Colorado Springs, at an elevation of 6,035 ft., is a city in Colorado at the eastern foot of the Rocky Mountains. It lies near glacier-carved Pikes Peak, a landmark in Pike National Forest with hiking trails and a cog railway leading to its 14,114-ft. summit. The city's Garden of the Gods park features iconic red-sandstone formations and mountain views.
Colorado Springs, at an elevation of 6,035 ft., is a city in Colorado at the eastern foot of the Rocky Mountains. It lies near glacier-carved Pikes Peak, a landmark in Pike National Forest with hiking trails and a cog railway leading to its 14,114-ft. summit. The city's Garden of the Gods park features iconic red-sandstone formations and mountain views.
The Physician Practice Management (PPM) & ASC Symposium will address the critical business, transactional and regulatory issues that impact the growth and profitability of the PPM and ASC industries. Day one of the conference will be comprised of a general session featuring a series of keynote panels. On day two, attendees will have the ability to attend PPM-focused programming and ASC-focused programming, presented in side-by-side sessions that address the critical business, transactional and regulatory issues applicable to these industries. This unprecedented conference will also provide the unique opportunity to network with key players in both the PPM and ASC industries in one setting.
State of the PPM Industry
PPMs are continuing to proliferate at a rapid pace, with an increasing number of physician specialties joining the trend. While there has been no slowdown in PPM growth, skeptics remain. In this session, CEOs of leading practice management companies, covering a variety of specialties, share their insight regarding where the industry stands, where it is headed, and their current strategies as the stewards of their companies
State of the ASC Industry
With the rapid growth of PPMs, questions continue to emerge about the future of facility-based companies and their potential need to diversify into, or partner with, physician practice management companies. In this session, a panel of top national ASC Company CEOs will discuss their companies’ strategies: whether they are planning to pivot into PPMs, maintain their focus on ASC facility JVs, or pursue some other strategy in order to survive and thrive in the current health care services environment.
PPM and ASC 2019 Transaction Outlook
In 2017 and 2018, we witnessed a record number of transactions and soaring purchase price multiples in the PPM and ASC sectors. Consolidation continued to increase as physician groups explored new strategic partnerships to better position themselves to face the business pressures of a changing health care landscape. This industry-leading panel of investment bankers will discuss the current market climate for PPM and ASC transactions, with advice for those considering strategic partnerships in 2019 and beyond.
Washington Update – Reading the Tea Leaves
In this era of unprecedented political turmoil, this panel of DC insiders will explore what is expected to occur in Washington on both the reimbursement and regulatory fronts and the resulting impact on the revenue and future prospects of PPM and ASC companies.
What the Money Thinks
Private equity funds have invested, and continue to invest, heavily in the PPM and ASC sectors. What does private equity see as the short-term and long-term prognosis of the PPM and ASC industries? Have the early movers cashed out and left an industry that will face serious challenges, or have they built truly sustainable platforms? How have investment theses changed? This panel of senior private equity professionals with investments in this space will answer these and other pressing questions.
Alternative Options for Physicians: Minority Transactions and Affiliation Models
Over the last several years, physician practices have been pursuing sales of their practice and ASCs to ASC companies, health systems and PPMs. Recently, innovative options have emerged that provide physicians with interesting alternatives to doing a deal with a PPM or ASC company. Senior executives will discuss alternative arrangements that they have rolled out for physician practices to consider.
PPM-ASC-Health System Collaborations
The surge of PPM companies into the health care services ecosystem has had a major impact on ASC companies and health systems. Health systems spent the last decade acquiring physician practices, and are now dealing with a new competitor in the marketplace. Meanwhile, ASC companies are dealing with the implications of their “partner” physicians joining PPMs and assessing their future as a facility focused company in a shifting landscape. In this session, we will address how these three major players are both competing and collaborating in this new and evolving environment.
Critical Legal Issues for PPMs
• Transaction related disputes, including earn-outs, working capital and other purchase price adjustments, non-competes and indemnity claims
• Getting sideways with your docs: practical tactics to avoid and handle issues with discontent physicians
• Tactics to avoid and deal with compliance issues and investigations – protecting your investment in this era of heightened regulatory scrutiny
• PPM negotiating managed care contracts, antitrust risks and how to avoid
New ASC Models & ASC Legislative Developments
• The ASC Industry has always had a strong lobby in DC. Find out what is being done to maintain ASC reimbursement levels and other developments from within the beltway
• Benefits and considerations of operating multiple ASCs through a single entity (single EIN)
• Operating an ASC as a subsidiary of a group practice, increased flexibility with physician ASC profits and regulatory considerations
PPM 2.0: The Next Generation of PPM Models and Structures
• Explore the next generation of PPM models, including models designed to increase physician control over compensation and quasi-administrative decisions
• Transformation of management fee structures and formulas
• Variations in structuring a physician’s investment in the management company and PC
• Balancing PE and physician exit opportunities
A Review of Today’s Anesthesia Model and ASC Regulatory Issues
• Report on recent regulatory scrutiny of anesthesia joint ventures in the ASC setting
• Explore how national ASC companies keep physicians engaged and productive after the transaction (including full-time practice requirements and the 1/3 tests)
• Redemption multiples and retirement issues
• Issues related to transferring ownership in ASCs to reflect changes in volume and to address senior vs. junior physician owners.
Rewarding Performance: Physician Compensation and Alignment Strategies
• Cutting-edge tools for physician compensation, including productivity based compensation, minimum productivity requirements and post-closing purchase price installments
• Equity incentives and purchasing programs: a look at regulatory considerations and valuation issues
• Ancillary profit participation in accordance with applicable law
Innovations in the Outpatient Surgery Setting
• Update on recovery care suites & extended/overnight stay ASCs
• A migration of procedures to the outpatient setting, including cardiac, spine and pain procedures
• Renewed interest in office-based surgery and HOPD conversions
• Proliferation of increased risk arrangements and bundled payments in the ASC setting
Art of the Deal: Winning in the PPM Deal Process
As consolidation continues in the PPM industry, competition for platforms and superior assets is rapidly increasing. This panel of top health care investment bankers, who focus on representing physician practices of varying sizes, will provide an overview of what sellers can do to maximize value and what buyers can do to win the auction.
Adding Real Value to Managed Practices
As the PPM industry matures, the seeds of physician resentment are appearing in some PPMs, particularly as the transaction (and associated purchase price) moves further into the rear view mirror. This panel will focus on how PPMs can really add value to managed practices, including through improved RCM performance, innovative managed care strategies and developing ancillary service lines.
The creation of a separate networking profile will be required to be admitted to this session on Tuesday, May 7. All registered Symposium attendees will receive an email the week of April 23 with details outlining how to create an online profile in advance of the speed networking session. Please note space is limited. Registration will be on a first-come, first-serve basis and may be closed once capacity is reached.
We host a range of premier health industry events that collectively attract thousands of top-level industry executives and investors each year. Sponsors will have the opportunity to promote their brands and network with PPM and ASC industry leaders, while participating in vital discussions of market trends and developments.
Reserve your space today to take advantage of this exciting opportunity to showcase your organization. View available opportunities.
Standard Registration: $750
Individual from the Same Organization: $650
A confirmation email will be sent to you via email upon paid registration. Payment is accepted online in the form of credit card. If a different means of payment is preferred, such as personal or company check, please contact McDermott (click here).
Limited rooms are available at select number of Nashville-based hotels. To receive a special room rate, please make your reservations online.
Sleeping rooms are based upon availability and on a first come/first serve basis. Reservations must be submitted on or prior to Friday, April 5, 2019. Additional requests received after April 5 are subject to room and group rate availability.
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