The long-term care (LTC) mergers and acquisitions (M&A) market had an outstanding year in 2012, generating 189 deals worth $9.2 billion. The high transaction volume for the year makes 2012 the most active year in LTC M&A since the late 1990s, with approximately 60 percent more transactions than the annual average over the previous four years.
On March 1, 2013, the Centers for Medicare & Medicaid Services (CMS) released Change Request 8214, which outlines rules related to the extension of the Low Volume Adjustment (LVA) and Medicare Dependent Hospital (MDH) regulations, as authorized by the American Taxpayer Relief Act of 2012 . The Federal Register notification related to these extensions, CMS 1588-N, was released on March 4, 2013, and officially published March 7, 2013. Hospitals will need to move quickly to take full advantage of the LVA extension, and they may be surprised by some of the requirements of the MDH extension