Derek Pierce, Managing Director at Healthcare Management Partners (HMP), spoke at the Turnaround Management Association of Tennessee’s lunch meeting at the headquarters of the Waller law firm in Nashville on March 21st. The topic was “Perspectives on the Current State of the Healthcare Industry.” Pierce’s conversation began with an update on MedPAC and its recent recommendations on Medicare payment policy to Congress, specifically what entities should be affected by positive, neutral or negative payment changes. His other overarching themes included the decline of independent hospitals and the closing of rural hospitals mostly centered around the Southeast. He also discussed the trends in the nursing home sector with the good (Medicare margin above 10%) and the bad (States’ trends towards Medicaid Managed Long-Term Care Program, more denials and complex billing, fewer admissions). HMP is readily available for speaking opportunities on a number of trendsetting healthcare industry turnaround and bankruptcy issues.