The longest government shutdown in American history ended Nov. 12. As part of the resolution to fund the government, Medicare telehealth and acute hospital care at home programs were extended through Jan. 30. The fate of ACA enhanced premium tax credits will be debated by Congress in December. PwC, ULI, and Revista released an article...Read More

On October 9 and 10, our Firm hosted The Real Deal Summit in Scottsdale, Arizona. It was a conference focused on growth and strategy trends in the hospital and health system industry. We had a great turnout of hospital and health care executives, in-house counsel and leaders from across the country. Here are our top...Read More

Remedy Medical Properties and Kayne Anderson Real Estate announced the acquisition of a portfolio of outpatient medical assets from Welltower for $7.2B, totaling approximately 18M sf across 296 properties in 34 states. The transaction is the largest MOB deal to date and makes Kayne/Remedy the largest MOB owner in the country. In its latest National...Read More

JLL published the results of its 2025 Patient Consumer Survey. Key takeaways: 1) access and affordability are persistent challenges for U.S. health care; 2) location and convenience of a health care facility are key to choosing a provider; and 3) the quality of a particular health care facility is a top factor when choosing a...Read More

U.S. Senators Markey, Sanders and Blumenthal introduced the Stop Medical Profiteering and Theft (MPT) Act, which aims to ban sale-leasebacks between health systems and REITs if such a deal would “weaken the financial status” of the provider, as determined by HHS. The bill would also make certain changes to REIT income tax laws. The future...Read More

According to a recent report, ASC volumes are expected to expand by 9% between 2023 and 2028, driven by site-neutral reimbursement, advancements in outpatient surgical techniques and cost savings to patients and payers. ASCs generated $45B in 2024 revenues, a figure projected to climb to $57B by 2030. Medical City Health Care is expanding rapidly...Read More

Baltimore City (MD) announced a $48M PILOT (payments in lieu of taxes) agreement with several hospitals and universities. Under the agreement, annual PILOT payments by hospitals and universities will grow from $6M to $12M. Hospitals signing the agreement include Johns Hopkins Hospital, University of Maryland Medical Center, MedStar Hospitals, Sinai Hospital and Grace Medical Center....Read More

UnitedHealth Group Inc. has completed its $3.3B acquisition of Amedisys, a company that operates over 500 home health and hospice sites throughout the country. During a recent U.S. House of Representatives subcommittee hearing, legislators criticized tax-exempt hospitals for failing to provide adequate charity care and community benefits in excess of the estimated $37.4B in tax...Read More

The Federal Reserve cut the federal funds rate by a quarter-point and projected it would do so twice more this year. Federal Reserve Chair Jerome Powell cited labor market constraints as a primary driver for the cut. Cleveland Clinic sold 24 outpatient facilities in a $350M sale-leaseback transaction. Twenty of the properties are located in...Read More

While institutional investor groups are a major acquirer of medical outpatient buildings (MOBs), the past 18 months have seen a surge in “reverse monetizations” where hospitals and health systems are buying (or buying back) such buildings. Hospitals purchased $2.8B worth of MOBs in 2024 and $761M in 1H 2025, accounting for about 23 percent of...Read More