing in healthcare information technology and process redesign at a Fortune 15 technology and consulting company. She has extensive experience in physician/hospital partnerships as well as in operational restructuring, information management and clinical transformation.

Gregory D. Anderson, CPA/ABV, CVA is a partner in a health care practice group and concentrates his practice in consulting on income distribution plans for physician group practices; design, implementation and fair market value studies related to hospital/physician employment and other compensation arrangements; and the valuation of medical practices, diagnostic facilities, ambulatory surgery centers and other health care facilities.