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What’s The Value Of Your Independent Pharmacy (Part I)?

by David E. Coit, Jr., DBA, CVA, CVGA, CMAA, and Alan J. Hymowitz Volume 5 Issue 19, September 11, 2018 Today, there are over 22,000 independent pharmacies out of a total of over 61,000 pharmacies nationwide. In addition, independent pharmacies drive over $73 billion of industry revenue with all signs pointing to continued growth. Customer demand is…

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There Are No Unrealistic Expectations

by Tom Schramski, PhD, CMAA Volume 5 Issue 18, August 28, 2018  There is an unfortunate term in the world of healthcare M+A intermediaries when they discuss a difficult, or even disastrous, transaction attempt: the “unrealistic expectations” of a potential seller. It is not uncommon for advisors to blame a failure on the seller’s resistance to…

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Why It’s Critical To Know The Value(s) Of Your DME Company

by David E. Coit, Jr., DBA, CVA, CVGA, CMAA Volume 5 Issue 17, August 14, 2018  Most owners of Durable Medical Equipment (DME) companies regularly attempt to estimate the value of their company. Unfortunately, their estimates can significantly differ from the marketplace “reality,” depending on a number of factors. “All healthcare related companies sell for 2…

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5 Provider Strategies For Confronting The End Of I/DD Carve-Outs As We Know Them

by Rachel Boynton Volume 5 Issue 16, July 31, 2018  There is no faster evolving healthcare area than the Medicaid-funded Long Term Care Support Services (LTSS) marketplace. The combination of reimbursement pressure, limited state budgets, and the movement to bring LTSS services under the direct administration of health plans (“carve ins”) is challenging many traditional I/DD…

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5 Big Challenges (And Opportunities) In Today’s Independent Pharmacy Marketplace

by Alan J. Hymowitz Volume 5 Issue 15, July 17, 2018  The independent pharmacy marketplace has become one of the most competitive in all of healthcare. Despite the presence of CVS, Walgreen’s and RiteAid on nearly every street corner in America, independent pharmacies are beginning to increase in number. They vary from compounding pharmacies that serve…

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6 Ways To “Look Under The Hood” And Build Value In Your SUD Company

by David E. Coit, Jr., DBA, CVA, CVGA, CMAA Volume 5 Issue 13, June 19, 2018  The Substance Use Disorder (SUD) marketplace is dynamic and continues to be impacted by many factors. The valuation of SUD programs is also subject to change, ranging from in-network vs. out-of-network reimbursement and in-house labs to the increasing focus on…

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How A Health Care Company Creates Value

by Bill Fotsch and John Case Volume 5 Issue 13, June 19, 2018  Michael Porter, the renowned Harvard Business School professor, famously said that there are only two types of competitive advantage that a company can sustain. It can be the low-cost provider and thus offer lower prices. Or it can somehow differentiate itself from competitors—through…

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8 Practical Strategies To Maximize Your Healthcare M+A Success

by Tom Schramski, PhD, CMAA and Joshua Boynton, CMAA Volume 5 Issue 12, June 5, 2018  There is quite a bit written about the failure of mergers and acquisition (M+A) activity, occasionally even competing with President Trump’s tweets. The reasons are as numerous as the transactions themselves, while the analyses tend to focus on sexy megadeals…

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7 Insights On Why I/DD M+A Has Just Begun

by Tom Schramski, PhD, CMAA and Joshua Boynton, CMAA Volume 5 Issue 11, May 22, 2018  Just 50 years ago nearly 200,000 people with I/DD were locked up in large institutions across the US. Today, about 27,000 people with I/DD live in such environments, including skilled nursing facilities (SNFs) and other similar institutions. This exodus into…

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9 Factors That Are Accelerating Consolidation In US Healthcare

by Tom Schramski, PhD, CMAA Volume 5 Issue 10, May 8, 2018  You cannot escape it, not if you have eyes and ears. The US healthcare market is obsessed with consolidation. Optum (insurance) has acquired Surgical Care Affiliates (ambulatory surgery centers), Cigna (insurance) intends to take over CVS (retail pharmacies) and Express Scripts (pharmacy benefits management),…

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