Author

Dexter W. Braff

  • Selling Your Business

    In a vibrant health care service merger and acquisition environment, selling a business is easy. If your goal is maximizing value, however, that's an
  • Legislation & Regulation

    Just More to Overcome, Not a Call to Exit

    OK. Among the many things home medical equipment providers were grateful for on Thanksgiving, Congress probably did not make the list. But come Monday morning, after a couple of “why me’s?,” and perhaps a dose of Prozac with a Starbucks chaser, HME owners across the country got around to what they do best — adapting and thriving. Here are a few reasons why the new Medicare Prescription Drug, Improvement, and Modernization Act (MMA) won’t send providers screaming into the night. As Bad as the Bill Is — and It’s Bad — It’s Not That Bad Other than the dramatic change in nebulizer reimbursement from discounts off Average Wholesale Price to a new model of Average Sale Price plus a paltry 6 percent (which clearly took...
  • Operations

    From So-So to So Good

    The best performers are indeed different, often because they manage differently. In representing many of the best and the brightest, as well as in conducting interviews of industry leaders for best-practices seminars, we have discovered that the overachievers share many of the same management traits. Here, then, are seven habits of highly effective home care managers. We found many instances where managers with a strong network in non-competitive situations developed mentor-student relationships that often included on-site visits for the specific purpose of sharing best-practice information. As entrepreneurs in close-knit organizations often suffer from an unhealthy inbreeding of thoughts and ideas, networking can be a critical element in company success. Certainly there are other management traits that are important, but virtually all of the best performers...
  • Operations

    From Theory to Practice

    There are many ways to value a company in merger and acquisition situations. In this article, I will discuss several standards of value, in contrast to fair market value. Fair market value is, essentially, the average cash value a buyer is willing to pay a seller for a company when both parties have adequate information about the company and neither is compelled to buy or sell. I also will focus on the most common valuation method, where buyers ascribe a multiple to earnings — typically earnings before interest, tax, depreciation and amortization, or EBITDA — where the multiple is based on required rates of return that reflect the risk of the business and the industry. Here then, from a practical perspective, are the most common...