Publications

Assessing Independence & Strategic Options for Higher Education Institutions

Publications

August 1, 2022

This article offers board members and executive teams of universities and colleges guidance in weighing alternatives to best position their organizations for future success.  As the landscape of higher education...

Read More

Toxic Individualism and Its Impact on Our Healthcare System

Publications

November 4, 2021

COVID-19 exposed competing forces within the missions of many standalone hospital systems. These forces include a rugged American individualism on one hand and the desire to efficiently meet the healthcare...

Read More

Post-Pandemic Provider Realignment 2.0: If the Past Year Taught Us Anything

Publications

May 21, 2021

By Jordan Shields, Partner, Juniper Advisory, and Brian Fuller, Principal, PYA Calling 2020 a challenging year for the country as a whole and for providers in particular would be a...

Read More

The Intersection of Mission and Margin in Behavioral Healthcare

Publications

March 23, 2021

As behavioral healthcare has transformed from a nascent local patchwork of services to one of our country’s leading industries, many providers hold steadfast to their missions that have roots going...

Read More

What Will a Biden Presidency Mean for U.S. Healthcare?

Publications

January 19, 2021

Key Takeaways A split Senate limits legislation to what can pass through budget reconciliation and gain support of all 50 Democrats Anticipate Biden to expand Obamacare and Medicare instead of introducing...

Read More

What if Trader Joe’s Ran Hospitals?

Publications

December 12, 2020

In 2018, Freakonomics co-author Stephen Dubner posed the question: “Should America be run by Trader Joe’s?”  He suggested “the quirky little grocery chain with California roots and German ownership has...

Read More

The Looming Deadline: Repayment of COVID-19 AAP Loans

Publications

July 29, 2020

CMS’ Accelerated and Advance Payment (AAP) Program has been a lifeline for healthcare providers during the COVID-19 pandemic which loaned hospitals and others $100B.  Repayment of these loans begins August...

Read More

What Happens When CMS Loans Come Due?

Publications

July 22, 2020

CMS’ Accelerated and Advance Payment (AAP) Program has been a lifeline for healthcare providers during the COVID-19 pandemic. The program, which historically supported hospitals during localized natural disasters, was dramatically...

Read More

Evaluating Opportunities for Government-Sponsored Hospitals

Publications

June 24, 2020

The COVID-19 pandemic is straining hospital and governmental resources. It is also serving as a catalyst for a major evolution of our nation’s healthcare delivery system, the likes of which...

Read More

Dealmaking in the Sunlight: Navigating Public Hospital M&A

Publications

June 15, 2020

Public hospitals have a uniquely open relationship to the communities they serve, which invites a level of transparency as they consider potential mergers and acquisitions. So what kind of M&A...

Read More

Assessing Hospital Preparedness for COVID-19 by Affiliation Status

Publications

May 28, 2020

Overview System hospitals tend to have more ICU beds, higher case mix indices and are more likely to be a part of physician integration networks compared to like-sized standalone hospitals....

Read More

Provider Realignment Post-Pandemic

Publications

May 28, 2020

The COVID-19 crisis exposed the high cost of fragmentation within the healthcare industry and will serve as the seminal event that ushers in an era of greater provider integration and...

Read More