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October 05.2025
3 Minutes Read

What the Halt of Telehealth Flexibilities Means for Physicians & Patients

Professional male discussing telehealth policy changes.

The Unraveling of Telehealth Flexibilities: A Federal Update

As of October 1, 2025, telehealth services that were afforded flexibility during the COVID-19 pandemic have seen a significant regression, causing concern for physicians and patients alike. These flexibilities allowed for greater access to remote care, especially crucial for Medicare beneficiaries and those in vulnerable communities. Now, with the expiration of these allowances and the onset of a government shutdown, a dire situation is unfolding in healthcare delivery.

Prior to the pandemic, Medicare reimbursement for telehealth services was fraught with geographic and originating site limitations, which severely restricted access. Post-pandemic, a sweeping expansion enabled millions to utilize telehealth effectively. Unfortunately, this progress has been thwarted due to political failures in Washington, DC, as funding for vital programs lapsed without a budget, leaving many Americans without much-needed support.

Understanding the Immediate Impacts

The abrupt loss of these telehealth flexibilities means that patients now face significant barriers to care. Many seniors who previously accessed remote consultations via their healthcare providers have found their options curtailed. For those living in rural areas, telehealth is now limited to specific sites like hospitals or clinics, undermining the very purpose of telehealth — to provide convenient access to care.

According to Kyle Zebley, senior vice president of public policy at the American Telemedicine Association (ATA), “Patients are worse off today. They have less access than they did two days ago.” The rollback of these services can have serious ramifications, particularly for individuals seeking treatment for chronic conditions, mental health support, and other critical healthcare services that benefit from remote monitoring.

Healthcare Providers' Fork in the Road

Health systems and individual practitioners now face pivotal decisions regarding the continuation of telehealth services amidst the uncertainty of reimbursement. Some providers may continue to offer telehealth care with the hope of securing retroactive reimbursement; others may opt to halt services entirely to avoid absorbing costs without guaranteed payment.

This decision-making landscape places additional stress on medical practices, especially for those striving to maintain their service offerings amid a shifting reimbursement environment. Concierge medical practices, in particular, need to assess how these telehealth changes will impact their business model and patient satisfaction.

Advocacy and Communication: Key Actions for Practices

The necessity of advocacy cannot be overstated. Engaging with lawmakers and conveying the urgency of restoring telehealth flexibilities is critical. The ATA has established an online advocacy tool that physicians and patients can use to express their concerns to elected officials. Only through a collective voice can the industry hope to re-establish telehealth services as they were during and after the pandemic.

Additionally, proactive communication with patients is essential. Practices should notify patients of the changes, alerting them to any upcoming appointments that may be impacted and offering alternatives where possible. For practices opting to provide telehealth services without Medicare coverage, informing patients upfront about potential costs is crucial to foster trust and transparency.

Looking Ahead: Future Predictions and Trends

In the face of these legislative shifts, the telehealth landscape remains perilous. If Congress does not act promptly, invaluable gains made in telehealth access could be lost indefinitely. Many are calling for a reassessment of telehealth regulations, advocating for permanent flexibilities that reflect current technological advancements and healthcare needs.

Patients, especially those within Medicare, are left feeling vulnerable and anxious regarding their health access. The current scenario offers an opportunity for healthcare professionals in concierge practices to reevaluate their business strategies, considering how to integrate telehealth effectively into their practice amid regulatory uncertainty. By embracing a flexible approach and staying informed about legislative changes, practices can position themselves as leaders in patient care delivery.

A Call to Action: Shaping the Future of Healthcare

Ultimately, as the telehealth landscape faces resistance, it is the responsibility of healthcare providers to advocate for their patients and the viability of their practices. This involves not only pushing for legislative support but also adapting business models that can sustain the challenges ahead. Concierge practice owners should take this period of instability as a catalyst for growth, ensuring that they are at the forefront of patient-focused care solutions. By actively engaging in the advocacy process, they can contribute to reshaping the healthcare landscape for the better.

Financial Fitness

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10.05.2025

Essential Insights on Choosing the Right Business Lawyer for Memory Care Center Acquisitions

Update Navigating Mergers and Acquisitions in Memory Care Centers As the demand for specialized memory care facilities grows, the landscape of mergers and acquisitions in this niche sector becomes increasingly complex. Owners of concierged medical practices are not only seeing a rise in opportunities to acquire or merge with memory care centers, but they are also facing the daunting task of navigating a multitude of regulations and industry-specific challenges. Thus, the choice of a business lawyer becomes a critical strategic decision. Why You Need an Experienced Business Lawyer Memory care centers operate under stringent regulatory frameworks, which differ significantly from standard medical practices. A lawyer with expertise in healthcare mergers and acquisitions can provide vital guidance. Their understanding of the unique regulations around state licensing, resident agreements, and compliance factors enables them to protect your interests while ensuring that the transaction proceeds smoothly. For example, Bradley, headquartered in Birmingham, has closed over $4 billion in transactions in 2024, increasing their prowess as a leader in this field. Top Business Law Firms Specializing in Memory Care It is crucial to align with law firms that have demonstrated expertise in memory care mergers and acquisitions. Here is a breakdown of some of the top firms: Bradley - With over 30 years in long-term care and substantial experience in memory care transactions, they provide invaluable regulatory compliance expertise. Baker Donelson - Their experience ranges from smaller facilities to significant nursing home sales, offering insights into HUD-insured financing and facility restructuring. Axiom Law - Providing cost-effective legal services, they ensure access to healthcare-compliant legal counsel without sacrificing quality. Quarles & Brady - Their extensive background in elder care transitions makes them adept at guiding clients through complex regulatory environments. Mayer Brown - Ideal for those considering international transactions, their expertise reaches across jurisdictions, vital for multi-state acquisitions. Selecting the Right Lawyer for Your Deal Choosing the right legal partner requires careful consideration of their expertise. You should assess their experience with similar practices, understand their fee structures, and determine their regulatory knowledge in your operational states. Proactive discussions about cost and scope and seeking references from past transactions can set the stage for a successful partnership. The Financial Aspect of Selection Memo: Cost efficiency should not compromise quality in legal representation. Companies like Axiom Law exemplify how legal engagement can be tailored financially. Their flexible pricing models—ranging from flat fees to hourly rates—offer attractive options for satisfying the budgetary constraints of mid-sized medical practices. Common Misconceptions About Legal Representation One common misconception is that all lawyers can handle transactions in specialized fields like memory care. In reality, expertise matters significantly in this arena. Engaging a lawyer without specific experience in healthcare law could lead to significant errors and losses in transactional value. Choosing practitioner-focused lawyers can mitigate risks associated with regulatory pitfalls typical in healthcare acquisition. Final Thoughts and Next Steps As you contemplate mergers and acquisitions within the memory care sector, understanding the financial and regulatory landscape is essential. The right legal advisor is not just a lawyer—factors including their industry expertise, regulatory knowledge, and fee structure are crucial for successful transactions. Schedule a confidential discussion with a specialized lawyer to position your practice advantageously in this evolving market.

10.05.2025

Unlocking Profits: A Practical Guide to Maximizing Pediatric Practice Value

Update Understanding the New Landscape of Pediatric Practice Valuation The market for buying and selling pediatric practices has undergone a significant transformation. Traditionally, such transactions were often limited to internal sales to junior partners, yielding modest valuations of 1-2 times earnings. Today, however, robust competition from private equity (PE) firms and other large entities has emerged, significantly driving up valuations to between 5-7 times EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization) or even higher. This shift presents exciting opportunities for practice owners, who can now achieve premium prices by understanding how to position their practices effectively. Key Factors That Impact Practice Valuation When it comes to determining a practice’s value, buyers evaluate various indicators of financial health and operational efficiency. The primary consideration remains EBITDA; an attractive practice should aim for a margin of 20-25%. For instance, consider a practice generating $2 million in revenue: by improving its margin from 20% to 25%, the valuation could increase by up to $600,000, assuming a 6x multiple. Understanding these metrics will allow owners to make informed decisions that positively impact their practice’s worth. How Practice Size Influences Value The size of a pediatric practice plays a crucial role in its valuation multiple. Larger practices are perceived as lower-risk, more stable investments, which tends to attract higher multiples. For instance, small practices generating less than $1 million typically see valuations of 3.0x – 6.0x EBITDA, while mid-sized practices can secure multiples between 6.0x and 10.0x. Large platforms exceeding $5 million revenue enjoy the highest multiples, often 8.0x – 13.0x or more. Growth in practice size not only boosts profits but also enhances the multiple applied to those profits, leading to potentially exponential increases in overall value. The Importance of Payer Mix and Billing Efficiency For potential buyers, analyzing the revenue sources and collection efficiency of a practice is essential. A practice with a higher ratio of commercial insurance revenue can command a valuation 10-20% higher than one heavily reliant on Medicaid. Moreover, operational efficiency regarding invoicing and collections is vital. Buyers typically look for indicators such as a Days in Accounts Receivable (AR) of less than 30 days and a net collection rate exceeding 95%. Practices that fail to meet these benchmarks may face diminished valuations, as buyers factor in the costs associated with rectifying operational issues. Strategies to Enhance Practice Value To maximize value, practice owners must focus on creating businesses that are stable, scalable, and independent of a single practitioner. Diversifying revenue streams—such as incorporating ancillary services like in-office labs or lactation consulting—can create high-margin opportunities. Further, building a scalable team with multiple physicians and a mix of nurse practitioners and physician assistants can significantly reduce dependency on one key figure, presenting a more attractive prospect to buyers. The Role of Technology in Building Practice Value Modernizing technology within a practice is another essential consideration. An outdated electronic health record (EHR) system can act as a deterrent to potential buyers, leading them to lower their offers due to projected replacement costs—often ranging from $50,000 to $200,000. Ensuring the technology is up to date not only facilitates smoother operations but also enhances the practice’s overall value in the eyes of buyers, who may be wary of future integration challenges. Building Trust Through Quality Recognition Recognition as a Patient-Centered Medical Home (PCMH) is an effective way to demonstrate a commitment to quality care. Such certifications indicate that a practice is well-prepared for transitioning to value-based care models, an attractive proposition for buyers looking for practices that align with contemporary healthcare trends. Conclusion: Preparing for Successful Transition As the pediatric practice market evolves, understanding the key drivers of value and strategically positioning your practice becomes imperative. By focusing on EBITDA optimization, enhancing operational efficiencies, and diversifying service offerings, practice owners can leverage these insights to secure not just any sale, but a lucrative one. Are you ready to maximize your practice's value? Start today by assessing your operations and exploring new revenue opportunities. The time is now to strategically position your pediatric service as a market leader.

10.05.2025

Maximize Your ABA Therapy Practice's Value with Specialized Financial Planners

Update Understanding the Complexities of Clinic-Based ABA Therapy Mergers and Acquisitions Navigating the intricacies of merging or acquiring a clinic-based Applied Behavior Analysis (ABA) therapy practice can be daunting. It's crucial to partner with a financial planner who is not just familiar with general mergers and acquisitions but, specifically, those involving the behavioral health arena. This specialized knowledge is paramount; it ensures that both parties in a transaction comprehend the unique reimbursement structures and regulatory requirements that govern ABA therapy practices. Why Specialized Financial Planners Matter When you are considering a merger or acquisition, the impact of a specialized financial planner cannot be understated. The exacting standards of ABA therapy practices demand adept planning. Such planners help with key factors like optimizing your Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA) presentation, multi-site valuations, and structuring deals that not only enhance value but also protect your clinical mission. For instance, a financial planner with expertise in ABA can help pinpoint the nuances that influence the valuation of your practice, such as referral relationships and payer contracts. They understand that effective practice management can increase operational efficiency and, ultimately, the monetary value during the sale or negotiation phase. Choosing the Right Financial Planner Selecting the correct financial planner for your ABA practice transaction involves due diligence. Look for a track record in specific behavioral health deals and ask for references tied to ABA therapy transactions. It’s vital that any prospective planner can address the unique cash flow patterns and regulatory compliance measures that are inherent to ABA therapy practices. Some leading firms noted for their expertise in this sector include Agenda Health from Seattle, SovDoc from New York, and Triton Pacific Capital Partners from Los Angeles. Each of these firms can provide a tailored approach, ensuring that their recommendations align with your practice's strategic objectives. Importance of Exit Planning in ABA Business Transactions As emphasized in various financial advisories, the best time to start planning your practice's exit strategy is not at the moment you want to sell but in advance. An exit planning process takes time—often between 18 to 36 months— to ensure that everything is structured appropriately to maximize business value and maintain continuity of care. Ultimately, a strong exit plan helps protect your staff and clients, positioning your business to transition seamlessly. This aspect is indispensable when evaluating potential buyers and understanding what managerial structure will be necessary for maintaining service quality post-sale. Key Elements in Valuing Your ABA Practice A comprehensive valuation of your ABA practice is integral to a successful merger or acquisition strategy. Various elements contribute to this valuation—understanding your current earnings, market dynamics, and knowing what intangibles add to your value is vital. For example, existing payer contracts and referral opportunities are often seen as intangible assets contributing significantly to practice worth. Consultants such as ABA Advisors, LLC, and Healthcare Capital Advisors have shown success in emphasizing these factors. Engaging with these specialized consultants not only helps in acquiring a suitable valuation but also sets the groundwork for successful negotiation and sale processes. Future Considerations for Practice Owners As the healthcare landscape continues to evolve, it becomes increasingly vital for behavioral health professionals to remain abreast of emerging trends that may affect their practices. The anticipated growth in demand for ABA therapy services means opportunities abound for clinic-based practices willing to merge or acquire others for broader reach and resources. Key considerations of future partnerships include evaluating changes in payer policies, healthcare regulations, and market demand, as each can substantially affect the longevity and profitability of your practice. Your Next Steps Toward Successful Financial Planning Today’s healthcare entrepreneurs must prioritize securing a knowledgeable financial planner. Begin by reaching out for a consultation with firms like Agenda Health, SovDoc, or Triton Pacific Capital Partners. Their specialized insight will empower you with the information needed to build a practice that thrives both during and after a merger or acquisition. Additionally, if you wish to delve deeper into the nuances of exit planning and value maximization for your practice, engaging with a financial advisor who specializes in ABA transactions can pave the way for a prosperous transition. Ready to elevate your practice? Schedule a confidential discussion to explore your options.

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