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  • HCA and KKR team up for Envision

    Posted by drathavan95_51 on May 23, 2018 at 2:31 pm

    [link=https://www.cnbc.com/2018/05/21/hca-and-kkr-team-up-for-envision-bid-sources.html]https://www.cnbc.com/2018…ision-bid-sources.html[/link]
     
    HCA and KKR team up for Envision bid: Sources[/h1] [ul][*]HCA Healthcare and KKR have joined forces to make an offer for Envision Healthcare, people familiar with the matter said.[*]The move is aimed at giving HCA and KKR an edge over buyout firms that are also pursuing the U.S. physician services provider.[*]Other private-equity firms competing for Envision include a consortium of Carlyle Group and TPG Global. [/ul]

     

    tdetlie_105 replied 2 years, 9 months ago 8 Members · 22 Replies
  • 22 Replies
  • Unknown Member

    Deleted User
    December 1, 2021 at 3:19 pm

    KKR HCA Envision the un-holy trinity
     
    Why doesn’t HCA just employ rads like the nonprofits do? Why have so many inefficient layers?
     
    What is the endgame? HCA buys Envision? Makes no sense.

    • Unknown Member

      Deleted User
      December 1, 2021 at 3:24 pm

      Removed due to GDPR request

      • g.giancaspro_108

        Member
        December 1, 2021 at 3:29 pm

        There may be a company more evil than HCA, but probably not by much.
         
        Thanks to Dergon for the following article and quote
         
        [link=https://www.bakersfield.com/ap/news/nevada-jury-finds-unitedhealthcare-and-affiliates-guilty-of-oppression-fraud-and-malice-in-its/article_6ede6657-822b-563b-a4f2-3aeea6ca5497.html]https://www.bakersfield.c…a4f2-3aeea6ca5497.html[/link]
         
        Nevada Jury Finds UnitedHealthcare and Affiliates Guilty of Oppression, Fraud and Malice  [blockquote][i]Quote from[b] [/b][/i]

         
        Today, a Clark County, Nevada jury convincingly ruled favorably for three Nevada-based TeamHealth affiliates, who took legal action against insurance giant United over substantiated claims of drastic underpayments. After more than three weeks of testimony and two days of deliberation, the Nevada jury found that United engaged in unfair and abusive reimbursement practices by deliberately failing to pay the frontline emergency room doctors adequately for care provided to patients. The jury found the evidence clear and convincing and found that United was guilty of oppression, fraud and malice in its conduct, prompting the jury to assess punitive damages against United. Several current and former United executives came under scrutiny for revelations uncovered in testimony throughout the trial. Among them:
         
        John Haben, the former head of Uniteds Shared Savings Program,[b] confirmed Uniteds role in colluding with Yale University professor Zack Cooper to produce a controversial study used to promote the false view that TeamHealth engaged in balance billing. The study misled Congress into passing legislation giving insurers significant leverage over frontline providers.[/b]United exposed their members to surprise medical bills.Haben also stated under oath that United paid as little as 20% of the clinicians billed charges.Uniteds Shared Savings Program takes up to a 50% administrative fee on the difference between billed charges and Uniteds arbitrary payments.United often receives more money on their shared savings fee than they pay to the provider.Throughout all of Uniteds bad behavior, TeamHealth maintained its policy of not balance billing patients.
         
        On behalf of our more than 15,000 clinicians, TeamHealth is thrilled by the jurys decision to hold UnitedHealthcare accountable for the considerable harm they have caused to Nevada emergency room clinicians and their patients, said TeamHealth President & CEO Leif Murphy. The court evidence clearly demonstrated that Uniteds refusal to adequately reimburse emergency medicine physicians was intentional and will no longer be tolerated. TeamHealth looks forward to continuing its efforts to ensure that our frontline clinicians have the resources to provide the high-quality lifesaving care and services patients rely on, from coast to coast.
         
        [/blockquote]

        • Unknown Member

          Deleted User
          December 1, 2021 at 3:37 pm

          S&P Global Ratings upgrades Foreign Currency LT credit rating of Envision Healthcare to “CCC+” from “CCC”; outlook negative 04/06/2021
           
           

          • Unknown Member

            Deleted User
            December 1, 2021 at 3:39 pm

            Envision Healthcare Corp is one of the top stocks in probability of bankruptcy category among related companies. It is rated as one of the top companies in total debt category among related companies.
             
            [link=https://www.macroaxis.com/invest/ratioCompare/EVHC–Probability-Of-Bankruptcy–Total-Debt]https://www.macroaxis.com…Bankruptcy–Total-Debt[/link]

            • Unknown Member

              Deleted User
              December 1, 2021 at 3:39 pm

              Envision Healthcare Total Debt  =  Bonds +  Notes =  4.63 B
               
              [link=https://www.macroaxis.com/profitability/EVHC/Debt-to-Equity/Total-Debt]https://www.macroaxis.com…t-to-Equity/Total-Debt[/link]
               

              • nicolasvg.1003

                Member
                December 1, 2021 at 4:12 pm

                Crazy how physicians have become fodder for private equity firms.

                • Unknown Member

                  Deleted User
                  December 1, 2021 at 4:16 pm

                  Quote from CoronaRad

                  Crazy how physicians have become fodder for private equity firms.

                  Not so crazy- private equity tends to go where money is.

                  • nicolasvg.1003

                    Member
                    December 1, 2021 at 5:16 pm

                    Quote from drad123

                    Quote from CoronaRad

                    Crazy how physicians have become fodder for private equity firms.

                    Not so crazy- private equity tends to go where money is.

                     
                    Right, but they can’t do anything with physicians themselves enabling it.  I am surprised doctors have enabled PE enslavement.  Then again, the boomer generation is the most selfish of all time. 

                    • Unknown Member

                      Deleted User
                      December 1, 2021 at 5:34 pm

                      Bankruptcy means lotsa opportunities

                    • ipadfawazipad_778

                      Member
                      December 1, 2021 at 8:16 pm

                      Ya seriously.  I meet of ton of docs who are content to do locums through an agency or work for some suit who owns outpatient imaging centers because, “They like me and pay me a bit extra”.   When I suggest they go straight to the PP groups or hospitals they say it’s not worth their time.   A two second phone call would likely get them paid %25-35 more especially in this market.

                    • Patrick

                      Member
                      December 1, 2021 at 8:55 pm

                      Lol. I agree completely. The justifications I hear for dog jobs are amazing.

                    • nicolasvg.1003

                      Member
                      December 1, 2021 at 10:38 pm

                      Why is a physician staffing company even need to exist? The physicians are just getting scammed. How does this business model survive?

                    • smfst7_929

                      Member
                      December 2, 2021 at 6:22 am

                      Why is drad raising this 2018 post from the dead? Article published in 2018 and posted on Aunt Minnie in 2018. Necromancy at the end of 2021 brings it to life! Maybe drad just wanted to hate on envision. It is a hobby of many on AM

                    • ruszja

                      Member
                      December 2, 2021 at 6:50 am

                      HCA didn’t end up buying Envision, right ?

                    • Unknown Member

                      Deleted User
                      December 2, 2021 at 7:06 am

                      Quote from fw

                      HCA didn’t end up buying Envision, right ?

                      No KKR took them private. 
                       
                      Both Envision and Radpartners don’t have the financials to be public. Monopoly power over docs has not been reached yet.

                    • Unknown Member

                      Deleted User
                      December 2, 2021 at 7:14 am

                      Quote from AKOMAN

                      Ya seriously.  I meet of ton of docs who are content to do locums through an agency or work for some suit who owns outpatient imaging centers because, “They like me and pay me a bit extra”.   When I suggest they go straight to the PP groups or hospitals they say it’s not worth their time.   A two second phone call would likely get them paid %25-35 more especially in this market.

                      I have too. I call them the innumerati. My current job was once staffed by them at less than half what I am making.

                • g.giancaspro_108

                  Member
                  December 1, 2021 at 4:26 pm

                  Quote from CoronaRad

                  Crazy how physicians have become fodder for private equity firms.

                   
                   
                  A close family member in PE and VC told me physicians are targets because they have so little business knowledge.  Physicians can get screwed on a deal and walk away happy, thinking (however briefly) they did great.  We see evidence of that on this board often.

                  • Unknown Member

                    Deleted User
                    December 1, 2021 at 4:36 pm

                    Quote from sandeep panga

                    Quote from CoronaRad

                    Crazy how physicians have become fodder for private equity firms.

                    A close family member in PE and VC told me physicians are targets because they have so little business knowledge.  Physicians can get screwed on a deal and walk away happy, thinking (however briefly) they did great.  We see evidence of that on this board often.

                    Do you believe this?

                    • g.giancaspro_108

                      Member
                      December 1, 2021 at 4:55 pm

                      Quote from drad123

                      Quote from CoronaRad

                      Crazy how physicians have become fodder for private equity firms.

                      A close family member in PE and VC told me physicians are targets because they have so little business knowledge.  Physicians can get screwed on a deal and walk away happy, thinking (however briefly) they did great.  We see evidence of that on this board often.

                      Do you believe this?

                       
                      I believe some physicians have little business knowledge and can get taken down the primrose path to sign a bad deal, yes (I have seen examples).  I also believe we see evidence of that on this forum.
                      Do you believe, not believe? 

                    • Unknown Member

                      Deleted User
                      December 2, 2021 at 7:00 am

                      Quote from sandeep panga

                      Quote from drad123

                      Quote from CoronaRad

                      Crazy how physicians have become fodder for private equity firms.

                      A close family member in PE and VC told me physicians are targets because they have so little business knowledge.  Physicians can get screwed on a deal and walk away happy, thinking (however briefly) they did great.  We see evidence of that on this board often.

                      Do you believe this?

                      I believe some physicians have little business knowledge and can get taken down the primrose path to sign a bad deal, yes (I have seen examples).  I also believe we see evidence of that on this forum.
                      Do you believe, not believe? 

                      There are docs who sign bad deals. I believe dropping compensation is a result of hospital and insurance company consolidation. Very difficult to get a good deal when you are on the wrong side of a monopoly.

                    • tdetlie_105

                      Member
                      December 2, 2021 at 4:58 pm

                      Quote from drad123

                      Quote from sandeep panga

                      Quote from drad123

                      Quote from CoronaRad

                      Crazy how physicians have become fodder for private equity firms.

                      A close family member in PE and VC told me physicians are targets because they have so little business knowledge.  Physicians can get screwed on a deal and walk away happy, thinking (however briefly) they did great.  We see evidence of that on this board often.

                      Do you believe this?

                      I believe some physicians have little business knowledge and can get taken down the primrose path to sign a bad deal, yes (I have seen examples).  I also believe we see evidence of that on this forum.
                      Do you believe, not believe? 

                      There are docs who sign bad deals. I believe dropping compensation is a result of hospital and insurance company consolidation. Very difficult to get a good deal when you are on the wrong side of a monopoly.

                       
                      I may be wrong but my understanding is the docs that initially sold out received pretty good deals.  
                       
                      I don’t have a sound explanation as to why rads subsequently sign on with P/E.