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Volume 18 • Issue 1 • $5.00 July 2021

THE REGION’S MONTHLY NEWSPAPER FOR HEALTHCARE PROFESSIONALS & PHYSICIANS
OUR 18TH YEAR SERVING THE HEALTHCARE COMMUNITY!

Steward Health Care

Buys Five Tenet Hospitals,

Increases Florida Footprint

BY VANESSA ORR

In mid-June, Steward Health Care, based in Dallas,
signed an agreement to buy five hospitals and associated
physician practices from Tenet Healthcare. The $1.1 bil-
lion purchase will include Coral Gables Hospital,
Florida Medical Center in Lauderdale Lakes, Hialeah
Lorraine Marshall Dr. Barry Baumel
Hospital, North Shore Medical Center in Miami and
Palmetto General Hospital in Hialeah.
Navigating model is focused on acquiring strong, community hos- FDA Approves
“The Steward physician-owned and physician-led

Bundled pitals and on choosing communities that would benefit Dr. Sanjay Shetty Aducanumab for
from our integrated model of care,” explained Sanjay
Shetty, M.D., MBA, president of Steward North America,
Payments about the purchase that is expected to close in third quarter 2021. Treatment of
“South Florida is a terrific market for all of the reasons that you would expect:
these hospitals are closely tied to their communities, they have great provider groups
BY LORRAINE MARSHALL in local areas that work well with the hospitals, and they have already been exposed Alzheimer’s
to value-based models such as Medicare Advantage plans.”
`The Centers for Medicare & Medicaid While Steward already has three existing hospitals along Florida’s Space Coast, Dr. Disease
Services’ Bundled Payments for Care Shetty said that they are excited to move into the South Florida market.
Improvement Advanced (BPCIA) model “Because we already have hospitals east of Orlando in Rockledge, Melbourne and
incentivizes healthcare providers who Sebastian, regional synergies are already there. We have established relationships BY DANIEL CASCIATO
invest in practice innovation and care
redesign to better coordinate care. These Continued on page 21 Last month, Aducanumab (Adu -
measures help to reduce variations in helm™) was approved as a treatment for
care delivery, while improving the quali- Accounting Firms Key During Alzheimer’s Disease by the U.S. Food
ty of care and lower the cost of care for and Drug Administration (FDA). This is
Medicare beneficiaries – achieving the the first FDA-approved therapy to
triple aim – Better Care, Better Pandemic and ‘New Normal’ potentially delay decline from the dis-
Outcomes and Lower Costs. It’s a patient ease, compared to current medications
centric and concierge model around care that only address symptoms.
redesign and value-based care. BY VANESSA ORR Alzheimer’s Disease affects 7.8 million
The key to navigating the challenges American adults age 65 and older,
of bundled payments and access to qual- Healthcare is always in a according to the Alzheimer’s Assoc -
ity healthcare is managing the interpro- state of flux, and last year’s iation. That number is expected to rise
fessional care coordination, care pandemic added more vola - to more than 12 million by 2050, accord-
redesign and improving communication tility to what is already a ing to the latest projections from
and accountability across the continuum shifting landscape. Trying to Alzheimer’s Association and dementias
of care. keep up with all of the affecting people age 65 or older.
Interprofessional Care Coordination: COVID regulatory changes, While other drugs relieved some
Transition from the hospital to the on top of the regular tax symptoms of the condition, Adu -
clinically appropriate next site of care implications of running a canumab has been found in one clinical
(Home Selfcare, Home Outpatient Care business, is an overwhelming trial to actually reduce the size of the
or HomeHealth, Subacute – Skilled task without the help of pro- Jeff Kramer Angelo Pirozzi plaques associated with Alzheimer’s in
Nursing Facility, Inpatient Rehabil - fessional accounting firms. patients with early stages of the disease.
itation Center or Long Term Acute Care “When the pandemic first Dr. Barry Baumel, a neurology special-
Hospital) is a decision that must be began, we reached out to our clients to determine how we could help them—a num- ist with University of Miami Neurology
made collaboratively by the patient/fam- ber had partially or fully closed down and they were concerned about how to make Department, calls the FDA approval very
ily and the clinical team. Patients recover ends meet,” said Jeff Kramer, CPA, CGMA, managing director, BDO USA, LLP. “We significant.
best in their familiar environment and in had to digest all of the new IRS and federal government regulations, educate our “It’s the first drug considered to be a
most cases that is their home – residen- clients, and help them apply for relief.” disease modifier to ever be approved for
tial or congregate setting. The team “A lot of businesses also reached out to their accounting firms to help see them Alzheimer’s Disease,” he says. “This
including our dedicated physicians, through,” added Angelo Pirozzi, partner, Healthcare Center for Excellence & means it impacts the way the disease
nursing, therapy and other support staff Innovation, BDO USA, LLP. “There was so much uncertainty and so many gray areas progresses. In this case, it slows the pro-
assess and identify needs and risk factors within the new regulations; clients had—and still have—a lot of questions. And reg- gression of the disease, so people hope-
so they can order and send out the req- ulations are still being clarified today, which is why businesses need tax and advisory fully stay better, longer.”
uisite referrals to providers and other guidance.” Aducanumab removes amyloid from
Continued on page 17
Continued on page 14 Continued on page 7