BUSI 710 - Module 7 - Final Research Project.docx

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Running head: HEALTHCARE M&A MODEL 1 Healthcare M&A model: Supporting the switch from fee-for-service to value-based care delivery. Liberty University
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HEALTHCARE M&A MODEL 2 Definition of Terms HCAHPS (the Hospital Consumer Assessment of Healthcare Providers and Systems) is a survey tool for data collection associated with the patient perception of the quality of care received during a visit to a healthcare provider. The survey data represent the patient perspective and contain both numerical and written feedback. [CMS171]. HIPPA (Health Insurance Portability and Accountability Act of 1996) is a set of “regulations for the protection of the privacy and security of certain health information” [HHS181]. Healthcare provider , “under federal regulations, is defined as: a doctor of medicine or osteopathy, podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State and performing within the scope of their practice as defined by State law, or a Christian Science practitioner. A health care provider also is any provider from whom the University or the employee's group health plan will accept medical certification to substantiate a claim for benefits” [Ber18]. IRS Form 990 is a required form that an income tax exempted organization need to file on an annual basis [IRS18]. Audited financial reports are financial statements audited by an independent 3 rd party (auditor) [Ore17]. P&L or a profit and loss statement provides a summary of a company’s income, expenses, and earnings for a given period [CFI181].
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HEALTHCARE M&A MODEL 3 Problem Statement The general problem to be addressed is that the mergers and acquisition (M&A) model in the healthcare industry has not generated a higher quality and lower cost care delivery outcomes. Healthcare providers continue to struggle through higher operating costs, driven by higher mortality and lower quality performances, along with more inferior patient experience survey results. Bauer [Gre18] states that for such a connection to take effect, providers need to adjust their operations and put patient engagement at the center of it. According to Okpala [Pau18], the healthcare of tomorrow requires a more robust and innovative way to mitigate the rising cost of care delivery. A focus on an M&A model which supports capability-building tends to outperform the industry’s current consolidation or diversification [Bob11]. The specific problem to be addressed is that the current model of horizontal provider mergers and acquisitions had not acted as a catalyst between care quality and delivery cost. According to recent research from Gallup Inc., as of 2016, 30.7% of the household income relates to healthcare costs [Gal18]. The current M&A model has saturated the local markets with operations that do not increase the availability and affordability of healthcare.
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  • Fall '17
  • Health care provider

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