Joint-Venture Managed Care Contracting: A Guide to Success

February 03, 2012 | Print  |

Andrea Woodell is managed care manager for Regent Surgical Health.

 

There are several steps necessary to ensure a profitable transition from an independent ambulatory surgery center to a partnership with a hospital:

 

The difference in hospital rates versus ASC rates are often a 2-5 times multiplier. You can gain aggressive increases while still offering a differential to HOPD rates and not causing the payor to become entrenched and walk away.

 

Payors will often pushback when faced with a request for substantial increases. Some of the initial responses you are likely to get include:

 

When considering your response, think about what leverage you hold and what pressure points you can create:


ASC


Physician partners


Learn more about Regent Surgical Health.

 

More Articles Featuring Regent Surgical Health:

6 Points on Building an ASC Joint Venture With an Academic Medical Center

Maximizing ASC Board Productivity With a View Towards an Alignment of Goals

New Jersey's Robert Wood Johnson University Hospital Partners With Regent Surgical Health on Physician Joint Venture for Outpatient Surgery

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