3 payer moves disrupting the ASC industry

Here are three big payer moves disrupting the ASC industry: 

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1.On Sept. 1, UnitedHealthcare began its two-phased approach to eliminating prior authorization requirements. The goal of the new rule is to eliminate prior authorizations planwide by 20 percent. As of Sept. 1, codes were eliminated for UnitedHealthcare Medicare Advantage, UnitedHealthcare commercial, UnitedHealthcare Oxford and UnitedHealthcare individual exchange plans.

2. CMS pitched a 2.8 percent average rate increase for ASCs next year in the 2024 Hospital Outpatient Prospective Payment System, released July 13.

3. As of March 12, Cigna lowered reimbursements for non-medically directed procedures performed by certified registered nurse anesthetists by 15 percent.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

160 ambulatory leaders just ranked the EHR as the single system most overdue for AI reinvention

Tuesday, August 11
12:00 PM - 1:00 PM CDT

Presenter: Gautam Shah, MBA, FACHDM, NextGen Healthcare

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