Governor Bredesen signed new Tennessee legislation into law on June 25, 2009, with most changes effective July 1, 2009. A summary of significant changes for various taxes are described below, the most compelling of which relates to the franchise and excise tax exemption for family-owned non-corporate entities (FONCE) with rental income: Franchise and Excise Tax […]
www.pyapc.com/insights/tennessee-tax-updates/On Monday, September 27th, President Obama signed the Small Business Jobs Act of 2010 (“the Act”). Included in the Act are $12 billion in tax breaks for small businesses including: Expansion of Code Section 179 Expensing (Dollar Limit and Property Type) Extension of the Bonus Depreciation Allowance to 2010 Increased Deduction for New Business Start-Up […]
www.pyapc.com/insights/president-signs-act-with-12-billion-of-small-business-tax-breaks/On February 13, 2008, the President signed into law the Economic Stimulus Act of 2008. This Act contains several incentives for both individuals and businesses, with the anticipated result being an increase in consumer spending. Tax Rebate To receive the highly-promoted tax rebate, you must file a 2007 federal income tax return, even if you […]
www.pyapc.com/insights/economic-stimulus-act-of-2008/CMS Expands No-Pay List Two new diagnoses added Centers for Medicare and Medicaid Services (“CMS”) announced on Thursday that it will no longer pay for extra costs related to blood clots in the legs after hip and knee surgery (DVT) or complications related to poor control of blood sugar levels. This brings the current list […]
www.pyapc.com/insights/cms-expands-no-pay-list/Know Your State Laws Regarding Managed Care Contracts Over the past several years, many states have passed laws that provide rules that govern the contractual arrangements between Providers and Insurers. In some cases, these laws protect the provider from untimely claim payments, unforeseen uses of contractual terms by third parties and unwarranted claim denials. Such laws […]
www.pyapc.com/insights/know-your-state-laws-regarding-managed-care-contracts/On Monday, September 27th, President Obama signed the Small Business Jobs Act of 2010 (“the Act”). Included in the Act are $12 billion in tax breaks for small businesses including: Expansion of Code Section 179 Expensing (Dollar Limit and Property Type) Extension of the Bonus Depreciation Allowance to 2010 Increased Deduction for New Business Start-Up […]
www.pyapc.com/insights/president-signs-act-with-12-billion-of-small-business-tax-breaks-2/This week the newly appointed head of CMS, Dr. Donald Berwick, gave his first public speech since his appointment in July. As the speech opened, he mentioned a lot of the “what’s” of healthcare reform; costs must decrease, new ideas are needed, we must work together, change is imperative, etc He did not, however, mention much […]
www.pyapc.com/insights/things-unsaid/This week Modern Healthcare released its annual list of the top 100 most powerful people in healthcare. It’s populated with many people who most would agree are quite powerful –Barack Obama, Nancy Pelosi, Bill Gates, and the list goes on. Perhaps more interestingly, however, are the people who topped the 2008 list of healthcare’s power […]
www.pyapc.com/insights/the-revolving-door-of-power/The term ACO is attributed to Dr. Elliot Fisher, well-known for his Dartmouth Atlas Project which demonstrates the wide variation in cost per Medicare beneficiary across the country as well as the lack of correlation between cost and quality (higher cost does not translate to higher quality). In an effort to correct this trend, ACO […]
www.pyapc.com/insights/hmo-2-0-which-comes-first-healthcare-reform-or-payment-reform/We are frequently asked to value ASCs and comment on “typical” multiples of EBITDA for ASC transactions. As those in the industry know, the value of an ASC is highly dependent on the procedure mix, with some procedures much more lucrative than others. This variability makes quoting a “typical” multiple of EBITDA tricky and a […]
www.pyapc.com/insights/ambulatory-surgery-center-value-drivers/On March 23rd, President Obama signed into law the Patient Protection and Affordable Care Act (the "Act"). Though this Act has been signed into law, a second piece of legislation, the Reconciliation Agreement ("Agreement"), continues to be debated at this time. If signed, the Agreement could alter some aspects of the Act as detailed below. […]
www.pyapc.com/insights/upcoming-changes-for-businesses-due-to-healthcare-reform/
