What’s Next for Managed Care?

The managed care mega-deals of 2015 have blown up. Aetna (NYSE: AET) and Humana (NYSE: HUM) amicably terminated their $37 billion merger, following a federal judge’s order in January to block the deal on antitrust grounds. The $1 billion termination fee was in the works. A different federal judge blocked Anthem (NYSE: ANTM) and Cigna’s (NYSE: CI) $54.2 billion merger on similar grounds. Things turned ugly quickly, as Cigna declared the deal dead and sued Anthem for the $1.85 billion termination fee, and another $13 billion in damages on behalf of its shareholders. Anthem says it will go ahead with the merger. What do the Big Five health insurers do now that they’re... Read More »
Reporters Notebook: 10th Annual ACG NY Healthcare Conference

Reporters Notebook: 10th Annual ACG NY Healthcare Conference

The ACG New York chapter held its annual healthcare conference at the Metropolitan Club on February 23, as always, on the last Thursday of the month. We attended, along with more than 400 others involved in the healthcare industry. The evening’s topic, “The 2016 Election and Healthcare: What You Need to Know,” was obviously the big draw. Moderator Michael Gaffin, Marwood Group’s political strategist and head of its Washington office, played his cards close to the vest during most of the panel, but did opine that the Republicans will be able to do whatever they want to the Affordable Care Act, because they’ve been talking about it so long. On the panel were... Read More »

Outpatient Surgery Centers Take the Spotlight

After a record-setting year in 2016, the Physician Medical Group sector got off to a swift start in  2017, with a deal that is telling of changing healthcare paradigms, especially the shift from inpatient to outpatient care. Only two weeks into the new year, and seven transactions have been announced for physician practices and management companies. Envision Healthcare Corp. (NYSE: EVHC), the entity that officially combined Envision Healthcare Holdings and AmSurg Corp. (NASDAQ: AMSG) on December 1, 2016, announced three practice acquisitions in the first week alone. Privately held Dermatology Associates, Family Care Partners and Platinum Dermatology Partners announced one deal each. Then... Read More »

Physician Medical Group Sector Heats Up

Ten months into the year, and only two healthcare sectors have posted gains compared with 2015 totals. On the technology side, it’s eHealth, where deal volume is up 10% through the end of October, to 139 transactions. On the services side, it’s Physician Medical Groups. Deal volume now stands at 102 transactions, a 13% increase over last year’s 90 deals. (See chart below.)   The Medicare Access and CHIP Reauthorization Act (MACRA) is one factor behind the increase in physician practice acquisitions. Although the Centers for Medicare and Medicaid Services eased some rules regarding data reporting periods, timing and payment options, the law still calls for smaller practices to have... Read More »
Surgical Care Sews Up Two Partnerships

Surgical Care Sews Up Two Partnerships

Surgical Care Affiliates, Inc. (NASDAQ: SCAI) announced two transactions in the month of February that expanded its Chicago-area footprint to six locations. First was the Center for Minimally Invasive Surgery in Mokena, Illinois. The center’s 17 phsyicians provide a full suite of outpatient surgical services, including general surgery, gynecology, ophthamology, orthopedics, pain management and podiatry. Although the deal was announced on February 2, it was effective on January 1, 2016. Next, on President Lincoln’s birthday (that’s February 12, to the uninformed), SCA partnered with Winchester Endoscopy Center in Libertyville, Illinois. The center’s six physicians... Read More »