Key Guidance Provided Regarding Application of MMSEA Exceptions to LTACH Development, Relocation and Change of Ownership Transactions

Posted by Jason Greis on September 29, 2009 under Articles | Be the First to Comment

Section 114 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (“MMSEA”) established, among other things, a three-year temporary moratorium on the establishment of new LTACHs and LTACH beds, subject to certain limited exceptions.  When rules implementing the moratorium were released by CMS in an Interim Final Rule on May 22, 2008, CMS did not specify which change of ownership and facility relocation activities by existing LTACHs and LTACH satellite would continue to be permissible under the moratorium.  In fact, CMS specifically advised the industr that such questions should be directed to their Medicare Administrative Contractors, and that the CMS Regional Office would address specific situations on a case by case basis.  Read More...

Triumph HealthCare to Acquire St. Agnes LTACH

Posted by Jason Greis on September 23, 2009 under Industry News | Be the First to Comment

Houston-based Triumph HealthCare, the nation’s third largest provider of LTACH services, announced September 15 that it would acquire St. Agnes Long Term Care Hospital from Mercy Health System.  The 58-bed LTACH hospital is located in the former St. Agnes Medical Center in South Philadelphia. The deal, which is expected to close by mid December, will increase Triumph’s hospital count to twenty-one and will be Triumph’s second LTACH in Pennsylvania. Triumph has entered into a long-term lease arrangement with St. Agnes, and future plans for the Hospital-within-Hospital facility call for the conversion of ten existing beds to a licensed ICU and an expansion of onsite procedures. Read More...

CMS Proposes New Prospective Payment System for Renal Dialysis Facilities

Posted by Jason Greis on September 21, 2009 under Articles | Be the First to Comment

The Centers for Medicare and Medicaid Services (CMS) recently proposed its new bundled prospective payment system (PPS) for dialysis services provided in End Stage Renal Disease (ESRD) facilities. Read More...

GreisGuide to LTACHs Newsletter (August/September 2009)

Posted by Jason Greis on September 20, 2009 under eNewsletter | Be the First to Comment

This issue of the GreisGuide to LTACHs Newsletter contains articles and information on: Read More...

Select Medical Announces IPO

Posted by Jason Greis on under Industry News | Be the First to Comment

 On September 9, 2009, Select Medical Holdings Corporation (“Select”), the parent of Select Medical Corporation, which operates 87 LTACHs and various other post-acutes, announced the launch of its initial public offering of 33,333,333 shares of Select common stock. The IPO price is expected to be between $11 and $13 per share. Goldman, Sachs, Morgan Stanley, Merrill Lynch, Pierce, Fenner & Smith and J.P. Morgan Securities are serving as the offering’s joint bookrunners. Select has applied to have its common stock approved for quotation on the NYSE under the symbol “SEM.” Select intends to use net proceeds from the offering to repay indebtedness, to make payments to executive officers under Select’s Long Term Cash Incentive Plan and for general corporate purposes. Read More...

Senate Finance Committee Healthcare Bill: Highlighting Provisions of the Chairman’s Mark Applicable to Post-Acute Care Providers

Posted by Jason Greis on September 17, 2009 under Articles | Be the First to Comment

I.          Political Overview. Read More...