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Columns & Articles by Cain Brothers' bankers
Will Accountable Mean Enjoinable? - Anti-Merger Enforcement Collides with a Consolidating Hospital Industry
By Steve Renn, Cain Brothers' Industry Insights newsletter #749, 12/05/11
Steve Renn's very informative commentary on recent acute care hospital anti-trust activities is a must-read for hospital executives and advisors contemplating affiliations or mergers and acquisitions.
Physician Partnered Surgical Facilities Trends
By Jamie King, Cain Brothers' Industry Insights newsletter #746, 11/14/11
Jamie King highlights the recent M&A and capital raising activity in physician partnered surgical facilities.
Nontraditional Capital Sources: A Primer on Monetizing Medical Real Estate
By Tim Schier, Cain Brothers' Industry Insights newsletter #741, 10/10/11
Tim Schier provides a brief primer on monetizing medical real estate.
Blurring Lines Between Payors and Providers
By Court Houseworth, Cain Brothers' Industry Insights newsletter #739, 09/26/11
Court Houseworth comments on the how and why the lines between payors and providers are blurring.
Expecting Health Care Reimbursement Cuts
By Wyatt Ritchie, Cain Brothers' Industry Insights newsletter #737, 09/12/11
Wyatt Ritchie reviews what Congress' new Super Committee is tasked with in terms of reducing the Federal budget deficits, notes that health care is the budget's largest single expenditure line item, and concludes that health care is an obvious target for spending cuts.
Henny Penny (aka Chicken Little)
By Ed Fishman, Cain Brothers' Industry Insights newsletter #735, 08/29/11
Ed Fishman suggests that, despite the recent downdraft in managed care stock prices, there are still plenty of opportunities for these companies, although business models may have to change.
mHealth — Enabling the Virtual Marcus Welby
By Ray Falci, Cain Brothers' Industry Insights newsletter #734, 08/22/11
According to Ray Falci, the advent of smart phones and other advanced mobile devices create opportunities to address many of the evolving challenges in our health care system, which has led to escalating investing in mobile health, or mHealth.
Shorter Queues and Lower Rates: An Update on FHA Section 232
By Nick Nicholson, Cain Brothers' Industry Insights newsletter #732, 08/08/11
Nick Nicholson highlights the benefits and program requirements of FHA insured loans for long-term residential facilities and points out that FHA is taking steps to speed the underwriting and commitment process.
Most Current Data on Hospital Capital Spending Show a Growing Backlog
By Dean Scarano, Cain Brothers' Industry Insights newsletter #723, 06/06/11
Dean Scarano highlights Cain Brothers' research that indicates there are $10 - $11 billion of deferred capital expenditures among acute care providers, which is a result of the 2008 credit crisis and subsequent recession. Dean points out the clear implications for increased, catch up borrowings in the public debt markets, as well as an increased interest in strategic combinations, as hospitals strive to remain competitive.
Post-Acute Care and Multi-Level Senior Living
By Bill Pomeranz, Cain Brothers' Industry Insights newsletter #721, 05/23/11
Cain Brothers' research indicates that multi-level senior living facilities that have aggressively pursued short-stay rehabilitative skilled nursing care services and marketing have tended to have more favorable financial results than those that offer predominately convalescent care, even all private pay care, in their skilled care units. An implication of this is that providers without extensive short-stay rehab expertise may wish to consider outsourcing in order to improve profitability, according to Bill Pomeranz.
Managed Care: The Market vs. Reality
By Court Houseworth, Cain Brothers' Industry Insights newsletter #719, 05/09/11
Court Houseworth reviews the stock price volatility of managed care organizations over the past several years and offers the opinion that the MCOs have a strong platform for future growth and role to play in various aspects of health care reform.
Inflation and the Health Care Industry
By Jim Moloney, Cain Brothers' Industry Insights newsletter #710, 03/07/11
Although CPI has remained relatively low, values for certain commodities and low-risk asset classes have increased in recent periods, and the health care industry has benefited from increased valuations and has attracted significant investor interest. However, according to Jim Moloney, if inflation starts to rise and the Fed is unable to successfully keep it in check, higher interest rates could become a challenge, especially for the not-for-profit hospital sector that must rely on debt capital for its primary source of external capital.
Not-For-Profit Behavioral Health Providers Should Consider the Tax-Exempt Financing Market
By Jim Cain, Cain Brothers' Industry Insights newsletter #706, 02/07/11
Not-for-profit behavioral health providers should be taking better advantage of tax-exempt financing alternatives. In that connection, Jim discusses some to the unique factors that the determine credit quality of behavioral health providers and how they differ from acute care providers.
Four New Year's Resolutions for Hospital Leaders in 2011
By Steven Renn, Cain Brothers' Industry Insights newsletter #704, 01/24/11
Steve Renn offers four New Year's resolutions to hospital CEOs and CFOs that were first uttered in the late 1990s, during the last period of industry stress, but remain as timely and germane today as they were then.
Capitalizing Hidden Values from Hospital Assets
by Carsten Beith and James Vaughan, HFM, April, 2010
Monetizing noncore assets can be a source of capital for hospitals.
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