Thursday, November 16 The MSO Bootcamp
Anyone involved with management services organizations knows how complicated and dynamic MSO strategy can be and how important it is to adhere to best practices and keep up with the latest legal and accounting changes.
Module 1 Legal Bootcamp
8:30 AM - 9:00 AM
Presentation
Reducing Compliance Risk for Existing and Acquiring Practices and Navigating Cybersecurity Threats
- Understanding the healthcare compliance landscape
- Compliance and other relevant standards
- Best practices for proper coding and auditing
- Navigating cybersecurity threats in healthcare
9:00 AM - 9:30 AM
Presentation
Structuring for Growth & Flexibility in Healthcare
- The MSO Structure in CPOM states, and non-CPOM states, and sub-MSOs
- Organic growth: Physician compensation models
- Equity Opportunities, acquisitions, forms of consideration, employment of seller physicians, and rollover equity
9:30 AM - 10:00 AM
Presentation
Legal Considerations in MSOs and M&A
- Explore the legal considerations in MSOs
- Understand legal concerns in M&A
- Methods for making smooth transitions
- Keeping regulatory concerns at the forefront
10:00 AM - 10:30 AM
Networking Break
Module 2 Finance Bootcamp
10:30 AM - 11:00 AM
Presentation
Valuing Management Services Organizations and their Services
- Regulatory standards governing the MSOs and their relationships with providers
- Valuation approaches, methods, and techniques in the valuation of MSOs and management fees
- When an MSO may seek a valuation opinion
- Identify attributes that may positively or negatively impact an MSO’s value
11:00 AM - 11:30 AM
Presentation
How a Tight Labor Supply Continues to Impact Medical Services
- Background of the issue, including Pre-Covid trends in nursing shortages
- Other HC roles in high demand/unable to meet capacity, RBT/BCBA
- Data on current challenges with strategies and responses to issues
- Predictions and evolution of the market
11:30 AM - 12:00 PM
Presentation
Beyond the Numbers; Common Mistakes Entrepreneurs Make
- Discussion of pain points in healthcare MSOs and M&A
- Going beyond the numbers to avoid common mistakes
- Common sense tips for a successful transition
12:00 PM - 1:00 PM
Lunch
Module 3 Physician Extender/Physician Assistant Bootcamp
1:00 PM - 1:30 PM
Presentation
Population Wealth: The Upgraded Approach to the Management of Population Health
- Assess patient specific financial and clinical opportunities as it relates to risk adjust factor (RAF) scores and medical loss ratios (MLR's)
- Discuss opportunities to increase funding while reducing financial leakage
- Evaluation of your financial goals: An appraisal of your MSO model
1:30 PM - 2:00 PM
Preparing Your Healthcare Services Company for Your Next Transaction
- Making a positive first impression with investors, partners, and buyers
- Beneficially framing products, metrics, and value propositions with actionable strategies before “going to market.”
- Key insights across product development, finance, operations, and marketing
- Achieving the next value-inflection point in investment, partnership, or acquisition
2:00 PM - 2:30 PM
Presentation
Strategies for Simplifying Healthcare Brand Messaging
- The importance of a clear brand message in the healthcare sector, and the role of strategic media placement
- Addressing the gap and where healthcare companies often miss the mark
- Leveraging advanced AI tools to improve marketing and branding
- Engagement strategies and message clarity workshop
2:30 PM - 4:00 PM
Networking Break
Qualified Medical Providers Can Attend for Free
The goal of the MSO Bootcamp is to provide actionable ideas on corporate strategy and to help MSO management teams improve the performance of their business.
Legal Bootcamp: Corporate Structure
- Setting up Your Medical PC or PLLC
- Ownership Structures for MSOs, Sub-MSOs and PC Option Agreements
- Administrative Services Agreements: Customary Provisions and Fee Structures
- Structuring Professional Services Agreements
- Understanding Governance and Corporate Control Issues
- MSO Equity Ownership and Capitalization Considerations
Legal Bootcamp: The Regulatory Environment for Medical Services
- Corporate Practice of Medicine and State-by-state Law Comparison
- Understanding Fee-splitting, Stark Law, and Antikickback Statutes
- Challenges to M&A Transactions Including Antitrust, Regulatory and Licensure
- Analyzing Vertical Merger Guidelines
- Legal & Regulatory Issues Impacting Deals
Legal Bootcamp: M&A and Investments
- Why the Business of Healthcare is Driving Consolidation
- Due Diligence Strategies for both Investors and Acquirers
- How Representation and Warranties Insurance is Impacting Acquisition Strategies
- Common Healthcare M&A and Private Equity Rollup Strategies
- Partnerships, Joint Operating Agreements and Service-line Joint Ventures
- Payor-provider Transactions Including JVs and Acquisitions
- Asset Deals vs. Stock Deals: Pros and Cons
- Alternatives to Private Equity Transactions for Physicians
Finance Bootcamp: MSO Fee Structures
- Choosing the Right Corporate and Tax Structure for your Deal
- MSO Fee Structures: Cost-plus, Fixed-fee, Percentage of Revenue
- Benefits of MSOs to Independent Physician Groups
Finance Bootcamp: Tax and Accounting Considerations
- The CARES Act: PPP Loans, Deferred Payroll Taxes, Medicare Advance Payments, HHS Grants
- Best Practices for Accounting and Audits
- Accounting Considerations in Large Multi-site Roll Outs
- Accounting and Tax Considerations at Every Stage of Growth
- Using MSO Structures for Tax Advantages
Finance Bootcamp: Valuation Issues
- Understanding What Drives Valuations for Small, Medium and Large Entities
- Discussion of Valuation Multiples Across Different Specialties
- How Covid has Changed Valuation Approaches
Physician Extender/Physician Assistant Bootcamp
- How physician assistants can structure an MSO to become owners/co-owners in a medical practice
- Overview of states where midlevel providers have autonomy
- Understanding the differences in company set up
- Strategies to identify physician partners
