The following summary highlights key differences in the Trump and Biden tax plans. All information has been gathered based solely upon verbal or social media communications directly from the candidates or their respective campaigns.
CMS reaffirms the availability of Medicaid and CHIP coverage for addressing Health-Related Social Needs (HRSNs). This article explores how states can leverage these programs to provide critical services and improve health equity.
The convergence of DOGE, the Loper Bright decision, and the Byrd Rule could significantly reshape the US government. This article explores their potential impact on government efficiency, administrative law, and budget processes.
The post-election transition at the Department of Health and Human Services (HHS) is a complex process involving personnel changes, policy shifts, and navigating the complexities of a new administration. This article provides an inside look at the key challenges and priorities during this critical period.
Ensuring quality in Medicaid managed care is a complex challenge. This article explores the role of External Quality Review Organizations (EQROs) in assessing performance, measuring outcomes, and driving quality improvement in Medicaid programs.
In June, the Office of the Actuary (OACT) at the Centers for Medicare & Medicaid Services (CMS) released its annual National Health Expenditure (NHE) data with projections through 2032. CMS projects that NHE will exceed $5 trillion in 2024 and reach $7.7 trillion in 2032. For perspective and comparison, U.S. healthcare spending ranks as the third largest GDP in the world.
INSIDE Public Accounting has ranked HORNE number 29 on the Top 500 Firms list for 2024.
On Friday, in a striking blow to 40 years of administrative law doctrine, the Supreme Court overturned the “Chevron deference”. Previously, this doctrine gave Federal agencies substantial authority to interpret ambiguous laws through rulemaking. While the case being decided by SCOTUS was not a healthcare case (it involved the management of herring fishing), it has the potential to substantially impact the interpretation of healthcare regulatory law as we currently know it.
We have been hearing about a “bid-ask spread” issue in the lower middle market healthcare space for a significant time, and I wanted to discuss this and also mention another pocket of dislocation that I see.
Each year around April or May, the Trustees of the Social Security and Medicare Trust Funds release their accounting of the current, short-term (10-years), and long-term (75-years) projections of revenues and expenditures for the world’s largest entitlement programs.
With the first quarter behind us, we want to share some insights after talking with several healthcare investors since the beginning of the year. Here are some commonalities:
Effective January 1, 2022, the Centers for Medicare and Medicaid Services (CMS) implemented major changes to the Stark Law regulations. The Stark Law generally prohibits physicians with a financial relationship with an entity from referring patients to their practice for designated health services (DHS) payable by Medicare or Medicaid unless the financial arrangement is structured to fit within a regulatory exception.
Private Equity, an exclusive asset class, attracts accredited investors due to its impressive returns and illiquid nature. It plays a significant role in physician practice investments, aiming for consolidation and growth. Understanding its nuances, including after-tax implications and regulatory landscapes, is crucial for informed decision-making.
CMS updates MPFS rates, impacting physician compensation. Recent changes demand healthcare entities stay current to avoid FMV complications.
If you are a nursing home operator in Florida, you may be wondering how to get ready for the upcoming financial audit. Here are some essential steps…
HORNE has been named one of the top 30 accounting firms in the U.S. by industry publication Accounting Today.
Hayley Deer is an operations senior manager on HORNE’s healthcare team. In this role, she offers financial guidance to her team while ensuring administrative tasks run seamlessly by overseeing internal client servers. She also lends support to partners and managers and actively participates in strategic initiatives to drive continuous growth.
Hospitals across the country are facing increasing labor costs, with physician compensation being a major contributor to the upward trend. According to the KaufmanHall Physician Flash Report, labor expense continued to outpace the increase in revenue for services provided in 2023.
As states have returned to normal Medicaid enrollment procedures in the past few months, imagine two headlines: “Medicaid Plummets!” “Marketplace Soars!” Which one is the most accurate summary? Both are, which underscores the importance of reading them together.
David Long is a senior manager on HORNE’s healthcare team, where he develops services inclusive of value-based care and accountable care transformation, especially for community and rural health partners.
We work with enough leaders like you to know that hard conversations are scary in their own way. You probably wouldn’t use the word “scary,” but there are real fears that get in the way.
How do you feel when you know you’ve got to have a hard conversation with someone?
Have you ever felt unappreciated? What was the situation? How did that impact you? Whether you’re aware of it or not, appreciation is a deep human need.
We hear it all the time: it’s hard to hire and keep people. There is obviously truth to this.
What does it mean, practically, to “get people on board” with change? It often boils down to communication. Specifically, effective change communication is: early and often, clear and compelling and other-centered.
Getting skeptics on board with change is very, very hard. Not impossible, but hard. If someone’s skeptical, it’s probably for one of two reasons.
Change is easier when people are actually excited about it. So, to change well, find out what people actually want—what would make them most excited if they saw it—and then incorporate as much of that as you can.
Change is everywhere. It can hurt us or make us stronger. It can divide us or bring us together. We believe one key thing can make the difference: how leaders prepare for, communicate during, and persist through change.
Five non-profits across the states of Mississippi, Hawaii, Louisiana and Florida will receive support for their community efforts thanks to HORNE’s Seasons of Giving initiative, powered by the HORNE Community Foundation.
HORNE’s Board of Directors recently appointed Public and Middle Market Partner, Joe Green, to serve as the next firmwide director of assurance. As he takes on this new role, he will also continue serving as the firm’s SEC director.
Cybersecurity and cyber insurance are a priority in today’s world, but in the past few years, these issues have become even more important for companies with employees working remotely. Working from home has multiplied the risks and occurrences of data breaches, and breach costs also have grown.
When it comes to providing oversight of managed care expenditures and performance at the state level, your choice of an outside auditing firm is crucial. With numerous options available, identifying the right finalists can be a bit overwhelming. While firms may vary in size, capabilities and specific strengths, there are six key criteria you should consider when selecting a provider.
Many leaders approach hard conversations the wrong way. The two most common mistakes we see are (1) allowing your emotions to set the tone and (2) making judgments about a person.
Recently we helped a family-owned general contractor re-engage two key employees. One was a supervisor whose future was in question as a large job was winding down. The other was a back office team member who’d become demotivated. Both were valuable to the business. The owners wanted to know: How can we help them stay?
If you’re looking to file an Employee Retention Credit claim with the IRS, please note that there is a hold on processing of all new ERC filings until at least January 1, 2024 – according to the IRS.
Stephanie Akin is a senior manager servicing healthcare clients in reimbursement and advisory at HORNE. She specializes in Medicare and Medicaid cost report preparation for various facilities.
Lori Crocker, who serves in HORNE’s Healthcare group, was recently promoted to director, effective September 1.
INSIDE Public Accounting has ranked HORNE number 25 on the Top 500 Firms list for 2023.
One of the simplest and most cost-effective ways to improve hiring is to ask better interview questions. But what is a “better” or “worse” question? Today we’ll explain the anatomy of a better interview question and give one example that applies to any position.
Let’s focus on goal setting. Take a moment to think about your goals. How confident are you that you can achieve them? How clear are they?
Nelson Dixon is an assurance senior manager within HORNE’s healthcare group where he leads business development initiatives and conducts comprehensive research to identify business opportunities
Clark Hunter is a senior manager in healthcare services at HORNE. Clark focuses on working collaboratively with internal and external stakeholders to identify opportunities to serve clients and provide them with added value.
The healthcare industry is in a state of emergency today. In an industry where change notoriously happens gradually at best, leaders should change to a posture of aggressive urgency if they want their facilities to survive. The negative after-effects of the COVID pandemic are felt by no industry greater than healthcare. The virus has left in its wake a system that is not only tired but wounded – physically and fiscally.
In most companies, developers are focused on meeting project deadlines, and that often leads to applications that are insecurely coded. Custom development can multiply vulnerabilities. Some 48 percent of developers think they leave vulnerabilities in their code, according to the State of Developer-Driven Security Survey 2022 from Secure Code Warrior.
When it comes to sustaining or growing a business today, the status quo isn’t good enough anymore. We are in exponential times where the change around us is no longer incremental and we must anticipate the opportunities and challenges facing us in the future.
Exponential times have raised the bar for us to sustain business growth today. We are experiencing fast-moving change in so many facets of our businesses. Incremental thinking will only put us further behind so an effective strategic plan must be a priority.
A critical challenge facing businesses today is leadership development. Opportunities for exponential growth and succession of various leadership roles require companies to plan and be intentional to develop the leaders to secure a bright and growing future.
Large and small businesses have gone through massive changes in the past few years. Many saw their profits fall; they lost employees and suffered from supply chain issues.
The global pandemic reshaped the way we work. Not only did it expedite the shift to remote teams, it also highlighted the importance of work-life balance and allowed many workers to re-think their personal and career goals.
Cybersecurity risks challenge your business development. You need to address the bad risks so you can take the good risks that let you grow and maneuver to stay ahead of your competition. You also need expert insights into cyber risk and how you must defend your organization and protect your growth.
Technology’s power to disrupt is undeniable. One of the clearest examples rests in our pockets and purses. Decades ago, one would need a camcorder, gaming system, computer, stereo and encyclopedia – as well as a telephone – to replace just one of our mobile devices.
Since the early 1700s, when the first insurance companies were formed, organizations have sought to leverage data. What’s unique about now is the sheer amount of data available, thanks to how fast it’s generated.
If you don’t know your organization’s strategy, there’s a good chance company progress can be derailed. Change that equation with a dynamic and effective strategic plan.
Good preparation is crucial to good strategic planning – but you can’t finish without a robust strategic implementation program
The U.S. House of Representatives and the U.S. Senate each have passed the Inflation Reduction Act, a $430 billion package that includes several changes to tax laws. President Biden signed the bill into law on August 16
Funds from the American Rescue Plan Act (ARPA) are available to hospitals, whether they need to recoup the costs of prior pandemic-related expenditures or invest in their organization’s future.
Did you know that medical, dental and hospital-related practices owned through private equity can qualify for the ERC? Even if you received PPP loans, you could still qualify for the ERC.
The federal government has incentivized the use of data to drive improvement in COVID tracking, measuring COVID impacts, improving population and mental health and addressing health inequities. Analytics
is critical for assessing data, discovering gaps and delivering quick-win recommendations leading to outsize gains.
S-10 reporting now impacts the majority of your organization’s uncompensated care reimbursement. Not only to ensure the health of your hospital but also the health of your community. With $8 billion in uncompensated care DSH funds available, the time to act is now.
The ongoing COVID-19 pandemic has changed many aspects of our lives during the past two years. While it has created a number of new challenges, it has been especially challenging for businesses looking to reopen and consistently maintain safe workplaces, as well as comply with varying guidelines.
Buying or selling a dental practice is a major decision with lasting impacts. Dentists rarely turn over the keys and walk away from operations – the process is much more of a transition
rather than a transaction.
Stephanie Fowler is a senior manager in the healthcare practice at HORNE where she specializes in helping clients improve their financial performance by providing customized accounting solutions that include financial statements and forecast, accounts payable, accounts receivable and billing, income allocation and key metrics.
Christy Street, Horne, speaks to Anna Grizzle, Bass Berry & Sims, about structuring provider compensation models from a regulatory perspective. The podcast looks at compensation issues in light of the newly issued Stark Law final rules. Sponsored by Horne LLP.
Episode 1 of Decision Point: America’s long-term care community wants to keep stimulus payments to stay afloat yet facility owners find themselves searching for reimbursable ways to spend. With so many strings attached, learn how you can spend the money and maintain compliance with federal rules and regulations.
The acceptance of federal assistance comes with the responsibility to justify how you spend those funds. In this episode, HORNE’s Audit Manager Hayley Deer describes what you need to do to pass a single audit.
Chris Hannibal, Doctorate of Physical Therapy for Progressive Health, explains how a physical therapy program is a win-win for patients and LTC facility owners. Patients are recovering with no rebounds and facilities can reimburse expenses associated with the program. In this episode, you will learn about a program that has identified symptoms physical therapy directors should look for to establish recovery goals and patient therapy schedules and how to get reimbursed for those allotted therapies.
Increased use of telemedicine puts many long-term care facilities at risk, and cyber-criminals are already targeting healthcare organizations which can adversely impact health information technology, medical communications, and patient and resident safety. Ryan Wallace from HORNE Cyber joins us on this episode to share 5 best practices to help keep your network secure.
In this episode, Brad Pierce of HORNE Cyber talks about how the majority of business owners who have invested in their cybersecurity posture still have a false sense of security. Listen to learn about how you can best protect your organization.
Courtney Bishnoi, Vice President of Quality and Programs at the American Health Care Association and National Center of Assisted Living joins this episode to promote the adoption of safe and effective COVID-19 vaccines. AHCA/NCAL launched the #GetVaccinated campaign as a way to share strategies to improve staff vaccination rates, debunk myths, and share important facts about the vaccine. They have made available important resources you can access at getvaccinated.us.
Dental practice transitions rarely involve the selling dentist “turning over the keys and walking away” from operations. With this in mind, a
dental practice valuation includes the difficult tasks of projecting future operations and discounting those projections to a single and subjective present value.
HORNE’s healthcare team provides clinical and financial insights to help optimize reimbursements, protect margins and identify solutions to capitalize on opportunities to increase efficiency and profitability.
On Friday, November 20, the U.S. Department of Health and Human Services (HHS) published the long-awaited final rules revising regulations related to the Physician Self-Referral Law (known commonly as the Stark Law), the Anti-Kickback Statute (AKS), and the Civil Monetary Penalty Law (CMP).
What actions are most important for hospital administrators to take around Stark and Anti-kickback legislation? Find out in this conversation with HORNE and Friday Firm.
Propel your dental practice forward by maximizing your earnings from the beginning.
Christina Street is a partner at HORNE where she works collaboratively to serve healthcare organizations across the US. She specializes in physician contracting arrangements for large multi-facility health systems to single-physician medical practices, which includes the development and implementation of physician compensation modeling and fair market value contractual agreements.
Lisa Nothstine is a director in healthcare services at HORNE. She is a part of the firm’s physician services division where she provides consulting services to medical groups and hospitals related to compensation valuation for physician employment, medical director services, call coverage services, stipends, management services and other hospital/physician contractual relationships.
Allison Little is an outsourced CFO that works with medical practices to achieve goals and advance growth. She provides financial strategies, based on trend analysis and projections, to give insights and opportunities for success. She is recognized for improving financial performance by providing customized accounting solutions that include accounts payable, accounts receivable and billing, payroll, income allocation, key metrics and measurements, financial statements and forecasts.
Clint King is a partner in healthcare services at HORNE. He oversees audits primarily for healthcare and nonprofit organizations. He specializes in providing insights through data analytics in audit and revenue cycle consulting projects. He also has in-depth experience with complex healthcare revenue recognition issues, patient receivable functions and related cash flow improvement opportunities.
Tony R. Jones is a tax services senior manager in healthcare services for HORNE LLP. He provides tax services, specializing in employee benefits. Tony joined HORNE in 2004 and has more than 15 years of experience.
Mickey is a director for HORNE specializing in business accounting and consulting for healthcare clients. He serves for-profit and nonprofit clients by providing real-time financial information, reducing costs associated with business operations, and streamlining their accounting processes. He provides business advisory services in the areas of startups, mergers and dissolutions, outsourced accounting, compensation modeling, industry benchmarking, contract CFO, and business restructuring.
Amie is a tax senior manager in HORNE’s healthcare services practice. She primarily provides tax and consulting services to nonprofit and healthcare entities, including hospitals, doctor groups and physicians.
Lori Crocker is a director in healthcare services at HORNE LLP. Her work includes preparation of Medicare/Medicaid cost reports for hospitals and other healthcare facilities. She provides support for Medicare and Medicaid audits and is experienced in the preparation of Medicaid eligibility studies for hospitals.
Florence Bauer is a healthcare senior manager at HORNE and specializes in providing assurance and advisory services to clients in the healthcare industry.
Jarrod Barraza serves as a senior manager in the healthcare valuation service line at HORNE where his practice focuses on business valuation and transaction consulting services in the healthcare industry. Jarrod joined the firm in 2019. Prior to joining HORNE, Jarrod served as a manager in a national healthcare valuation and consulting firm and as an intern at a boutique business valuation and litigation support firm.
Get the optimum price for your dental practice when it’s time to sell.
Use analytics to uncover opportunities to control costs, optimize reimbursements and improve cash flow.
HORNE has invested in a best-in-class healthcare analytics platform that gives providers access to transformative technology, without transformative costs.
In today’s environment, you face an array of challenges. Patient satisfaction. Shifting regulations. Burnout. Dealing with payers. Employee turnover. How you manage these challenges impacts your practice’s growth and success.
We help protect you from internal and external exposure that can impact your revenues — and your reputation.
We offer specialized insight with the most up-to-date valuation guidance and industry trends needed for sound business decisions.
Our HORNE team offers timely and relevant insights to help optimize reimbursements, protect margins and identify the best opportunities for growth. We evaluate your unique environment and look at the competitive forces to provide financial impact analyses and reveal the best strategies going forward.
We offer specialized insight with the most up-to-date valuation guidance and industry trends needed for sound business decisions.
Tax rules get more complex every year. Every decision you make impacts your tax situation. HORNE knows the vital impact of proactive tax planning.
Risk management involves every facet of your organization, regardless of your industry. We help transform risk into opportunity to give you peace of mind.
As partner for accounting, advisory and tax services, Kathy’s focus is on managed accounting and tax services designed to help various industries achieve their financial goals. She has collaborated with hundreds of business owners and leaders, providing strategic counsel and assistance ranging from initial startup to succession plans.
Kade Moody is a healthcare partner at HORNE and serves as the leader of HORNE’s healthcare assurance services. He is also the firmwide director of assurance and a member of HORNE’s Board of Directors. Kade was also a charter member of the Firm’s Belonging at HORNE Steering Committee, with the focus of creating a sense of belonging and inclusivity across the Firm. Kade leads his client relationships with the key traits of providing financial integrity and strategic vision.
Healthcare is going through tremendous transformation and clients need us now more than ever, particularly as it relates to physician/hospital integration. In helping our clients structure physician/hospital arrangements, Rud Bluementritt is in a unique position to point out areas of concern and suggest workable solutions that are sound and compliant with healthcare regulatory rules, so clients can avoid potential severe, far-reaching penalties.
The amount of time it takes to oversee routine accounting and financial operation functions is increasing. Let HORNE provide your managed accounting services.
Reduce exposure to cybersecurity threats. Stay ahead of the ever-changing regulatory requirements and strengthen your cybersecurity posture.
HORNE’s audit and compliance services provide a strategy to institute controls and manage risk and compliance to keep you prepared for opportunity.