13 Benchmarking Statistics on Medicare as Percentage of ASC Payor Mix

Here are 13 ASC benchmarking statistics on Medicare as a percentage of payor mix, according to data from VMG Health’s Multi-Specialty ASC Intellimarker 2010.

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1. Medicare patients represented an average of 22 percent of all cases in ASCs.

Based on number of operating rooms:

2. Medicare patients represented an average of 22 percent of all cases in ASCs with 1-2 ORs.
3. Medicare patients represented an average of 22 percent of all cases in ASCs with 3-4 ORs.
4. Medicare patients represented an average of 20 percent of all cases in ASCs with more than four ORs.

Based on case volume:

5. Medicare patients represented an average of 20 percent of all cases in ASCs with fewer than 3,000 cases per year.
6. Medicare patients represented an average of 20 percent of all cases in ASCs with 3,000-5,999 cases per year.
7. Medicare patients represented an average of 22 percent of all cases in ASCs with more than 5,999 cases per year.

Based on performing more than 50 percent orthopedics:

8. Medicare patients represented an average of 17 percent of all cases in ASCs that performed more than 50 percent orthopedics.

Based on region:

9. Medicare patients represented an average of 20 percent of all cases in ASCs in the Western United States.
10. Medicare patients represented an average of 19 percent of all cases in ASCs in the Southwest United States.
11. Medicare patients represented an average of 21 percent of all cases in ASCs in the Midwest United States.
12. Medicare patients represented an average of 30 percent of all cases in ASCs in the Southeast United States.
13. Medicare patients represented an average of 21 percent of all cases in the Northeast United States.

VMG information comes from VMG Health’s Multi-Specialty ASC Intellimarker 2010 benchmarking study. VMG Health is a leading valuation and transaction advisory firm in healthcare. To receive a complimentary copy of VMG Health’s 2010 Multi-Specialty ASC Intellimarker, click here.
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